Abstract
Objective
To analyze and compare the early and late post-operative results of glass ionomer bone cement (GIBC) used in ossiculoplasty.
Methods
The pre-operative, early post-operative (3 months) and late post-operative (> 2 years) audiometric findings, namely the pure-tone average (PTA), bone conduction threshold (BCT) and air–bone gap (ABG) of 40 patients who underwent GIBC ossiculoplasty for different etiologies were analyzed. Early and late results were compared. Also, the patients were grouped in terms of prognostic factors and applied ossiculoplasty techniques, and the results were compared between the groups.
Results
There were statistically significant improvements in the pure-tone average and air–bone gap of the patients in the early post-operative period (PTA from 59.60 ± 15.95 to 40.37 ± 17.83 and ABG from 37.12 ± 11.18 to 19.78 ± 10.41, p < 0.001 for both). There were no statistically significant changes in any of the audiometric parameters in the late post-operative period (PTA from 40.37 ± 17.83 to 39.79 ± 17.91, ABG from 19.78 ± 10.41 to 19.32 ± 9.60, BCT from 17.99 ± 12.71 to 18.31 ± 13.99, p > 0.05 for all). Presence of tympanosclerosis was found to be the only prognostic factor to affect the outcome.
Conclusion
GIBC is a safe and reliable material for ossiculoplasty, which maintains its ability to conduct sound in the long-term follow-up.
Similar content being viewed by others
Data availability
The study data is not available in an open data repository.
References
Gary Jackson C, Kaylie DM, Glasscock ME, Strasnick B (2010) Chapter 12—tympanoplasty—undersurface graft technique: postauricular approach. In: Brackmann DE, Shelton C, Arriaga MA (eds) Otologic surgery, 3rd edn. W.B. Saunders, Philadelphia, pp 149–160
Javia LR, Ruckenstein MJ (2006) Ossiculoplasty. Otolaryngol Clin North Am 39(6):1177–1189
Mudhol R, Naragund A, Shruthi V (2013) Ossiculoplasty: revisited. Indian J Otolaryngol Head Neck Surg 65(3):451–454
Babighian G (1992) Use of a glass ionomer cement in otological surgery. A preliminary report. J Laryngol Otol 106(11):954–959
Tange R (1996) Repair of the ossicular chain with an ionomer cement by an inadequate incus after prior stapes surgery for otosclerosis. Eur Arch Otorhinolaryngol 253(4):313–315
Wegner I, van den Berg JW, Smit AL, Grolman W (2015) Systematic review of the use of bone cement in ossicular chain reconstruction and revision stapes surgery. Laryngoscope 125(1):227–233
Monsell EM, Balkany TA, Gates GA, Goldenberg RA, Meyerhoff WL, House JW. Committee on Hearing and Equilibrium guidelines for the diagnosis and evaluation of therapy in Meniere’s disease. Otolaryngol Head Neck Surg. 1995;113:181-185
Sennaroglu L, Gungor V, Atay G, Ozer S (2015) Manubrio-stapedioplasty: new surgical technique for malleus and incus fixation due to tympanosclerosis. J Laryngol Otol 129(6):587–590
Gurgel RK, Jackler RK, Dobie RA, Popelka GR (2012) A new standardized format for reporting hearing outcome in clinical trials. Otolaryngol Head Neck Surg 147(5):803–807
Gungor V, Atay G, Bajin MD, Yarali M, Sarac S, Sennaroglu L (2016) Comparison of various bone cement ossiculoplasty techniques and functional results. Acta Otolaryngol 136(9):883–887
Hall A, Rytzner C (1957) Stapedectomy and autotransplantation of ossicles. Acta Otolaryngol 47(4):318–324
Bauer M (2000) Ossiculoplasty: autogenous bone grafts, 34 years experience. Clin Otolaryngol Allied Sci 25(4):257–263
Miman MC, Aydın NE, Öncel S, Özturan O, Erdem T (2002) Autoclaving the ossicles provides safe autografts in cholesteatoma. Auris Nasus Larynx 29(2):133–139
Martin AD, Harner SG (2004) Ossicular reconstruction with titanium prosthesis. Laryngoscope 114(1):61–64
Mahanty S, Maiti AB, Naskar S, Das SK, Mandal S, Karmakar M (2015) A comparative study of outcome of ossiculoplasty using cartilage graft, bone and different alloplasts in chronic otitis media. Indian J Otol 21(2):144
Watson GJ, da Cruz M (2018) Reporting in stapes surgery: are we following the guidelines? J Laryngol Otol 132(6):479–485
Kalcioglu MT, Tan M, Fleerakkers J (2013) The use of bone cement for ossicular chain defects. Eur Arch Otorhinolaryngol 270(11):2849–2855
Kupperman D, Tange R (1997) Long-term results of glass ionomer cement, Ionocem, in the middle ear of the rat. Acta Otorhinolaryngol Belg 51(1):27–30
Kupperman D, Tange RA (2001) Ionomeric cement in the human middle ear cavity: long-term results of 23 cases. Laryngoscope 111(2):306–309
Edizer DT, Durna YM, Hamit B, Demirhan H, Yigit O (2016) Malleus to stapes bone cement rebridging ossiculoplasty: why don’t we perform frequently? Ann Otol Rhinol Laryngol 125(6):445–451
Demir B, Binnetoglu A, Sahin A, Derinsu U, Batman Ç (2019) Long-term outcomes of ossiculoplasty using bone cement. J Laryngol Otol 133(8):658–661
Ho K-Y, Tsai S-M, Chai C-Y, Wang H-M (2010) Clinical analysis of intratympanic tympanosclerosis: etiology, ossicular chain findings, and hearing results of surgery. Acta Otolaryngol 130(3):370–374
Kalcıoğlu MT, Yılmaz U (2017) Should bone cement be used only in limited ossicular chain defects? J Int Adv Otol 13(1):149
Renard J, Felten D, Bequet D (1994) Post-otoneurosurgery aluminium encephalopathy. Lancet 344(8914):63–64
Kum RO, Kulacoglu S (2017) Effects of glass ionomer cement on facial nerve: a clinical and histopathologic evaluation. Acta Otolaryngol 137(8):814–817
Funding
No funding was received for the study.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors have no conflicts of interest to declare.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Katar, O., Kılıç, S., Bajin, M.D. et al. Long term results of glass ionomer ossiculoplasty. Eur Arch Otorhinolaryngol 281, 171–179 (2024). https://doi.org/10.1007/s00405-023-08120-8
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00405-023-08120-8