Comparison of early hearing outcomes of type 2 ossiculoplasty using hydroxyapatite bone cement versus other materials
| Autor: | C. Galy-Bernadoy, Alain Uziel, Mohamed Akkari, Frédéric Venail, Michel Mondain, C. Mathiolon |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Adult
Male Adolescent Incus Hearing Loss Conductive Dentistry Young Adult stomatognathic system Postoperative results medicine Humans Statistical analysis Major complication Prospective Studies Chronic otitis media Child Aged Ear Ossicles Retrospective Studies Cement Titanium Ossicles business.industry Significant difference Bone Cements Middle Aged Bone cement PORP Ossicular Prosthesis Otitis Media medicine.anatomical_structure Cartilage Ossicular Replacement Otorhinolaryngology Ossiculoplasty Chronic Disease Audiometry Pure-Tone Surgery Female Hydroxyapatites business Otologic Surgical Procedures Bone Conduction Follow-Up Studies |
| Zdroj: | European annals of otorhinolaryngology, head and neck diseases. 131(5) |
| ISSN: | 1879-730X |
| Popis: | ObjectivesTo compare the hearing outcomes of type 2 ossiculoplasties for erosion of the long process of the incus according to the reconstruction material used: cartilage, ossicles, hydroxyapatite (HAP) partial ossiculoplasty reconstruction prostheses (PORP), titanium PORP, and HAP cement. Complications related to cement reconstruction were systematically investigated and reported.Material and methodsSeventy patients operated between 2007 and 2011 for non-cholesteatomatous chronic otitis media were included in this study. Mean air-bone gap (500, 1000, 2000 and 4000Hz) was compared preoperatively and 3 months postoperatively according to the reconstruction material used. Postoperative results were classified as good (air-bone gap20dB) and were compared according to the reconstruction material used.ResultsGroups were comparable in terms of preoperative air-bone gap (P>0.05, Anova). The mean postoperative air-bone gap was 14.82±11.52dB in the cartilage group, 13.31±9.03dB in the ossicles group, 22.12±11.95dB in the HAP PORP group, 13.75±11.20dB in the titanium PORP group, and 7.26±8.99dB in the HAP cement group. Statistical analysis showed a significant air-bone gap difference only between HAP PORP and HAP cement groups (P=0.021, Tukey's test). No significant difference was observed between groups when classified by air-bone gap class (P=0.29, Fisher's test). No major complication was reported with HAP cement with a minimum follow-up of 10 months.ConclusionHAP cement provides similar hearing outcomes to autologous material and titanium PORP, and better outcomes than HAP PORP in our patients. These results must be confirmed in a larger series with a longer follow-up. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect