Bone cement or incus interposition in type 2 tympanoplasty: prognostic factors and functional outcomes

Autor: Oğuz Basut, Uygar Levent Demir, Sait Karaca
Rok vydání: 2012
Předmět:
Zdroj: The Turkish Journal of Ear Nose and Throat. 22:99-104
ISSN: 1300-7475
DOI: 10.5606/kbbihtisas.2012.018
Popis: OBJECTIVES: In this study, we compared the functional results of incus interposition and the use of bone cement in patients who underwent type 2 tympanoplasty due to isolated incus defects. PATIENTS AND METHODS: A total of 47 patients including 12 patients with incus interposition and 35 patients with bone cement were enrolled in the study. The middle ear risk indices (MERI) of the patients were evaluated from the patient files. The mean air conduction thresholds at 0.5, 1, 2 and 4 kHz and air-bone gap were estimated, evaluating preoperative and postoperative audiogram results at 12 months of all patients. The success rate of surgery and functional outcomes were compared between the patients of similar MERI groups on which ossicular reconstruction was performed using different methods (bone cement or incus interposition). RESULTS: In all patients, there was a statistical significant improvement in terms of the mean air conductance threshold and decrease in the mean air-bone gap (p
Databáze: OpenAIRE