BibTex RIS Kaynak Göster

Incudostapedial rebridging ossiculoplasty with glass ionomer cement: a case report

Yıl 2007, Cilt: 17 Sayı: 3, 183 - 186, 23.05.2007

Öz

A 31-year-old woman presented with a complaint of hearing loss of a two-year history. Otoscopic examina- tion revealed a Central ear drum perforation without discharge. The air-bone gap was 35 dB at 0.5, 1, 2, and 3 kHz. Under general anesthesia, the patient undervvent tympanoplasty for chronic otitis media. At surgery, the ossicular Chain was intact except for dis- continuity by a 2-mm gap between the long process of the incus and the head of the stapes. The gap was reconstructed with the use of a fluoroplastic prosthe- sis. Myringoplasty was successful, but the patient complained of hearing loss at the end of six months.Transcanal posterior tympanotomy was performed under local anesthesia for decreased conductive hear­ ing. The prosthesis was stili in place, but was not con- ducting the movements of the malleus to the stapes. İt was removed and glass ionomer cement Ketac-Cem was applied for rebridging. The average air-bone gap measured in the postoperative sixth month was less than 10 dB.

Kaynakça

  • McGee M, Hough JV. Ossiculoplasty. Otolaryngol Clin North Am 1999;32:471-88.
  • Feghali JG, Barrs DM, Beatty CW, Chen DA, Green JD Jr, Krueger WW, et al. Bone cement reconstruction of the ossicular chain: a preliminary report. Laryngoscope 1998;108:829-36.
  • Bayazit Y, Goksu N, Beder L. Functional results of Plastipore prostheses for middle ear ossicular chain reconstruction. Laryngoscope 1999;109:709-11.
  • Schuring AG, Lippy WH, Rizer FM. Reconstructing the absent lenticular process. Laryngoscope 1987;97:1149-50.
  • Applebaum EL. An hydroxylapatite prosthesis for defects of the incus long process. Laryngoscope 1993; 103:330-2.
  • Tange RA. Repair of the ossicular chain with an ionomer cement by an inadequate incus after prior stapes surgery for otosclerosis. Eur Arch Otorhinolaryngol 1996;253: 313-5.
  • Brask T. Reconstruction of the ossicular chain in the middle ear with glass ionomer cement. Laryngoscope 1999;109:573-6.
  • Kupperman D, Tange RA. Long-term results of glass ionomer cement, Ionocem, in the middle ear of the rat. Acta Otorhinolaryngol Belg 1997;51:27-30.
  • Kupperman D, Tange RA. Ionomeric cement in the human middle ear cavity: long-term results of 23 cases. Laryngoscope 2001;111:306-9.
  • Vartiainen E, Kansanen M. Tympanomastoidectomy for chronic otitis media without cholesteatoma. Otolaryngol Head Neck Surg 1992;106:230-4.
  • Rust KR, Singleton GT, Wilson J, Antonelli PJ. Bioglass middle ear prosthesis: long-term results. Am J Otol 1996;17:371-4.
  • Luntz M, Bentacur TM, Sade J. Tripod allograft in reconstruction of incudal lesions. J Laryngol Otol 1994; 108:206-11.
  • Ozer E, Bayazit YA, Kanlikama M, Mumbuc S, Ozen Z. Incudostapedial rebridging ossiculoplasty with bone cement. Otol Neurotol 2002;23:643-6.
  • Kjeldsen AD, Grontved AM. Tympanoplasty with ionomeric cement. Acta Otolaryngol Suppl 2000;543: 130-1.
  • Ramsden RT, Herdman RC, Lye RH. Ionomeric bone cement in neuro-otological surgery. J Laryngol Otol 1992;106:949-53.
  • Rudel C, Zollner W. Ionomeric cement-a bone glue for device fixation. Ear Nose Throat J 1994;73:189-91.
  • Jonck LM, Grobbelaar CJ, Strating H. Biological evalu- ation of glass-ionomer cement (Ketac-O) as an inter- face material in total joint replacement. A screening test. Clin Mater 1989:4;201-24.
  • Brook IM, Hatton PV. Glass-ionomers: bioactive implant materials. Biomaterials 1998;19:565-71.
  • Geyer G, Helms J. Ionomer-based bone substitute in oto- logic surgery. Eur Arch Otorhinolaryngol 1993; 250:253-6.
  • Maassen MM, Zenner HP. Tympanoplasty type II with ionomeric cement and titanium-gold-angle prostheses. Am J Otol 1998;19:693-9.

