Hostname: page-component-586b7cd67f-vdxz6 Total loading time: 0 Render date: 2024-11-22T19:14:00.135Z Has data issue: false hasContentIssue false
  • English
  • Français

Bone cement: how effective is it at restoring hearing in isolated incudostapedial erosion?

Published online by Cambridge University Press:  03 September 2014

G J Watson  and
S Narayan
G J Watson
Affiliation:
Department of Otolaryngology, Royal Blackburn Hospital, East Lancashire Hospital NHS Trust, UK
S Narayan*
Affiliation:
Department of Otolaryngology, Royal Blackburn Hospital, East Lancashire Hospital NHS Trust, UK
*
Address for correspondence: Mr S Narayan, Department of Otolaryngology, Royal Blackburn Hospital, Haslingden Road, Blackburn BB2 3HH, UK E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

To determine the effectiveness of biocements in rebridging isolated incudostapedial erosion.

Methods:

A review of the use of biocements for isolated incudostapedial joint erosion was performed on publications from 1998 to 2012 available from Medline, Embase and Pubmed. Inclusion criteria were papers published in English, case series or comparative studies with more than 10 patients, isolated incudostapedial erosion through chronic ear disease, minimal air-bone gap less than 20 dB (or air-bone gap less than 10 dB) and follow up for at least one year.

Results:

In 108 patients, rebridging ossiculoplasty was performed using hydroxyapatite cement. Closure of air-bone gaps less than 20 dB and less than 10 dB was achieved in 80–94.4 per cent and 29–75 per cent, respectively. Glass ionomer cement was used in 318 patients. Closure of air-bone gaps less than 20 dB and less than 10 dB was achieved in 74–94 per cent and 40–76 per cent, respectively.

Conclusion:

Biocements can be successfully used to close isolated incudostapedial erosions. Larger comparative prospective studies documenting the length of eroded incus and types of reformation of the incudostapedial joint, with standardised reporting, are needed in the future.

Keywords

Bone SubstitutesIncusBone ResorptionGlass Ionomer CementBone ConductionHearing loss
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 128 , Issue 8 , August 2014 , pp. 690 - 693
Copyright
Copyright © JLO (1984) Limited 2014 

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

1Wullstein, HL. Past and future of tympanoplasty. Arch Otolaryngol 1963;78:371–85CrossRefGoogle ScholarPubMed
2Geyer, G, Helms, J. Ionomer-based bone substitute in otologic surgery. Eur Arch Otorhinolaryngol 1993;250:253–6Google Scholar
3Maassen, MM, Zenner, HP. Tympanoplasty type II with ionomeric cement and titanium-gold-angle prostheses. Am J Otol 1998;19:693–9Google ScholarPubMed
4Bora, F, Yucel, Z, Ceylan, S, Oltulu, E, Batmaz, T, Avseren, E. Incudostapedial bridging ossiculoplasty with bone cement hearing results [in Turkish]. Kulak Burun Bogaz Ihtis Derg 2010;20:169–72Google ScholarPubMed
5Gerard, JM, Cailliau, A, Franceschi, D, Gersdorff, M. Ossiculoplasty with hydroxyapatite bone cement. Rev Laryngol Otol Rhinol (Bord) 2012;133:67–70Google ScholarPubMed
6Goebel, JA, Jacob, A. Use of Mimix hydroxyapatite bone cement for difficult ossicular reconstruction. Otolaryngol Head Neck Surg 2005;132:727–34Google Scholar
7Hoffmann, KK, Kuhn, JJ, Strasnick, B. Bone cements as adjuvant techniques for ossicular chain reconstruction. Otol Neurotol 2003;24:24–8CrossRefGoogle ScholarPubMed
8Kubilay, U, Sezen, OS, Ozkiris, M, Haytoglu, S, Unver, S. Incudostapedial rebridging ossiculoplasty with glass ionomer cement: a case report. Kulak Burun Bogaz Ihtis Derg 2007;17:183–6Google ScholarPubMed
9Dere, H, Ozdogan, F, Ozcan, KM, Selcuk, A, Ozcan, I, Gokturk, G. Comparison of glass ionomer cement and incus interposition in reconstruction of incus long process defects. Eur Arch Otorhinolaryngol 2011;268:1565–8CrossRefGoogle ScholarPubMed
10Kjeldsen, AD, Grontved, AM. Tympanoplasty with ionomeric cement. Acta Otolaryngol Suppl 2000;543:130–1Google Scholar
11Ozer, E, Bayazit, YA, Kanlikama, M, Mumbuc, S, Ozen, Z. Incudostapedial rebridging ossiculoplasty with bone cement. Otol Neurotol 2002;23:643–6CrossRefGoogle ScholarPubMed
12Elsheikh, MN, Elsherief, H, Elsherief, S. Physiologic reestablishment of ossicular continuity during excision of retraction pockets: use of hydroxyapatite bone cement for rebridging the incus. Arch Otolaryngol Head Neck Surg 2006;132:196–9CrossRefGoogle ScholarPubMed
13Somers, T, Van Rompaey, V, Claes, G, Salembier, L, van Dinther, J, Andrzej, Z et al. Ossicular reconstruction: hydroxyapatite bone cement versus incus remodelling: how to manage incudostapedial discontinuity. Eur Arch Otorhinolaryngol 2012;269:1095–101Google Scholar
14Babu, S, Seidman, MD. Ossicular reconstruction using bone cement. Otol Neurotol 2004;25:98–101CrossRefGoogle ScholarPubMed
15Celik, H, Aslan Felek, S, Islam, A, Demirci, M, Samim, E, Oztuna, D. The impact of fixated glass ionomer cement and springy cortical bone incudostapedial joint reconstruction on hearing results. Acta Otolaryngol 2009;129:1368–73CrossRefGoogle ScholarPubMed
16Yazici, H, Uzunkulaoglu, H, Emir, HK, Kizilkaya, Z, Dogan, S, Samim, E. Comparison of incus interpositioning technique versus glass ionomer cement application in type 2 tympanoplasty. Eur Arch Otorhinolaryngol 2013;270:1593–6CrossRefGoogle ScholarPubMed
17Baglam, T, Karatas, E, Durucu, C, Kilic, A, Ozer, E, Mumbuc, S et al. Incudostapedial rebridging ossiculoplasty with bone cement. Otolaryngol Head Neck Surg 2009;141:243–6CrossRefGoogle ScholarPubMed
18Bayazit, YA, Ozer, E, Kanlikama, M, Durmaz, T, Yilmaz, M. Bone cement ossiculoplasty: incus to stapes versus malleus to stapes cement bridge. Otol Neurotol 2005;26:364–7Google Scholar
19Brask, T. Reconstruction of the ossicular chain in the middle ear with glass ionomer cement. Laryngoscope 1999;109:573–6CrossRefGoogle ScholarPubMed
20Hafiz, G. A more reliable method for incudostapedial rebridging ossiculoplasty: bone cement and wire. Adv Ther 2005;22:56–62Google Scholar
21Rath, G, Bauer, M, Pytel, J, Vona, I, Szanyi, I, Lujber, L et al. Ionomer cement for reconstruction of the long process of the incus: the Pecs experience. Clin Otolaryngol 2008;33:116–20CrossRefGoogle Scholar
22LeGeros, RZ, Kijkowska, R, LeGeros, JP. Formation and transformation of octacalcium phosphate, OCP: a preliminary report. Scan Electron Microsc 1984; (Pt 4):1771–7Google ScholarPubMed