Ossicular reconstruction of incudo-stapedial joint by glass ionomer—a study of 24 cases

Abstract Background Chronic otitis media is one of the major health issues worldwide resulting in partial or complete loss of conductive hearing mechanism including the tympanic membrane and ossicular assembly. The aim of the study is to assess hearing improvement after reconstructing the incudo-sta...

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Autores principales:	Meenesh Juvekar, Baisali Sarkar
Formato:	article
Lenguaje:	EN
Publicado:	SpringerOpen 2021
Materias:	Hearing loss Audiometry Glass ionomer cement Incudo-stapedial joint Ossiculoplasty Otorhinolaryngology RF1-547
Acceso en línea:	https://doaj.org/article/c037466d89a1445ba6492a692486bd80
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spelling	oai:doaj.org-article:c037466d89a1445ba6492a692486bd802021-11-14T12:07:46ZOssicular reconstruction of incudo-stapedial joint by glass ionomer—a study of 24 cases10.1186/s43163-021-00179-61012-55742090-8539https://doaj.org/article/c037466d89a1445ba6492a692486bd802021-11-01T00:00:00Zhttps://doi.org/10.1186/s43163-021-00179-6https://doaj.org/toc/1012-5574https://doaj.org/toc/2090-8539Abstract Background Chronic otitis media is one of the major health issues worldwide resulting in partial or complete loss of conductive hearing mechanism including the tympanic membrane and ossicular assembly. The aim of the study is to assess hearing improvement after reconstructing the incudo-stapedial joint with glass ionomer cement. Here, a prospective observational study was done in a tertiary care hospital. Patients of chronic mucosal otitis media were operated, and intraoperatively incudo-stapedial joint discontinuity was restored using glass ionomer cement. Post-operative follow-up was done at 1-month, 3-month, 6-month, and 1-year intervals, and hearing was evaluated by doing pure tone audiometry with air conduction at 0.5, 1, 2, 3, 4, 6, and 8 kHz and bone conduction at 0.5, 1, 2, 3, and 4 kHz. Tabulation was done by calculating the air-bone gap in each patient. Results In our study, the patients showed statistically significant improvement in air conduction thresholds and near closure of air-bone gap post-operatively. The mean AC threshold is 15 dB with 91.67% patients having closure of ABG < 20 dB at the end of the 3rd month. Hearing was also evaluated at 6-month and 1-year intervals, which showed good improvement in hearing levels. Conclusions Glass ionomer is a simple, physiological, and cost-effective method of tympano-ossicular reconstruction with certain significant post-operative hearing improvement.Meenesh JuvekarBaisali SarkarSpringerOpenarticleHearing lossAudiometryGlass ionomer cementIncudo-stapedial jointOssiculoplastyOtorhinolaryngologyRF1-547ENThe Egyptian Journal of Otolaryngology, Vol 37, Iss 1, Pp 1-5 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Hearing loss Audiometry Glass ionomer cement Incudo-stapedial joint Ossiculoplasty Otorhinolaryngology RF1-547
spellingShingle	Hearing loss Audiometry Glass ionomer cement Incudo-stapedial joint Ossiculoplasty Otorhinolaryngology RF1-547 Meenesh Juvekar Baisali Sarkar Ossicular reconstruction of incudo-stapedial joint by glass ionomer—a study of 24 cases
description	Abstract Background Chronic otitis media is one of the major health issues worldwide resulting in partial or complete loss of conductive hearing mechanism including the tympanic membrane and ossicular assembly. The aim of the study is to assess hearing improvement after reconstructing the incudo-stapedial joint with glass ionomer cement. Here, a prospective observational study was done in a tertiary care hospital. Patients of chronic mucosal otitis media were operated, and intraoperatively incudo-stapedial joint discontinuity was restored using glass ionomer cement. Post-operative follow-up was done at 1-month, 3-month, 6-month, and 1-year intervals, and hearing was evaluated by doing pure tone audiometry with air conduction at 0.5, 1, 2, 3, 4, 6, and 8 kHz and bone conduction at 0.5, 1, 2, 3, and 4 kHz. Tabulation was done by calculating the air-bone gap in each patient. Results In our study, the patients showed statistically significant improvement in air conduction thresholds and near closure of air-bone gap post-operatively. The mean AC threshold is 15 dB with 91.67% patients having closure of ABG < 20 dB at the end of the 3rd month. Hearing was also evaluated at 6-month and 1-year intervals, which showed good improvement in hearing levels. Conclusions Glass ionomer is a simple, physiological, and cost-effective method of tympano-ossicular reconstruction with certain significant post-operative hearing improvement.
format	article
author	Meenesh Juvekar Baisali Sarkar
author_facet	Meenesh Juvekar Baisali Sarkar
author_sort	Meenesh Juvekar
title	Ossicular reconstruction of incudo-stapedial joint by glass ionomer—a study of 24 cases
title_short	Ossicular reconstruction of incudo-stapedial joint by glass ionomer—a study of 24 cases
title_full	Ossicular reconstruction of incudo-stapedial joint by glass ionomer—a study of 24 cases
title_fullStr	Ossicular reconstruction of incudo-stapedial joint by glass ionomer—a study of 24 cases
title_full_unstemmed	Ossicular reconstruction of incudo-stapedial joint by glass ionomer—a study of 24 cases
title_sort	ossicular reconstruction of incudo-stapedial joint by glass ionomer—a study of 24 cases
publisher	SpringerOpen
publishDate	2021
url	https://doaj.org/article/c037466d89a1445ba6492a692486bd80
work_keys_str_mv	AT meeneshjuvekar ossicularreconstructionofincudostapedialjointbyglassionomerastudyof24cases AT baisalisarkar ossicularreconstructionofincudostapedialjointbyglassionomerastudyof24cases
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Ossicular reconstruction of incudo-stapedial joint by glass ionomer—a study of 24 cases

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