Bone Cement Ossiculoplasty: Incus to Stapes Versus Malleus to Stapes Cement Bridge

Bayazıt, Yıldırım A.; Özer, Enver; Kanlı́kama, Muzaffer; Durmaz, Tuba; Yılmaz, Metin

doi:10.1097/01.mao.0000169781.92211.76

Cited by 42 publications

(70 citation statements)

References 11 publications

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“…Following hardening, the movement of the ossicles is checked. An exothermic reaction appears after the application of GIC [4][5][6].…”

Section: Methodsmentioning

confidence: 99%

Comparison of glass ionomer cement and incus interposition in reconstruction of incus long process defects

Dere¹,

Özdoğan²,

Özcan³

et al. 2011

Eur Arch Otorhinolaryngol

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The ossicles may be affected through the mass effect of the pathological tissue in chronic otitis media. Ossicular reconstruction may be accomplished using the patients' own ossicles or with alloplastic materials. Glass ionomer ossiculoplasty is a fast, efficient, safe and cost-effective method and it has been used more frequently in recent years. Forty-six patients who had surgery for chronic otitis media were included in this study. All patients had an incus long process defect and a normal stapes superstructure. Ossicular reconstruction was performed using glass ionomer cement (GIC) (Ketac-Cem, Espe Dental AG, Seefeld, Germany) in 23 patients (group 1), while incus interposition was performed in other 23 patients (group 2). Preoperative and postoperative air pure tone averages of the group 1 patients were 42.8 and 35.2 dB, respectively (p < 0.01). These values were 42.9 and 34.5 dB in group 2 (p < 0.01). Two groups were similar with respect to postoperative hearing gain (p > 0.05). The air bone gap of group 1 was 27 dB preoperatively and 20.7 dB postoperatively. These values were 28.7 and 20.2 dB, respectively, in group 2. The closure of air bone gap was statistically significant in both the groups (p < 0.01, p < 0.01). The comparison of the mean gains of the air bone gap revealed no difference between the groups (p > 0.05). In conclusion, the use of both GIC ossiculoplasty and incus interposition are efficient methods for reconstruction of incus long process and one is not superior to the other. A larger study population may be useful for comparison of these methods.

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“…Following hardening, the movement of the ossicles is checked. An exothermic reaction appears after the application of GIC [4][5][6].…”

Section: Methodsmentioning

confidence: 99%

Comparison of glass ionomer cement and incus interposition in reconstruction of incus long process defects

Dere¹,

Özdoğan²,

Özcan³

et al. 2011

Eur Arch Otorhinolaryngol

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“…Numerous authors [3][4][5][6][7][8][9][10] who have described the surgical steps in their GIC ossiculoplasty procedures in detail, did not mention whether the mucosa had been removed from the recipient auditory ossicle or not. Others [11][12][13][14][15] declared that the ossicle had been denuded prior to the application of the cement.…”

Section: Introductionmentioning

confidence: 99%

Should the ossicle be denuded prior to the application of glass ionomer cement? An experimental study on rabbit

Ráth

Kereskai

Bauer

et al. 2011

Eur Arch Otorhinolaryngol

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The objective of this study was to assess whether denudation of the auditory ossicle prior to the application of glass ionomer cement (GIC) durably strengthens the adhesion between bone and GIC. The tympanic bullas of 34 rabbits were opened bilaterally. The mucosa was removed from the lateral surface of the right-side incudi with a diamond burr, while the left-side incudi were left intact. GIC was then applied bilaterally to the lateral surface of the incudi of 30 of these rabbits which were subsequently killed 1, 3, 7, 14, 21, 30, 60, 90, 180 or 365 days postoperatively. The 4 sham-operated animals were killed on day 1, 7, 30 or 365. The incudi were removed and processed for histological evaluation. On exploration, the cement was visible on the incus within the tympanic bulla in all 30 GIC-treated animals. During surgical removal, the GIC was separated from the incus in 3 ears. Histological examination further revealed separation in 5 ears after processing. All 8 separations occurred in the right (not denuded) ears, and at least 60 days postoperatively. The difference between the two sides in the number of separations was significant (p < 0.05). The initial inflammatory reaction elicited by the surgical trauma to the right-side ossicles had substantially decreased by day 7. No foreign body reaction was observed and the GIC became overgrown with mucosa by day 60. In conclusion, the GIC proved biocompatible, and preliminary denudation of the ossicle resulted in stronger and more durable bone-GIC adhesion.

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“…Baglam et al reported a significant hearing improvement after incudostapedial rebridging ossiculoplasty with KC (20). Bayazit et al presented a significant improvement in the hearing results of different aural pathologies and surgeries after two years of follow-up with bone cement ossiculoplasty (19). Righini-Grunder et al reported their long-term experiences by using Sereno Cem and KC GICs for different kinds of ear surgeries (9).…”

Section: +mentioning

confidence: 99%

“…Since GICs bond firmly to stapes, it may be difficult to remove it during a revision surgery. Thus, an inappropriate manipulation may cause stapes to fracture (19). The use of GICs for different ossicular reconstructions such as incus stapes re-bridging, incus augmentation, and the fixation of stapes implants have been shown by several studies as the reliable method (4,12,19,20).…”

Section: +mentioning

confidence: 99%

See 1 more Smart Citation

Evaluation on Shear Bond Strength of Different Glass Ionomer and Hydroxy Apatite Cements Used in Ossiculoplasty

Kalcıoğlu¹,

Uzun²,

Yalçın³

et al. 2015

Balkan Med J

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Bone Cement Ossiculoplasty: Incus to Stapes Versus Malleus to Stapes Cement Bridge

Abstract: Bone cement ossiculoplasty offers cost effective and significant improvement in conductive hearing loss.

Cited by 42 publications

References 11 publications

Comparison of glass ionomer cement and incus interposition in reconstruction of incus long process defects

Comparison of glass ionomer cement and incus interposition in reconstruction of incus long process defects

Should the ossicle be denuded prior to the application of glass ionomer cement? An experimental study on rabbit

Evaluation on Shear Bond Strength of Different Glass Ionomer and Hydroxy Apatite Cements Used in Ossiculoplasty

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