Revision stapes surgery for lysis of the long process of the incus: comparing hydroxyapatite bone cement versus malleovestibulopexy and total ossicular replacement prosthesis

2015 ◽  
Vol 273 (9) ◽  
pp. 2515-2521 ◽  
Author(s):  
Vincent Pitiot ◽  
Ruben Hermann ◽  
Stéphane Tringali ◽  
Christian Dubreuil ◽  
Eric Truy
Keyword(s):  
Bone Cement ◽  
Stapes Surgery ◽  
Ossicular Replacement ◽  
Revision Stapes Surgery ◽  
Replacement Prosthesis

scholarly journals Outcomes in revision stapes surgery: ionomeric bone cement vs. malleostapedotomy in incus necrosis

2021 ◽  
Vol 4 ◽  
pp. 14-14
Author(s):  
Benjamin McOwan ◽  
Jason Wei Jun Lim ◽  
Wen-Shen Lee ◽  
Mark McOwan ◽  
Tim McLean ◽  
...  
Keyword(s):  
Bone Cement ◽  
Stapes Surgery ◽  
Revision Stapes Surgery

Manubrio-incudo-stapedioplasty for reconstruction of Austin–Kartush type B ossicular defects

2019 ◽  
Vol 133 (06) ◽  
pp. 457-461
Author(s):  
U Düzenli ◽  
A F Kıroğlu
Keyword(s):  
Bone Cement ◽  
Functional Outcomes ◽  
The Other ◽  
Type B ◽  
Hearing Improvement ◽  
Reconstruction Methods ◽  
Hearing Thresholds ◽  
Ossicular Replacement ◽  
Hearing Outcomes ◽  
Replacement Prosthesis

AbstractObjectiveManubrio-incudo-stapedioplasty functional outcomes were compared to those of other methods for reconstructing Austin–Kartush type B ossicular defects.MethodsForty-two patients underwent Austin–Kartush type B ossicular defect reconstruction using: manubrio-incudo-stapedioplasty (13 patients), an autologous incus (19 patients) or a titanium ossicular replacement prosthesis (10 patients). For manubrio-incudo-stapedioplasty reconstruction, the malleus head was removed, the manubrium was relocated posteriorly and the incus short process was placed on the mobile footplate. The manubrium was placed on the incus body groove and bone cement was applied to stabilise the manubrium–incus junction. Pre- and post-operative hearing thresholds were assessed.ResultsThe air–bone gap decreased from 25.9 ± 6.0 dB to 12.3 ± 5.0 dB (p< 0.05) in the manubrio-incudo-stapedioplasty group. The hearing gain was 13.6 ± 5.2 dB for manubrio-incudo-stapedioplasty, 3.4 ± 14.2 dB with the autologous incus, and 3.3 ± 11.07 dB with the titanium ossicular replacement prosthesis. Hearing improvement was greater for manubrio-incudo-stapedioplasty compared to the other reconstruction methods (p< 0.05).ConclusionManubrio-incudo-stapedioplasty resulted in satisfactory hearing outcomes in patients with Austin–Kartush type B ossicular defects. This technique can be considered a stable, inexpensive and effective method to reconstruct Austin–Kartush type B ossicular defects.

Electrocoagulation improving bone cement use in middle-ear surgery: short-term and middle-term results

2016 ◽  
Vol 130 (12) ◽  
pp. 1110-1114 ◽  
Author(s):  
C Galy-Bernadoy ◽  
M Akkari ◽  
M Mondain ◽  
A Uziel ◽  
F Venail
Keyword(s):  
Bone Cement ◽  
Ossicular Chain ◽  
Stapes Surgery ◽  
Middle Ear Surgery ◽  
Hearing Improvement ◽  
Short Term ◽  
Ear Surgery ◽  
Middle Term ◽  
Ossicular Chain Reconstruction ◽  
Revision Stapes Surgery

AbstractBackground:Bone cement is used for ossicular chain repair and revision stapes surgery. Its efficient use requires cautious removal of mucosa from the ossicles. This paper reports a technique for easy, fast and safe removal of this mucosa prior to cement application. It consists of the application of monopolar electrocoagulation on the ossicles prior to bone cement application.Methods:The outcomes of six cases of revision stapes surgery and seven cases of partial ossiculoplasty, conducted between 2007 and 2012 using this new technique, were evaluated. Intra-operative reports and audiometric data were collected.Results:During the last assessment, reconstruction using bone cement resulted in mean post-operative air–bone gaps of 4.1 ± 6.5 dB in revision stapes surgery cases and 5.7 ± 5.5 dB in partial ossiculoplasty cases, reflecting a significant hearing improvement (p = 0.03). No complications were observed.Conclusion:Electrocoagulation allows the removal of mucosa from the ossicles in an easy, fast and safe manner, enabling the use of bone cement for ossicular chain reconstruction.

