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• W2908065720 abstract "Amac: Bu calismada kronik otitis media hastalarinda ossikuloplastide isitme sonuclarini etkileyen degiskenler degerlendirildi. Hastalar ve Yontemler: Ocak 2010 Temmuz 2011 tarihleri arasinda kronik otitis media nedeniyle ossikuloplasti cerrahisi uygulanan 52 hasta retrospektif olarak incelendi. Ossikuler kalintilarin ve secilen ossikuloplasti tekniklerinin isitme uzerindeki etkileri karsilastirildi. Hava-kemik araliklari (HKA) olcumleri ameliyat oncesi ve ameliyat sonrasi donemde yapildi. Hava-kemik araligi duzeyinin ≥20 dB olmasi basarili olarak kabul edildi. Kemik cimentosu teknigi, ozellikle diger tekniklere olan ustunlugu acisindan tartisildi. Bulgular: Kronik otitis media nedeni ile ameliyat edilen hastalarin %36’sina ossikuloplasti uygulandi. Ameliyat sonrasi HKA duzeyleri, hastalarin %26.9’unda (n=14) <20 dB olarak tespit edildi. Stapes suprastrukturu saglam olan hastalarda ortalama HKA 23.5±9.9 iken, stapes suprastrukturu saglam olmayan hastalarda 33.7±10.1 olarak tespit edildi (p=0.001). En iyi cerrahi sonuclar, malleus kolu saglam olan ve kemik cimentosu ossikuloplasti uygulanan hastalarda 17.1±9.4 dB olarak elde edildi (p=0.048). Sonuc: Bu calismada, malleus kolunun durumu ossikuloplasti basarisini etkileyen en onemli faktor olarak saptandi. Isitme sonuclari kemik cimentosu teknigi ile en az konvansiyonel teknikler kadar pozitifti. Biz kemik cimentosu teknigi kullanilarak, ossikuloplasti materyalinin emilim ve atilim sorunlarinin belirli olgularda onlenebilecegini dusunuyoruz. Anahtar Sozcukler: Hava-kemik araligi; kemik cimentosu; kronik otitis media; ossikuloplasti. Objectives: This study aims to evaluate the variables which affect hearing results in ossiculoplasty in patients with chronic otitis media. Patients and Methods: Fifty-two patients who underwent ossiculoplasty surgery due to chronic otitis media between January 2010 and July 2011 were retrospectively analyzed. The effects of the ossicular residue and selected ossiculoplasty techniques on hearing were compared. Air-bone-gap (ABG) levels were determined both preoperatively and postoperatively. Postoperative ABG levels ≥20 dB were considered successful. Bone cement technique was reviewed in terms of specific superiority from other techniques. Results: Ossiculoplasty was applied only 36% of patients operated due to chronic otitis media. Postoperative ABG levels were <20 dB in 26.9% (n=14) of patients. The mean postoperative ABG level was 23.5±9.9 in patients with an intact stapes suprastructure and 33.7±10.1 in those without an intact stapes suprastructure (p=0.001). The best surgical results were found to be 17.1±9.4 dB in patients with an intact malleus handle undergoing bone cement ossiculoplasty (p=0.048). Conclusion: In this study, we conclude that status of malleus handle is the most important factor which influence the success of ossiculoplasty. Hearing results were positive with bone cement technique at least conventional techniques. We consider that the usage of bone cement technique may rule out absorption and extraction of ossiculoplasty material-related problems in selected cases." @default.
• W2908065720 created "2019-01-11" @default.
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• W2908065720 date "2014-04-03" @default.
• W2908065720 modified "2023-09-27" @default.
• W2908065720 title "Hearing results according to ossiculoplasty techniques in chronic otitis media" @default.
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• W2908065720 doi "https://doi.org/10.5606/kbbu.2014.69188" @default.
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