Comparison of Hydroxyapatite Prosthesis and Incus Interposition in Incus Defects

Objective: Chronic otitis media most commonly causes an ossicular chain defect in incus. Different materials can be used for repair of this defect. In this study, the hydroxyapatite prosthesis, used for repair of the incus defect, was compared with the incus interposition.Methods: Between 2010 and 2...

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Main Authors: Suphi Bulğurcu, Bünyamin Dikilitaş, İbrahim Çukurova
Format: Article
Language:English
Published: Galenos Yayincilik 2017-06-01
Series:Turkish Archives of Otorhinolaryngology
Subjects:
Online Access: http://turkarchotolaryngol.net/archives/archive-detail/article-preview/comparison-of-hydroxyapatite-prosthesis-and-ncus-n/43209
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author Suphi Bulğurcu
Bünyamin Dikilitaş
İbrahim Çukurova
author_facet Suphi Bulğurcu
Bünyamin Dikilitaş
İbrahim Çukurova
author_sort Suphi Bulğurcu
collection DOAJ
description Objective: Chronic otitis media most commonly causes an ossicular chain defect in incus. Different materials can be used for repair of this defect. In this study, the hydroxyapatite prosthesis, used for repair of the incus defect, was compared with the incus interposition.Methods: Between 2010 and 2016, 27 female and 16 male patients who underwent ossiculoplasty due to an incus defect were studied retrospectively. Patients' hearing results at the sixth month were compared. The hydroxyapatite prosthesis was used in 24 patients (group 1) and incus interposition was used in 19 patients (group 2) for the ossicular chain repair. Hearing gain at 500, 1000, 2000, and 4000 Hz between the two groups and the success rates in the two groups were compared.Results: Successful hearing reconstruction was performed on 10 patients in each group (group 1, 41.6% and group 2, 52.9%). There was no statistically significant difference between groups both in terms of successful hearing and hearing gain at 500, 1000, 2000, and 4000 Hz. There was no extrusion of the materials used in both groups.Conclusion: As it does not have any additional cost and is easily shaped and biocompatibility problem is not encountered; we recommend using incus interposition primarily in incus defects.
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spelling doaj.art-da2c21fbf0b1463ab239223e2dca4c1c2023-02-15T16:17:34ZengGalenos YayincilikTurkish Archives of Otorhinolaryngology2667-74742017-06-01552697110.5152/tao.2017.226713049054Comparison of Hydroxyapatite Prosthesis and Incus Interposition in Incus DefectsSuphi Bulğurcu0Bünyamin Dikilitaş1İbrahim Çukurova2 Department of Otorhinolaryngology, Tepecik Training and Research Hospital, İzmir, Turkey Department of Otorhinolaryngology, Tepecik Training and Research Hospital, İzmir, Turkey Department of Otorhinolaryngology, Tepecik Training and Research Hospital, İzmir, Turkey Objective: Chronic otitis media most commonly causes an ossicular chain defect in incus. Different materials can be used for repair of this defect. In this study, the hydroxyapatite prosthesis, used for repair of the incus defect, was compared with the incus interposition.Methods: Between 2010 and 2016, 27 female and 16 male patients who underwent ossiculoplasty due to an incus defect were studied retrospectively. Patients' hearing results at the sixth month were compared. The hydroxyapatite prosthesis was used in 24 patients (group 1) and incus interposition was used in 19 patients (group 2) for the ossicular chain repair. Hearing gain at 500, 1000, 2000, and 4000 Hz between the two groups and the success rates in the two groups were compared.Results: Successful hearing reconstruction was performed on 10 patients in each group (group 1, 41.6% and group 2, 52.9%). There was no statistically significant difference between groups both in terms of successful hearing and hearing gain at 500, 1000, 2000, and 4000 Hz. There was no extrusion of the materials used in both groups.Conclusion: As it does not have any additional cost and is easily shaped and biocompatibility problem is not encountered; we recommend using incus interposition primarily in incus defects. http://turkarchotolaryngol.net/archives/archive-detail/article-preview/comparison-of-hydroxyapatite-prosthesis-and-ncus-n/43209 tympanoplastyhearing lossincushydroxyapatite
spellingShingle Suphi Bulğurcu
Bünyamin Dikilitaş
İbrahim Çukurova
Comparison of Hydroxyapatite Prosthesis and Incus Interposition in Incus Defects
Turkish Archives of Otorhinolaryngology
tympanoplasty
hearing loss
incus
hydroxyapatite
title Comparison of Hydroxyapatite Prosthesis and Incus Interposition in Incus Defects
title_full Comparison of Hydroxyapatite Prosthesis and Incus Interposition in Incus Defects
title_fullStr Comparison of Hydroxyapatite Prosthesis and Incus Interposition in Incus Defects
title_full_unstemmed Comparison of Hydroxyapatite Prosthesis and Incus Interposition in Incus Defects
title_short Comparison of Hydroxyapatite Prosthesis and Incus Interposition in Incus Defects
title_sort comparison of hydroxyapatite prosthesis and incus interposition in incus defects
topic tympanoplasty
hearing loss
incus
hydroxyapatite
url http://turkarchotolaryngol.net/archives/archive-detail/article-preview/comparison-of-hydroxyapatite-prosthesis-and-ncus-n/43209
work_keys_str_mv AT suphibulgurcu comparisonofhydroxyapatiteprosthesisandincusinterpositioninincusdefects
AT bunyamindikilitas comparisonofhydroxyapatiteprosthesisandincusinterpositioninincusdefects
AT ibrahimcukurova comparisonofhydroxyapatiteprosthesisandincusinterpositioninincusdefects