Objectives: This study describes the hearing results of patients whose ossicles were reconstruction using bone cement.
Patients and methods: The medical records of 19 patients (11 males, 8 females; mean age 35,6 years; range 12 to 64 years) who underwent surgery for chronic otitis media at Istanbul Education and Research Hospital Otorhinolaryngology Department between January 2006 and December 2009 were evaluated. Bone cement reconstruction of the ossicular chain was performed from incus to stapes in the absence of a long arm or lenticular process of the incus. The clinical data of the patients were evaluated by otoscopic examination and audiometry.
Results: After incudostapedial rebridging ossiculoplasty we performed; out of 19 patients, 10 had 20 dB gain while two patients had 15-20 dB gain another two patients had 10-15 dB gain. The remaining five patients didn't have any significant gain. The mean pre- and postoperative air-bone gaps of all the patients were 36.5 and 20.4 dB respectively.
Conclusion: Incudostapedial rebridging ossiculoplasty with bone cement is a cost-effective and safe procedure that yields good hearing results in selected patients.