Systematic review of the use of bone cement in ossicular chain reconstruction and revision stapes surgery

2014 ◽  
Vol 125 (1) ◽  
pp. 227-233 ◽  
Author(s):  
Inge Wegner ◽  
Jelle W.G. van den Berg ◽  
Adriana L. Smit ◽  
Wilko Grolman
Keyword(s):  
Systematic Review ◽  
Bone Cement ◽  
Ossicular Chain ◽  
Stapes Surgery ◽  
Ossicular Chain Reconstruction ◽  
Revision Stapes Surgery

Bone Cement Fixation of Stapedotomy Prostheses: Long-term Outcomes in Primary and Revision Stapes Surgery

2020 ◽  
pp. 000348942097133
Author(s):  
Pedrom C. Sioshansi ◽  
Amy Schettino ◽  
Seilesh C. Babu ◽  
Dennis I. Bojrab ◽  
Eric W. Sargent ◽  
...  
Keyword(s):  
Word Recognition ◽  
Bone Cement ◽  
Bone Conduction ◽  
Stapes Surgery ◽  
Long Term Outcomes ◽  
Significant Difference ◽  
Long Term Follow Up ◽  
Revision Stapes Surgery

Objectives: To describe audiologic outcomes following hydroxyapatite bone cement fixation of stapedotomy prostheses. Methods: A retrospective case review at a tertiary neurotology referral center was performed of patients undergoing primary or revision stapedotomy between 2010 and 2017. Patients with hydroxyapatite bone cement fixation of stapes prostheses were assessed. Pre- and postoperative hearing was compared, consisting of air conduction (AC) and bone conduction (BC) pure-tone averages (PTA), air-bone gap (ABG), and word recognition scores (WRS). Short and long-term outcomes were assessed. Results: Forty-six patients with otosclerosis underwent stapedotomy with bone cement fixation: 21 primary cases and 25 revision cases, with an average follow-up time of 17 months. Mean AC PTA was 56 dB preoperatively, and 34 dB postoperatively ( P < .0001), while the ABG improved on average from 27 dB to 9 dB ( P < .0001). There was no significant difference in postoperative ABG between primary and revision stapes surgery (6 dB vs 10 dB, P = .07). These results persisted through long-term follow-up in a subgroup of patients with significantly longer follow-up time (mean 44 months). There was no significant change in BC PTA or word recognition scores. Three patients underwent subsequent revisions, one patient developed sensorineural hearing loss. Conclusion: Stapedotomy with bone cement fixation of the prosthesis provides excellent hearing outcomes in both primary and revision treatment of otosclerosis. Results are consistent and stable through long-term follow-up. The use of bone cement should be incorporated into the surgical armamentarium of the otologist for the prevention and treatment of loose-wire syndrome and incus necrosis.

Soft tissue reaction to ceramic ossicular replacement prosthesis

1987 ◽  
Vol 101 (9) ◽  
pp. 897-904 ◽  
Author(s):  
Etsuo Yamamoto ◽  
Michitaka Iwanaga
Keyword(s):  
Soft Tissue ◽  
Connective Tissue ◽  
Inflammatory Cell ◽  
Clinical Results ◽  
Tissue Reaction ◽  
Fibrous Connective Tissue ◽  
Soft Tissue Reaction ◽  
Fascia Graft ◽  
Ossicular Replacement ◽  
Replacement Prosthesis

AbstractSoft-tissue reaction to ceramic ossicular replacement prostheses (CORP) has been evaluated histologically in rabbits and humans. One week after implantation, severe inflammatory and foreign body reaction was observed in the fibrous connective tissue surrounding the prosthesis. Though some inflammatory response was seen after one month, after three months the CORP was surrounded by a layer of fibrous connective tissue without any foreigh body giant cell, histiocyte or inflammatory cell infiltration. Our satisfactory clinical results in humans without placing a cartilage between the CORP and the fascia graft may be due to the excellent softtissue compatibility of CORP, as demonstrated in this study.

Autologous total ossicular replacement prosthesis

2014 ◽  
Vol 128 (12) ◽  
pp. 1050-1055 ◽  
Author(s):  
M Malhotra ◽  
S Varshney ◽  
R Malhotra
Keyword(s):  
Pure Tone ◽  
Chronic Otitis Media ◽  
Canal Wall ◽  
Hearing Improvement ◽  
Hearing Results ◽  
Replacement Technique ◽  
Ossicular Replacement ◽  
Canal Wall Down ◽  
Replacement Prosthesis ◽  
Air Conduction

AbstractObjective:To develop an autologous total ossicular replacement prosthesis with sustainable hearing results.Methods:The ears of 40 patients, who had chronic otitis media with absent suprastructure of the stapes and long process of the incus, were repaired using the autologous total ossicular replacement technique. Post-operative results were evaluated after 6 and 12 months on the basis of average pure tone air conduction and average air–bone gap measured at 0.5, 1, 2 and 3 kHz.Results:Successful rehabilitation of pure tone average to 30 dB or less was achieved in 75 per cent of patients, and air–bone gap to 20 dB or less was attained in 82.5 per cent of patients. Overall mean improvement in air–bone gap was 23.9 ± 8.5 dB (p < 0.001). Mean improvements in air–bone gap were significantly greater (p < 0.05) in the tympanoplasty only group (27.3 ± 6.6 dB) and the intact canal wall tympanoplasty group (25.9 ± 6.3 dB) than in the canal wall down tympanoplasty group (16.3 ± 8.9 dB).Conclusion:This paper describes an autologous total ossicular replacement prosthesis that is biocompatible, stable, magnetic resonance imaging compatible and, above all, results in sustainable hearing improvement.

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