Long-term outcomes of ossiculoplasty techniques.
Saved in:
| Title: | Long-term outcomes of ossiculoplasty techniques. |
|---|---|
| Authors: | Uzun, Tankut (AUTHOR), Çaklı, Hamdi (AUTHOR), Kaya, Ercan (AUTHOR), Pınarbaşlı, Mehmet Özgür (AUTHOR), Gürbüz, Melek Kezban (AUTHOR), İncesulu, Armağan (AUTHOR) |
| Source: | Acta Oto-Laryngologica. Sep2025, Vol. 145 Issue 9, p806-810. 5p. |
| Subjects: | Ear ossicle surgery, Prosthetics, Conductive hearing loss, Bone conduction, Compact bone, Titanium, Treatment effectiveness, Artificial implants, Retrospective studies, Descriptive statistics, Bone cements, Medical records, Acquisition of data, Comparative studies, Hearing |
| Abstract (English): | Background: The ideal ossiculoplasty technique should effectively restore sound transmission, be surgically feasible, biocompatible, and stable. Currently, no single material fully meets these criteria in a cost-effective manner. Objectives: To evaluate and compare the long-term audiological outcomes of various ossiculoplasty techniques. Materials and Methods: This retrospective study included 116 patients (aged 11–72) who underwent ossiculoplasty using cortical bone, bone cement, or titanium prostheses between 2013 and 2019. Preoperative and 2-year postoperative air and bone conduction thresholds (500–4000 Hz), air-bone gap (ABG), and hearing gains were analyzed. Results: Significant postoperative ABG improvement was observed in the malleus-incus, incus-stapes bone cement, TORP, and PORP groups (p < 0.05). Although hearing gain was noted in the malleus-stapes bone cement and cortical bone groups, the improvement was not statistically significant (p = 0.18 and p = 0.95, respectively). Hearing gain >10 dB was achieved in 76.5% of incus-stapes bone cement and 53% of TORP procedures. Conclusions and Significance: Bone cement offers an effective and economical option for ossiculoplasty, particularly in incudostapedial repairs. Despite no statistically significant difference (p = 0.206), the favorable outcomes of TORP suggest it may be superior to cortical bone in patients with non-functional ossicular chains. [ABSTRACT FROM AUTHOR] |
| Abstract (Chinese): | 理想的听骨成形术应能有效地恢复声音传输, 且手术可行、生物相容性好且稳定。目前, 尚无任何一种材料能够以经济有效的方式完全满足这些标准。 评估和比较不同听骨成形术的长期听力学结果。 本回顾性研究纳入了2013年至2019年间接受皮质骨、骨水泥或钛合金假体听骨成形术的116例患者(年龄11-72岁)。分析了术前和术后两年的气导和骨导阈值(500-4000 Hz)、气骨导距(ABG)和听力增益。 观察到锤骨-砧骨组、砧骨-镫骨骨水泥组、TORP组和PORP组术后ABG均显著改善(p < 0.05)。虽然锤骨-镫骨骨水泥组和皮质骨组均观察到听力增益, 但改善程度无统计学意义(分别为p = 0.18和p = 0.95)。76.5%的砧骨-镫骨骨水泥组和53%的TORP组听力增益达到>10dB。 骨水泥为听骨成形术提供了一种有效且经济的选择, 尤其是对于砧骨镫骨修复。尽管没有统计学显著差异(p = 0.206), 但TORP的良好疗效表明, 对于听骨链功能障碍的患者, TORP可能优于皮质骨。 [ABSTRACT FROM AUTHOR] |
| Copyright of Acta Oto-Laryngologica is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
|
Full text is not displayed to guests.
Login for full access.
|
|
| Abstract: | Background: The ideal ossiculoplasty technique should effectively restore sound transmission, be surgically feasible, biocompatible, and stable. Currently, no single material fully meets these criteria in a cost-effective manner. Objectives: To evaluate and compare the long-term audiological outcomes of various ossiculoplasty techniques. Materials and Methods: This retrospective study included 116 patients (aged 11–72) who underwent ossiculoplasty using cortical bone, bone cement, or titanium prostheses between 2013 and 2019. Preoperative and 2-year postoperative air and bone conduction thresholds (500–4000 Hz), air-bone gap (ABG), and hearing gains were analyzed. Results: Significant postoperative ABG improvement was observed in the malleus-incus, incus-stapes bone cement, TORP, and PORP groups (p < 0.05). Although hearing gain was noted in the malleus-stapes bone cement and cortical bone groups, the improvement was not statistically significant (p = 0.18 and p = 0.95, respectively). Hearing gain >10 dB was achieved in 76.5% of incus-stapes bone cement and 53% of TORP procedures. Conclusions and Significance: Bone cement offers an effective and economical option for ossiculoplasty, particularly in incudostapedial repairs. Despite no statistically significant difference (p = 0.206), the favorable outcomes of TORP suggest it may be superior to cortical bone in patients with non-functional ossicular chains. [ABSTRACT FROM AUTHOR] |
|---|---|
| ISSN: | 00016489 |
| DOI: | 10.1080/00016489.2025.2521807 |
