Ossiculoplasty with intact stapes: analysis of hearing results according to the middle ear risk index
Conclusions. In ossiculoplasty with intact stapes, using autologous incus, cortex bone chips and plastipore partial ossicular reconstruction prostheses, improvement in hearing was nearly equal. In patients who had mild risk scores, the incus had better gain values compared with patients who had seve...
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| Veröffentlicht in: | Acta oto-laryngologica 2009-01, Vol.129 (10), p.1088-1094 |
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| container_title | Acta oto-laryngologica |
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| creator | Emir, Hatice Kizilkaya Kaptan, Zeynep Göcmen, Hakan Uzunkulaoglu, Hakki Tuzuner, Arzu Bayiz, Unal Samim, Erdal |
| description | Conclusions. In ossiculoplasty with intact stapes, using autologous incus, cortex bone chips and plastipore partial ossicular reconstruction prostheses, improvement in hearing was nearly equal. In patients who had mild risk scores, the incus had better gain values compared with patients who had severe scores. Objective. We aimed to prove the utility of the middle ear risk index score and its predictive value in hearing outcome. We also evaluated hearing results for different reconstruction materials. Patients and methods. This was a retrospective chart review of 189 patients who had ossiculoplasty with intact stapes using autologous incus, cortex bone chips and plastipore partial ossicular reconstruction prostheses. Hearing outcomes and the average improvement in hearing with different reconstruction materials were analysed by using middle ear risk index scores. Results. The average hearing improvements for incus, cortex and partial ossicular reconstruction prostheses were 12.77±14.58 (p |
| doi_str_mv | 10.1080/00016480802587853 |
| format | Article |
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In ossiculoplasty with intact stapes, using autologous incus, cortex bone chips and plastipore partial ossicular reconstruction prostheses, improvement in hearing was nearly equal. In patients who had mild risk scores, the incus had better gain values compared with patients who had severe scores. Objective. We aimed to prove the utility of the middle ear risk index score and its predictive value in hearing outcome. We also evaluated hearing results for different reconstruction materials. Patients and methods. This was a retrospective chart review of 189 patients who had ossiculoplasty with intact stapes using autologous incus, cortex bone chips and plastipore partial ossicular reconstruction prostheses. Hearing outcomes and the average improvement in hearing with different reconstruction materials were analysed by using middle ear risk index scores. Results. The average hearing improvements for incus, cortex and partial ossicular reconstruction prostheses were 12.77±14.58 (p<0.001), 12.34±15.98 (p=0.005) and 14.10±13.87 dB (p<0.001), respectively. The postoperative air-bone gap levels were 20.42±14.54 dB in incus, 17.33±16.86 dB in cortex and 17.59±11.66 dB in partial ossicular reconstruction prostheses. When the preoperative middle ear risk index scores and postoperative air-bone gap and gain values were compared, in the incus group, statistically significant associations were demonstrated between scores and hearing outcomes (p=0.009).</description><identifier>ISSN: 0001-6489</identifier><identifier>EISSN: 1651-2251</identifier><identifier>DOI: 10.1080/00016480802587853</identifier><identifier>PMID: 19117161</identifier><identifier>CODEN: AOLAAJ</identifier><language>eng</language><publisher>Stockholm: Informa UK Ltd</publisher><subject>Adolescent ; Adult ; Aged ; autologous incus ; Biological and medical sciences ; Bone Transplantation ; Child ; Female ; Hearing ; Humans ; Incus - transplantation ; interposition ; Male ; Medical sciences ; Middle Aged ; Orthopedic surgery ; Ossicular reconstruction ; Ossicular Replacement - methods ; Otorhinolaryngology. Stomatology ; partial ossicular reconstruction prostheses ; Retrospective Studies ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Treatment Outcome ; Young Adult</subject><ispartof>Acta oto-laryngologica, 2009-01, Vol.129 (10), p.1088-1094</ispartof><rights>2009 Informa UK Ltd All rights reserved: reproduction in whole or part not permitted 