İnkus-stapedius iletimi için cam ionomer çimento ile ossiküloplasti: Olgu sunumu

Yıl 2007, Cilt: 17 Sayı: 3, 183 - 186, 23.05.2007

Öz

Otuz bir yaşında kadın hasta, iki yıldır var olan işit- me kaybı nedeniyle başvurdu. Otoskopik muayene- de kulak zarında santral perforasyon vardı, ancak akıntı yoktu. Saf ses odyometrisinde 0.5, 1, 2 ve 3 kHz’lerde hava-kemik yolu açıklığı 35 dB idi. Has- taya kronik otitis media tanısıyla genel anestezi al- tında timpanoplasti ameliyatı yapıldı. Ameliyat sıra- sında inkusun uzun kolu ile stapes başı arasında 2 mm’lik kemikçik zincir devamsızlığı görüldü. İleti fluroplastik protez ile sağlandı. Altıncı ayda yapılan kontrolde underlay olarak konulan greftin intakt ol- duğu; fakat, işitme kaybının devam ettiği saptandı. Lokal anestezi altında transkanal olarak yeniden ameliyat edilen hastada fluroplastik protezin yerin- de olduğu; fakat, iletimi sağlamadığı görüldü. Pro- tez çıkarılarak bu kez cam ionomer çimento Ketac- Cem kullanılarak bağlantı yeniden sağlandı. Has- tanın ameliyat sonrası altıncı ayda ölçülen ortala- ma saf ses hava-kemik yolu açıklığı 10 dB’den azdı

Kaynakça

  • McGee M, Hough JV. Ossiculoplasty. Otolaryngol Clin North Am 1999;32:471-88.
  • Feghali JG, Barrs DM, Beatty CW, Chen DA, Green JD Jr, Krueger WW, et al. Bone cement reconstruction of the ossicular chain: a preliminary report. Laryngoscope 1998;108:829-36.
  • Bayazit Y, Goksu N, Beder L. Functional results of Plastipore prostheses for middle ear ossicular chain reconstruction. Laryngoscope 1999;109:709-11.
  • Schuring AG, Lippy WH, Rizer FM. Reconstructing the absent lenticular process. Laryngoscope 1987;97:1149-50.
  • Applebaum EL. An hydroxylapatite prosthesis for defects of the incus long process. Laryngoscope 1993; 103:330-2.
  • Tange RA. Repair of the ossicular chain with an ionomer cement by an inadequate incus after prior stapes surgery for otosclerosis. Eur Arch Otorhinolaryngol 1996;253: 313-5.
  • Brask T. Reconstruction of the ossicular chain in the middle ear with glass ionomer cement. Laryngoscope 1999;109:573-6.
  • Kupperman D, Tange RA. Long-term results of glass ionomer cement, Ionocem, in the middle ear of the rat. Acta Otorhinolaryngol Belg 1997;51:27-30.
  • Kupperman D, Tange RA. Ionomeric cement in the human middle ear cavity: long-term results of 23 cases. Laryngoscope 2001;111:306-9.
  • Vartiainen E, Kansanen M. Tympanomastoidectomy for chronic otitis media without cholesteatoma. Otolaryngol Head Neck Surg 1992;106:230-4.
  • Rust KR, Singleton GT, Wilson J, Antonelli PJ. Bioglass middle ear prosthesis: long-term results. Am J Otol 1996;17:371-4.
  • Luntz M, Bentacur TM, Sade J. Tripod allograft in reconstruction of incudal lesions. J Laryngol Otol 1994; 108:206-11.
  • Ozer E, Bayazit YA, Kanlikama M, Mumbuc S, Ozen Z. Incudostapedial rebridging ossiculoplasty with bone cement. Otol Neurotol 2002;23:643-6.
  • Kjeldsen AD, Grontved AM. Tympanoplasty with ionomeric cement. Acta Otolaryngol Suppl 2000;543: 130-1.
  • Ramsden RT, Herdman RC, Lye RH. Ionomeric bone cement in neuro-otological surgery. J Laryngol Otol 1992;106:949-53.
  • Rudel C, Zollner W. Ionomeric cement-a bone glue for device fixation. Ear Nose Throat J 1994;73:189-91.
  • Jonck LM, Grobbelaar CJ, Strating H. Biological evalu- ation of glass-ionomer cement (Ketac-O) as an inter- face material in total joint replacement. A screening test. Clin Mater 1989:4;201-24.
  • Brook IM, Hatton PV. Glass-ionomers: bioactive implant materials. Biomaterials 1998;19:565-71.
  • Geyer G, Helms J. Ionomer-based bone substitute in oto- logic surgery. Eur Arch Otorhinolaryngol 1993; 250:253-6.
  • Maassen MM, Zenner HP. Tympanoplasty type II with ionomeric cement and titanium-gold-angle prostheses. Am J Otol 1998;19:693-9.
Toplam 20 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Bölüm Olgu Sunumu
Yazarlar

