Long-term outcomes of ossiculoplasty techniques

Uzun T., Çaklı H., Kaya E., Pınarbaşlı M. Ö., Gürbüz M. K., İncesulu A.

ACTA OTO-LARYNGOLOGICA, vol.145, no.9, pp.806-810, 2025 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 145 Issue: 9
  • Publication Date: 2025
  • Doi Number: 10.1080/00016489.2025.2521807
  • Journal Name: ACTA OTO-LARYNGOLOGICA
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, International Bibliography of Social Sciences, Biotechnology Research Abstracts, CAB Abstracts, CINAHL, EMBASE, Linguistics & Language Behavior Abstracts, Veterinary Science Database
  • Page Numbers: pp.806-810
  • Keywords: bone cement, cortical bone, Ossiculoplasty, PORP, titanium prothesis, TORP
  • Eskisehir Osmangazi University Affiliated: Yes

Abstract

Background The ideal ossiculoplasty technique should effectively restore sound transmission, be surgically feasible, biocompatible, and stable. Currently, no single material fully meets these criteria in a cost-effective manner. Objectives To evaluate and compare the long-term audiological outcomes of various ossiculoplasty techniques. Materials and Methods This retrospective study included 116 patients (aged 11-72) who underwent ossiculoplasty using cortical bone, bone cement, or titanium prostheses between 2013 and 2019. Preoperative and 2-year postoperative air and bone conduction thresholds (500-4000 Hz), air-bone gap (ABG), and hearing gains were analyzed. Results Significant postoperative ABG improvement was observed in the malleus-incus, incus-stapes bone cement, TORP, and PORP groups (p < 0.05). Although hearing gain was noted in the malleus-stapes bone cement and cortical bone groups, the improvement was not statistically significant (p = 0.18 and p = 0.95, respectively). Hearing gain >10 dB was achieved in 76.5% of incus-stapes bone cement and 53% of TORP procedures. Conclusions and Significance Bone cement offers an effective and economical option for ossiculoplasty, particularly in incudostapedial repairs. Despite no statistically significant difference (p = 0.206), the favorable outcomes of TORP suggest it may be superior to cortical bone in patients with non-functional ossicular chains.