Long term results of glass ionomer ossiculoplasty. 2024

Oğuzhan Katar, and Samet Kılıç, and Münir Demir Bajin, and Levent Sennaroğlu
Department of Otolaryngology, Hacettepe University Faculty of Medicine, Sıhhiye, 06100, Ankara, Turkey. ogzktr@gmail.com.

OBJECTIVE To analyze and compare the early and late post-operative results of glass ionomer bone cement (GIBC) used in ossiculoplasty. METHODS The pre-operative, early post-operative (3 months) and late post-operative (> 2 years) audiometric findings, namely the pure-tone average (PTA), bone conduction threshold (BCT) and air-bone gap (ABG) of 40 patients who underwent GIBC ossiculoplasty for different etiologies were analyzed. Early and late results were compared. Also, the patients were grouped in terms of prognostic factors and applied ossiculoplasty techniques, and the results were compared between the groups. RESULTS There were statistically significant improvements in the pure-tone average and air-bone gap of the patients in the early post-operative period (PTA from 59.60 ± 15.95 to 40.37 ± 17.83 and ABG from 37.12 ± 11.18 to 19.78 ± 10.41, p < 0.001 for both). There were no statistically significant changes in any of the audiometric parameters in the late post-operative period (PTA from 40.37 ± 17.83 to 39.79 ± 17.91, ABG from 19.78 ± 10.41 to 19.32 ± 9.60, BCT from 17.99 ± 12.71 to 18.31 ± 13.99, p > 0.05 for all). Presence of tympanosclerosis was found to be the only prognostic factor to affect the outcome. CONCLUSIONS GIBC is a safe and reliable material for ossiculoplasty, which maintains its ability to conduct sound in the long-term follow-up.

UI MeSH Term Description Entries
D009998 Ossicular Prosthesis An implant used to replace one or more of the ear ossicles. They are usually made of plastic, Gelfoam, ceramic, or stainless steel. Implant, Middle Ear,Middle Ear Implant,Ossicular Replacement Prosthesis,PORP,TORP,Implant, Ossicular Replacement,Ossicular Replacement Implant,Ossicular Replacement Prostheses,Prostheses, Ossicular Replacement,Prosthesis, Ossicular Replacement,Replacement Implant, Ossicular,Replacement Prostheses, Ossicular,Replacement Prosthesis, Ossicular,Ear Implant, Middle,Ear Implants, Middle,Implants, Middle Ear,Implants, Ossicular Replacement,Middle Ear Implants,Ossicular Prostheses,Ossicular Replacement Implants,Ossicular Replacement Prosthese,Prostheses, Ossicular,Prosthesis, Ossicular,Replacement Implants, Ossicular
D006314 Hearing Loss, Conductive Hearing loss due to interference with the mechanical reception or amplification of sound to the COCHLEA. The interference is in the outer or middle ear involving the EAR CANAL; TYMPANIC MEMBRANE; or EAR OSSICLES. Conductive Hearing Loss
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D001301 Audiometry, Pure-Tone Measurement of hearing based on the use of pure tones of various frequencies and intensities as auditory stimuli. Audiometry, Bekesy,Audiometry, Pure Tone,Bekesy Audiometry,Pure-Tone Audiometry
D012189 Retrospective Studies Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons. Retrospective Study,Studies, Retrospective,Study, Retrospective
D014433 Tympanoplasty Surgical reconstruction of the hearing mechanism of the middle ear, with restoration of the drum membrane to protect the round window from sound pressure, and establishment of ossicular continuity between the tympanic membrane and the oval window. (Dorland, 28th ed.) Tympanoplasties
D016896 Treatment Outcome Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series. Rehabilitation Outcome,Treatment Effectiveness,Clinical Effectiveness,Clinical Efficacy,Patient-Relevant Outcome,Treatment Efficacy,Effectiveness, Clinical,Effectiveness, Treatment,Efficacy, Clinical,Efficacy, Treatment,Outcome, Patient-Relevant,Outcome, Rehabilitation,Outcome, Treatment,Outcomes, Patient-Relevant,Patient Relevant Outcome,Patient-Relevant Outcomes
D019933 Ossicular Replacement Surgical insertion of an implant to replace one or more of the ear ossicles. Ossicular Prosthesis Implantation,Replacement, Ossicular,Implantation, Ossicular Prosthesis,Implantations, Ossicular Prosthesis,Ossicular Prosthesis Implantations,Ossicular Replacements,Prosthesis Implantation, Ossicular,Prosthesis Implantations, Ossicular,Replacements, Ossicular

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