Comparison of incus interpositioning technique versus glass ionomer cement application in type 2 tympanoplasty

Objective of this study is to compare glass ionomer cement application and incus interpositioning techniques in patients who have chronic otitis media, conductive hearing loss with intact tympanic membrane and who undergo hearing reconstruction of staged surgery using a retrospective chart review in...

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Bibliographic Details
Published in:European archives of oto-rhino-laryngology 2013-05, Vol.270 (5), p.1593-1596
Main Authors: Yazıcı, Haşmet, Uzunkulaoğlu, Hakkı, Emir, Hatice Karadas, Kızılkaya, Zeynep, Doğan, Sedat, Samim, Erdal
Format: Article
Language:English
Subjects:
Adolescent
Adult
Audiometry, Pure-Tone
Chronic Disease
Female
Glass Ionomer Cements - therapeutic use
Head and Neck Surgery
Hearing Loss, Conductive - surgery
Humans
Incus - transplantation
Male
Medicine
Medicine & Public Health
Middle Aged
Neurosurgery
Otitis Media - surgery
Otology
Otorhinolaryngology
Retrospective Studies
Transplantation, Autologous
Treatment Outcome
Tympanoplasty - methods
Young Adult
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Summary:Objective of this study is to compare glass ionomer cement application and incus interpositioning techniques in patients who have chronic otitis media, conductive hearing loss with intact tympanic membrane and who undergo hearing reconstruction of staged surgery using a retrospective chart review in the setting of Ministry of Health Ankara Training and Research Hospital ENT Clinic, Turkey. We retrospectively evaluated patients who underwent otological surgery and hearing reconstruction with auto graft incus during 2005–2008 or glass ionomer cement during 2008–2010. Patients who had cholesteatoma, stapes fixation and tympanosclerosis were excluded. Postoperative mean follow-up time of 107 patients was 9.8 months (6–38 months, 83.2 % of them was ≤9 months). Postoperative pure tone hearing thresholds, graft status, gain scores and air bone gaps were recorded. Intact graft, dry ear on the operated side and ABG scores less than 20 dB were accepted as surgical success. Preoperative ABG score was 30.6 ± 7.93 dB in glass ionomer (group I) and 33.6 ± 11.99 dB in incus interpositioning (group II). Postoperative ABG scores were 13.6 ± 10.40 and 22.6 ± 12.39 dB, respectively, in group I and II. Success of closure in ABG scores was obtained in both groups ( p  
ISSN:0937-4477
1434-4726
DOI:10.1007/s00405-012-2120-6