Audiological results of endoscopic surgical repair of the long process of incus

作     者：Badi Aldosari Jean-Marc Thomassin Aldosari Badi;Thomassin Jean-Marc

作者机构：Department of Otolaryngology-Head and Neck SurgeryKing Saud UniversityRiyadhSaudi Arabia Department of Otolaryngology-Head and Neck SurgeryLa Timone University HospitalAix-Marseille UniversityMarseilleFrance 

出 版 物：《World Journal of Otorhinolaryngology-Head and Neck Surgery》 (世界耳鼻咽喉头颈外科杂志（英文）)

年 卷 期：2017年第3卷第3期

页      面：148-152页

学科分类：1002[医学-临床医学] 100213[医学-耳鼻咽喉科学] 10[医学] 

主　　题：Endoscopic ear surgery Ossiculoplasty Incus Ossiculoplasty outcomes 

摘      要：Objective:The purpose of this study is to evaluate our experience with endoscopic repair of ossicular discontinuity at the incudostapedial joint,with or without an intact stapes suprastructure,and present our hearing *** classify results based on the causative pathology,the type of ossiculoplasty,and type of *** demonstrate the ability to endoscopically place a total ossicular replacement prosthesis (TORP),measuring 4.25 mm,between the stapes footplate and the incus remnant to reestablish ossicular ***:This was a retrospective case series conducted in tertiary referral center (Hopital de la Timone) Marseille,France.25 patients underwent incudostapedial rebridging ossiculoplasty between 2009 and *** cases of chronic otitis media and 10 otosclerosis revisions were included in the *** different materials were used in ossiculoplasty,hydroxyapatite cement,incus remnant,and partial/total ossicular replacement *** results were evaluated before and after *** month follow-up data is ***:The mean postoperative air-bone gap was 15 dB (5-25 dB).Hearing results were better inotosclerosis *** cement produced an air-bone gap of 5 dB,TORP placed under the incus produced a 12 dB gap,and TORP placed under the malleus resulted in a 12 dB gap and one deaf *** cases of chronic otitis media,the residual air-bone gap was 17 dB with PORP,12 dB with TORP,and 20 dB with incus ***:The hydroxyapatite cement is effective in the reconstruction of ossicular discontinuity but the high price limits its *** placed under the incus is a reliable and stable method of ossicular reconstruction that is cost effective and offers satisfactory hearing results in selected patients.