Ossicular reconstruction of incudo-stapedial joint by glass ionomer—a study of 24 cases
Autor: | Baisali Sarkar, Meenesh Juvekar |
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Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
Air conduction
Incudo-stapedial joint medicine.diagnostic_test business.industry Chronic otitis Glass ionomer cement Dentistry Hearing loss Tertiary care hospital Bone conduction Otitis Audiometry Ossiculoplasty Otorhinolaryngology RF1-547 otorhinolaryngologic diseases Medicine Hearing improvement Pure tone audiometry medicine.symptom business |
Zdroj: | The Egyptian Journal of Otolaryngology, Vol 37, Iss 1, Pp 1-5 (2021) |
ISSN: | 2090-8539 1012-5574 |
Popis: | Background Chronic otitis media is one of the major health issues worldwide resulting in partial or complete loss of conductive hearing mechanism including the tympanic membrane and ossicular assembly. The aim of the study is to assess hearing improvement after reconstructing the incudo-stapedial joint with glass ionomer cement. Here, a prospective observational study was done in a tertiary care hospital. Patients of chronic mucosal otitis media were operated, and intraoperatively incudo-stapedial joint discontinuity was restored using glass ionomer cement. Post-operative follow-up was done at 1-month, 3-month, 6-month, and 1-year intervals, and hearing was evaluated by doing pure tone audiometry with air conduction at 0.5, 1, 2, 3, 4, 6, and 8 kHz and bone conduction at 0.5, 1, 2, 3, and 4 kHz. Tabulation was done by calculating the air-bone gap in each patient. Results In our study, the patients showed statistically significant improvement in air conduction thresholds and near closure of air-bone gap post-operatively. The mean AC threshold is 15 dB with 91.67% patients having closure of ABG Conclusions Glass ionomer is a simple, physiological, and cost-effective method of tympano-ossicular reconstruction with certain significant post-operative hearing improvement. |
Databáze: | OpenAIRE |
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