Bone cement: how effective is it at restoring hearing in isolated incudostapedial erosion?

Watson, Glen; Narayan, Surya

doi:10.1017/s0022215114001601

Cited by 7 publications

(4 citation statements)

References 17 publications

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“…8 Several studies have shown that there was a considerable increase in the hearing quality of patients when the ossicular chain was rebuilt with GIC. [9][10][11][12] The ideal bone cement utilized for this objective ought to be moldable, effectively applied, quickly setting, nonpoisonous, fluid-resistant, fit for osteointegration, and ready to affect insignificant inflammation. 13 The present study aims to assess the use of GIC for the reconstruction of the long process of the incus.…”

Section: Introductionmentioning

confidence: 99%

Reconstruction of the Long Process of the Incus by Use of Glass Ionomer Cement: Our Experience

Ali

Ibrahim

Hussien

et al. 2022

Int Arch Otorhinolaryngol

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Introduction Chronic suppurative otitis media is one of the most common causes of reversible conductive hearing loss which can lead to necrosis of the ossicles. The incus, especially its long process, is the most common ossicle affected. Objectives The present study aims to assess the use of glass ionomer cement for the reconstruction of the long process of the incus. Methods The present study was conducted on 27 patients with chronic suppurative otitis media with central perforation with dry and quiescent ears with an eroded long process of the incus submitted to tympanoplasty. The audiological evaluations were done on all patients, including preoperative and postoperative evaluation of the air-bone gap; the average pure tone threshold was done 6 months postoperatively. Results The average air pure tone threshold was 42.8 dB preoperatively and 22.5 dB postoperatively. The postoperative air pure tone thresholds were significantly smaller than the preoperative values (p < 0.01). The air-bone gap was 30.5 dB at 500 Hz, 31.6 dB at 1 KHz, and 24.1 dB at 2 kHz preoperatively, and 7.7 dB at 500 Hz, 7.2 dB at 1 KHz, and 7.1 dB at 2 kHz postoperatively at the end of 6 months of follow-up. There were significant hearing gains in the air-bone gap (p < 0.001). Conclusion Glass ionomer cement is a useful and effective material for bridging the defect of the long process of the incus.

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Section: Introductionmentioning

confidence: 99%

Reconstruction of the Long Process of the Incus by Use of Glass Ionomer Cement: Our Experience

Ali

Ibrahim

Hussien

et al. 2022

Int Arch Otorhinolaryngol

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“…Myringostapediopexy has been defined as a retraction of the tympanic membrane limited to the posterosuperior region, in which there is erosion of the long process of the incus and fixation of the affected tympanic segment to the stapes head. While it has been suggested that natural myringostapediopexy alone does not result in clinically relevant conductive hearing loss, discontinuity of the incudostapedial joint can cause significant conductive hearing loss requiring ossiculoplasty . A systematic review has shown the use of hydroxyapatite biocement is effective in closing air‐bone gap for these patients; however, this is generally an elective surgical procedure performed in the operating room …”

Section: Introductionmentioning

confidence: 99%

“…While it has been suggested that natural myringostapediopexy alone does not result in clinically relevant conductive hearing loss, discontinuity of the incudostapedial joint can cause significant conductive hearing loss requiring ossiculoplasty. 1,2 A systematic review has shown the use of hydroxyapatite biocement is effective in closing air-bone gap for these patients; however, this is generally an elective surgical procedure performed in the operating room. 2 A 24-year-old patient presented to the otology clinic at the UC Irvine Medical Center, Orange, CA with conductive hearing loss.…”

Section: Introductionmentioning

confidence: 99%

In‐office ossicular chain reconstruction using hydroxyapatite cement

Tan

Abouzari

Goshtasbi

et al. 2019

Clinical Otolaryngology

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“…The use of bone cement to improve hearing in middle-ear surgery is well known 3 , 4 . Ardıç et al 5 .…”

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confidence: 99%

Imaging in autoimmune inner-ear disease and endolymphatic hydrops, bone cement for improving hearing outcomes in stapes surgery, and the reporting of results. External ear canal cholesteatoma: a hypothesis

Hussain¹,

Fisher²,

Fishman³

2018

J. Laryngol. Otol.

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Their study of patients with suspected primary immune-mediated inner-ear disease found that over 90 per cent had endolymphatic hydrops on intratympanic gadolinium three-dimensional magnetic resonance imaging (MRI). Gadolinium was diluted 8-fold and injected 24 hours prior to the scan. In secondary immune-mediated inner-ear disease, hydrops was less common. This adds to a previous paper by Patel et al.2 that showed a lack of visualisation of the right or left vestibular aqueduct on MRI as a significant finding in patients with Ménière's disease. Advances in imaging are rapidly changing our concepts of inner-ear disorders.The use of bone cement to improve hearing in middle-ear surgery is well known. 3,4Ardıç et al. 5 used an endoscope to apply bone cement over the prosthesis and the long process of the incus in their study comparing two methods of stapedotomy. They found better outcomes in terms of air-bone gap closure with the use of the endoscope and bone cement.In an interesting paper, Watson and da Cruz 6 show that despite American Academy of Otolaryngology -Head and Neck Surgery guidelines, results following stapes surgery have not always been accurately reported, leading to inflated outcomes. This would affect the consent process and patient expectations, which is a topical issue in the present climate. Now for something controversial. External ear canal cholesteatoma and benign necrotising otitis externa are considered independent entities. However, Hertz and Siim 7 propose that these are a continuum of the same disease at different stages of development.

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Bone cement: how effective is it at restoring hearing in isolated incudostapedial erosion?

Abstract: Biocements can be successfully used to close isolated incudostapedial erosions. Larger comparative prospective studies documenting the length of eroded incus and types of reformation of the incudostapedial joint, with standardised reporting, are needed in the future.

Cited by 7 publications

References 17 publications

Reconstruction of the Long Process of the Incus by Use of Glass Ionomer Cement: Our Experience

Reconstruction of the Long Process of the Incus by Use of Glass Ionomer Cement: Our Experience

In‐office ossicular chain reconstruction using hydroxyapatite cement

Imaging in autoimmune inner-ear disease and endolymphatic hydrops, bone cement for improving hearing outcomes in stapes surgery, and the reporting of results. External ear canal cholesteatoma: a hypothesis

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