Utku Kubilay Bu kişi benim

Ozan Seymen Sezen Bu kişi benim

Mahmut Özkırış Bu kişi benim

Süheyl Haytoğlu Bu kişi benim

Şeref Ünver Bu kişi benim

Yayımlanma Tarihi 23 Mayıs 2007
Yayımlandığı Sayı Yıl 2007 Cilt: 17 Sayı: 3

Kaynak Göster

APA Kubilay, U., Sezen, O. S., Özkırış, M., Haytoğlu, S., vd. (2007). Incudostapedial rebridging ossiculoplasty with glass ionomer cement: a case report. The Turkish Journal of Ear Nose and Throat, 17(3), 183-186.
AMA Kubilay U, Sezen OS, Özkırış M, Haytoğlu S, Ünver Ş. Incudostapedial rebridging ossiculoplasty with glass ionomer cement: a case report. Tr-ENT. Mayıs 2007;17(3):183-186.
Chicago Kubilay, Utku, Ozan Seymen Sezen, Mahmut Özkırış, Süheyl Haytoğlu, ve Şeref Ünver. “Incudostapedial Rebridging Ossiculoplasty With Glass Ionomer Cement: A Case Report”. The Turkish Journal of Ear Nose and Throat 17, sy. 3 (Mayıs 2007): 183-86.
EndNote Kubilay U, Sezen OS, Özkırış M, Haytoğlu S, Ünver Ş (01 Mayıs 2007) Incudostapedial rebridging ossiculoplasty with glass ionomer cement: a case report. The Turkish Journal of Ear Nose and Throat 17 3 183–186.
IEEE U. Kubilay, O. S. Sezen, M. Özkırış, S. Haytoğlu, ve Ş. Ünver, “Incudostapedial rebridging ossiculoplasty with glass ionomer cement: a case report”, Tr-ENT, c. 17, sy. 3, ss. 183–186, 2007.
ISNAD Kubilay, Utku vd. “Incudostapedial Rebridging Ossiculoplasty With Glass Ionomer Cement: A Case Report”. The Turkish Journal of Ear Nose and Throat 17/3 (Mayıs 2007), 183-186.
JAMA Kubilay U, Sezen OS, Özkırış M, Haytoğlu S, Ünver Ş. Incudostapedial rebridging ossiculoplasty with glass ionomer cement: a case report. Tr-ENT. 2007;17:183–186.
MLA Kubilay, Utku vd. “Incudostapedial Rebridging Ossiculoplasty With Glass Ionomer Cement: A Case Report”. The Turkish Journal of Ear Nose and Throat, c. 17, sy. 3, 2007, ss. 183-6.
Vancouver Kubilay U, Sezen OS, Özkırış M, Haytoğlu S, Ünver Ş. Incudostapedial rebridging ossiculoplasty with glass ionomer cement: a case report. Tr-ENT. 2007;17(3):183-6.