The Effects of an Adhesive in the Middle Ear

Heumann, H; Steinbach, E.

doi:10.1001/archotol.1980.00790360012004

Cited by 21 publications

(10 citation statements)

References 4 publications

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“…The clot constituted by the fibrin glue is a physiologic component found in tissue repair, and this makes it different from other types of glue such as the cyanoacrylates, which bear high fibrin formation, and is very difficult to use in moist tissue, induce fibrosis, foreign body reaction, and significant inflammatory response 15, 16. Moreover, the polymerization of this family of tissue glue is exothermic and it should be avoided in areas that may be liable to heat damage.…”

Section: Discussionmentioning

confidence: 99%

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Traumatic dislocation of the incudostapedial joint repaired with fibrin tissue adhesive

Nikolaidis¹

2011

The Laryngoscope

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We present a case of traumatic dislocation of the incudostapedial joint (ISJ) and a simple method for controlled application of the glue using commercial fibrin tissue adhesive. A 26-year-old female presented to our ENT clinic for hearing impairment to her left ear 2 months after a head trauma due to a motorcycle accident. The audiogram revealed a 40-to 50-dB HL conductive hearing loss with a notch configuration in bone conduction curve on the left ear. Computed tomography of the left temporal bone revealed a longitudinal fracture line. An exploratory tympanotomy was performed under general anesthesia. The ISJ was found dislocated while the incus was trapped by the edges of the bony lateral attic wall fracture. A small bony edge that impeded incus movement was removed and a small amount of the glue was precisely applied to the lenticular process of the incus with an angled incision knife. The long process of the incus was firmly pressed over the stapes for 30 seconds with a 90 hook and 60 seconds after the application of the glue the ISJ was repaired. One year after our patient achieved full airbone gap (ABG) closure (ABG, 10 dB HL), while she demonstrated overclosure in frequencies 2 and 4 kHz. Fibrin tissue glue allowed safe, rapid, and accurate repair of the ISJ and resulted in an anatomically normal articulation as the mass and shape of the ossicles was preserved. Moreover, our patient achieved full ABG closure.

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Section: Discussionmentioning

confidence: 99%

“…Moreover, the polymerization of this family of tissue glue is exothermic and it should be avoided in areas that may be liable to heat damage. Thus, they are not recommended for middle ear surgery 15, 16…”

Section: Discussionmentioning

confidence: 99%

Traumatic dislocation of the incudostapedial joint repaired with fibrin tissue adhesive

Nikolaidis¹

2011

The Laryngoscope

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“…1 More recent compounds have been shown to be neither ototoxic 2 nor to cause signi cant in ammatory response, 3 although some controversy surrounds these assertions as contemporary studies 4 have demonstrated signi cant tissue reaction. It may be that the differences between these and other studies can be explained by the different species of animal utilized.…”

Section: Discussionmentioning

confidence: 99%

A traumatic ossicular disruption successfully repaired with n-butyl cyanoacrylate tissue adhesive

Adamson

Jeannon²,

Stafford³

2000

J. Laryngol. Otol.

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“…For our purposes, however, this was not adequate specifically regarding the interface [16]. Studies have shown that the use of histoacryl or similar substances can lead to extensive biological reactions which could endanger the implanted devices [17,18].…”

Section: Discussionmentioning

confidence: 99%

Advances in the Use of Glass-Ionomeric Cement

Weber¹,

B²,

Strauchmann³

et al. 1998

ORL

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An experimentally developed technique for microapplication of low-viscosity glass ionomeric cement (see part 1) was tested in animals over a 6-month period. The cement was used to firmly connect gold with titanium and gold with middle ear ossicles in 22 adult foxhounds. After a 6-month period of acoustic stimulation via parts of an implantable hearing aid, the finely applied glass-ionomeric cement was integrated in situ, stable and caused no adverse reactions. The microapplication technique used proved to be easy, effective and provided long-term stability.

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The Effects of an Adhesive in the Middle Ear

Cited by 21 publications

References 4 publications

Traumatic dislocation of the incudostapedial joint repaired with fibrin tissue adhesive

Traumatic dislocation of the incudostapedial joint repaired with fibrin tissue adhesive

A traumatic ossicular disruption successfully repaired with n-butyl cyanoacrylate tissue adhesive

Advances in the Use of Glass-Ionomeric Cement

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