Hostname: page-component-78c5997874-fbnjt Total loading time: 0 Render date: 2024-11-19T02:07:43.038Z Has data issue: false hasContentIssue false
  • English
  • Français

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

Published online by Cambridge University Press:  04 November 2016

C Galy-Bernadoy ,
M Akkari ,
M Mondain ,
A Uziel  and
F Venail
C Galy-Bernadoy*
Affiliation:
ENT – Head and Neck Surgery Department, Gui de Chauliac University Hospital, University of Montpellier, France
M Akkari
Affiliation:
ENT – Head and Neck Surgery Department, Gui de Chauliac University Hospital, University of Montpellier, France
M Mondain
Affiliation:
ENT – Head and Neck Surgery Department, Gui de Chauliac University Hospital, University of Montpellier, France Institute for Neurosciences of Montpellier (INSERM U1051), Saint Eloi University Hospital, University of Montpellier, France
A Uziel
Affiliation:
ENT – Head and Neck Surgery Department, Gui de Chauliac University Hospital, University of Montpellier, France Institute for Neurosciences of Montpellier (INSERM U1051), Saint Eloi University Hospital, University of Montpellier, France
F Venail
Affiliation:
ENT – Head and Neck Surgery Department, Gui de Chauliac University Hospital, University of Montpellier, France Institute for Neurosciences of Montpellier (INSERM U1051), Saint Eloi University Hospital, University of Montpellier, France
*
Address for correspondence: Dr Camille Galy-Bernadoy, ENT – Head and Neck Surgery Department, Gui de Chauliac University Hospital, 80 avenue Augustin Fliche, 34295 Montpellier cedex 5, France Fax: +33 4 67 33 67 28 E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Background:

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.

Keywords

Stapes SurgeryOssicular ReplacementBone CementsElectrocoagulation
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 130 , Issue 12 , December 2016 , pp. 1110 - 1114
Copyright
Copyright © JLO (1984) Limited 2016 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1 Babu, S, Seidman, MD. Ossicular reconstruction using bone cement. Otol Neurotol 2004;25:98–101 Google Scholar
2 Galy-Bernadoy, C, Akkari, M, Mathiolon, C, Mondain, M, Uziel, A, Venail, F. Comparison of early hearing outcomes of type 2 ossiculoplasty using hydroxyapatite bone cement versus other materials. Eur Ann Otorhinolaryngol Head Neck Dis 2014;131:289–92CrossRefGoogle ScholarPubMed
3 Wegner, I, van den Berg, JW, Smit, AL, Grolman, W. Systematic review of the use of bone cement in ossicular chain reconstruction and revision stapes surgery. Laryngoscope 2015;125:227–33Google Scholar
4 Van Rompaey, V, Claes, G, Somers, T, Offeciers E. Erosion of the long process of the incus in revision stapes surgery: malleovestibular prosthesis or incus reconstruction with hydroxyapatite bone cement? Otol Neurotol 2011;32:914–18Google Scholar
5 Hamilton, JW. Systematic preservation of the ossicular chain in cholesteatoma surgery using a fiber-guided laser. Otol Neurotol 2010;31:1104–8CrossRefGoogle ScholarPubMed