2009</rights><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c435t-c827a26b63d2fdb99779960e0200ea629bd62085f90f54c86e16be69fb491a1f3</citedby><cites>FETCH-LOGICAL-c435t-c827a26b63d2fdb99779960e0200ea629bd62085f90f54c86e16be69fb491a1f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.tandfonline.com/doi/pdf/10.1080/00016480802587853$$EPDF$$P50$$Ginformaworld$$H</linktopdf><linktohtml>$$Uhttps://www.tandfonline.com/doi/full/10.1080/00016480802587853$$EHTML$$P50$$Ginformaworld$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,59620,59726,60409,60515,61194,61229,61375,61410</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21975549$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19117161$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Emir, Hatice</creatorcontrib><creatorcontrib>Kizilkaya Kaptan, Zeynep</creatorcontrib><creatorcontrib>Göcmen, Hakan</creatorcontrib><creatorcontrib>Uzunkulaoglu, Hakki</creatorcontrib><creatorcontrib>Tuzuner, Arzu</creatorcontrib><creatorcontrib>Bayiz, Unal</creatorcontrib><creatorcontrib>Samim, Erdal</creatorcontrib><title>Ossiculoplasty with intact stapes: analysis of hearing results according to the middle ear risk index</title><title>Acta oto-laryngologica</title><addtitle>Acta Otolaryngol</addtitle><description>Conclusions. In ossiculoplasty with intact stapes, using autologous incus, cortex bone chips and plastipore partial ossicular reconstruction prostheses, improvement in hearing was nearly equal. In patients who had mild risk scores, the incus had better gain values compared with patients who had severe scores. Objective. We aimed to prove the utility of the middle ear risk index score and its predictive value in hearing outcome. We also evaluated hearing results for different reconstruction materials. Patients and methods. This was a retrospective chart review of 189 patients who had ossiculoplasty with intact stapes using autologous incus, cortex bone chips and plastipore partial ossicular reconstruction prostheses. Hearing outcomes and the average improvement in hearing with different reconstruction materials were analysed by using middle ear risk index scores. Results. The average hearing improvements for incus, cortex and partial ossicular reconstruction prostheses were 12.77±14.58 (p<0.001), 12.34±15.98 (p=0.005) and 14.10±13.87 dB (p<0.001), respectively. The postoperative air-bone gap levels were 20.42±14.54 dB in incus, 17.33±16.86 dB in cortex and 17.59±11.66 dB in partial ossicular reconstruction prostheses. When the preoperative middle ear risk index scores and postoperative air-bone gap and gain values were compared, in the incus group, statistically significant associations were demonstrated between scores and hearing outcomes (p=0.009).</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>autologous incus</subject><subject>Biological and medical sciences</subject><subject>Bone Transplantation</subject><subject>Child</subject><subject>Female</subject><subject>Hearing</subject><subject>Humans</subject><subject>Incus - transplantation</subject><subject>interposition</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Orthopedic surgery</subject><subject>Ossicular reconstruction</subject><subject>Ossicular Replacement - methods</subject><subject>Otorhinolaryngology. Stomatology</subject><subject>partial ossicular reconstruction prostheses</subject><subject>Retrospective Studies</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Treatment Outcome</subject><subject>Young Adult</subject><issn>0001-6489</issn><issn>1651-2251</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kUGPFCEQhYnRuOPqD_BiuBhPrUA3NKgXs3FXk032oudONQ0OK92MFJ11_r1MZtQYkz1RUN97KV4R8pyz15xp9oYxxlWnaymk7rVsH5ANV5I3Qkj-kGwO_aYC5ow8Qbw9XI2Wj8kZN5z3XPENcTeIwa4x7SJg2dO7ULY0LAVsoVhg5_AthQXiHgPS5OnWQQ7LN5odrrEgBWtTng4vJdGydXQO0xQdrRjNAb9Xr8n9fEoeeYjonp3Oc_L18uOXi0_N9c3V54sP143tWlkaq0UPQo2qnYSfRmP63hjFHBOMOVDCjJMSTEtvmJed1cpxNTpl_NgZDty35-TV0XeX04_VYRnmgNbFCItLKw5a8r5TWrFK8iNpc0LMzg-7HGbI-4Gz4RDu8F-4VfPi5L6Os5v-Kk5pVuDlCQC0EH2GxQb8wwlueik7U7n3Ry4sPuUZ7lKO01BgH1P-LWrvm-PdP_K6k1i2FrIbbtOa67bwnl_8Agnmp0g</recordid><startdate>20090101</startdate><enddate>20090101</enddate><creator>Emir, Hatice</creator><creator>Kizilkaya Kaptan, Zeynep</creator><creator>Göcmen, Hakan</creator><creator>Uzunkulaoglu, Hakki</creator><creator>Tuzuner, Arzu</creator><creator>Bayiz, Unal</creator><creator>Samim, Erdal</creator><general>Informa UK Ltd</general><general>Taylor & Francis</general><general>Informa</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20090101</creationdate><title>Ossiculoplasty