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Improvement of hearing results by bone cement fixation in endoscopic stapedotomy

Published online by Cambridge University Press:  11 June 2018

F N Ardiç ,
K Aykal ,
F Tümkaya ,
C O Kara  and
F Barlay
F N Ardiç*
Affiliation:
Department of Otolaryngology, Pamukkale University, Denizli, Turkey
K Aykal
Affiliation:
Department of Otolaryngology, Pamukkale University, Denizli, Turkey
F Tümkaya
Affiliation:
Department of Otolaryngology, Pamukkale University, Denizli, Turkey
C O Kara
Affiliation:
Department of Otolaryngology, Pamukkale University, Denizli, Turkey
F Barlay
Affiliation:
Department of Otolaryngology, Pamukkale University, Denizli, Turkey
*
Address for correspondence: Prof Fazıl Necdet Ardıç, Department of Otolaryngology (KBB Anabilim Dalı), School of Medicine, Pamukkale University, 20070 Denizli, Turkey Fax: +90 2582 966 001 E-mail: fnardic@pau.edu.tr
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Abstract

Objective

This study aimed to compare the hearing results of two different stapedotomy techniques used in the clinic at different time points.

Methods

An endoscopic surgery group (group 1; n = 37) were compared retrospectively with a microscopic surgery group (group 2; n = 57). A small fenestra and Teflon piston technique were used in all patients. Bone cement was used for fixation between the prosthesis and incus in the endoscopic group only. Bone conduction threshold and air–bone gap were used as the comparison parameters.

Results

The pre-operative air–bone gap was 31.26 dB in group 1 and 32.51 dB in group 2. The post-operative air–bone gap was 8.93 dB in group 1 and 14.28 dB in group 2. There was a significant difference between the groups in post-operative air–bone gaps. There was no significant difference between the groups in post-operative bone conduction thresholds.

Conclusion

The endoscopic technique using bone cement fixation was better for closing the air–bone gap.

Keywords

Conductive Hearing LossOtosclerosisEndoscopic Ear Surgery
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 132 , Issue 6 , June 2018 , pp. 486 - 488
Copyright
Copyright © JLO (1984) Limited, 2018 

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Footnotes

Prof F N Ardıç takes responsibility for the integrity of the content of the paper

Presented in part at the American Academy of Otolaryngology – Head and Neck Surgery Foundation 2016 Annual Meeting and OTO Expo, San Diego, California, USA, 2016.

References

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