with intact stapes: analysis of hearing results according to the middle ear risk index</title><author>Emir, Hatice ; Kizilkaya Kaptan, Zeynep ; Göcmen, Hakan ; Uzunkulaoglu, Hakki ; Tuzuner, Arzu ; Bayiz, Unal ; Samim, Erdal</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c435t-c827a26b63d2fdb99779960e0200ea629bd62085f90f54c86e16be69fb491a1f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>autologous incus</topic><topic>Biological and medical sciences</topic><topic>Bone Transplantation</topic><topic>Child</topic><topic>Female</topic><topic>Hearing</topic><topic>Humans</topic><topic>Incus - transplantation</topic><topic>interposition</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Orthopedic surgery</topic><topic>Ossicular reconstruction</topic><topic>Ossicular Replacement - methods</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>partial ossicular reconstruction prostheses</topic><topic>Retrospective Studies</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Treatment Outcome</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Emir, Hatice</creatorcontrib><creatorcontrib>Kizilkaya Kaptan, Zeynep</creatorcontrib><creatorcontrib>Göcmen, Hakan</creatorcontrib><creatorcontrib>Uzunkulaoglu, Hakki</creatorcontrib><creatorcontrib>Tuzuner, Arzu</creatorcontrib><creatorcontrib>Bayiz, Unal</creatorcontrib><creatorcontrib>Samim, Erdal</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Acta oto-laryngologica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Emir, Hatice</au><au>Kizilkaya Kaptan, Zeynep</au><au>Göcmen, Hakan</au><au>Uzunkulaoglu, Hakki</au><au>Tuzuner, Arzu</au><au>Bayiz, Unal</au><au>Samim, Erdal</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Ossiculoplasty with intact stapes: analysis of hearing results according to the middle ear risk index</atitle><jtitle>Acta oto-laryngologica</jtitle><addtitle>Acta Otolaryngol</addtitle><date>2009-01-01</date><risdate>2009</risdate><volume>129</volume><issue>10</issue><spage>1088</spage><epage>1094</epage><pages>1088-1094</pages><issn>0001-6489</issn><eissn>1651-2251</eissn><coden>AOLAAJ</coden><abstract>Conclusions. In ossiculoplasty with intact stapes, using autologous incus, cortex bone chips and plastipore partial ossicular reconstruction prostheses, improvement in hearing was nearly equal. In patients who had mild risk scores, the incus had better gain values compared with patients who had severe scores. Objective. We aimed to prove the utility of the middle ear risk index score and its predictive value in hearing outcome. We also evaluated hearing results for different reconstruction materials. Patients and methods. This was a retrospective chart review of 189 patients who had ossiculoplasty with intact stapes using autologous incus, cortex bone chips and plastipore partial ossicular reconstruction prostheses. Hearing outcomes and the average improvement in hearing with different reconstruction materials were analysed by using middle ear risk index scores. Results. The average hearing improvements for incus, cortex and partial ossicular reconstruction prostheses were 12.77±14.58 (p<0.001), 12.34±15.98 (p=0.005) and 14.10±13.87 dB (p<0.001), respectively. The postoperative air-bone gap levels were 20.42±14.54 dB in incus, 17.33±16.86 dB in cortex and 17.59±11.66 dB in partial ossicular reconstruction prostheses. When the preoperative middle ear risk index scores and postoperative air-bone gap and gain values were compared, in the incus group, statistically significant associations were demonstrated between scores and hearing outcomes (p=0.009).</abstract><cop>Stockholm</cop><pub>Informa UK Ltd</pub><pmid>19117161</pmid><doi>10.1080/00016480802587853</doi><tpages>7</tpages></addata></record> |
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| source | Taylor & Francis CRKN Medical; Taylor & Francis; MEDLINE |
| subjects | Adolescent Adult Aged autologous incus Biological and medical sciences Bone Transplantation Child Female Hearing Humans Incus - transplantation interposition Male Medical sciences Middle Aged Orthopedic surgery Ossicular reconstruction Ossicular Replacement - methods Otorhinolaryngology. Stomatology partial ossicular reconstruction prostheses Retrospective Studies Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Treatment Outcome Young Adult |
| title | Ossiculoplasty with intact stapes: analysis of hearing results according to the middle ear risk index |
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