Is it the middle ear disease or the reconstruction material that determines the functional outcome in ossicular chain reconstruction

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dc.contributor.buuauthorDemir, Uygar Levent
dc.contributor.buuauthorKaraca, Sait
dc.contributor.buuauthorÖzmen, Ömer Afşin
dc.contributor.buuauthorKasapoğlu, Fikret
dc.contributor.buuauthorCoşkun, Hamdi Hakan
dc.contributor.buuauthorBasut, Oğuz
dc.contributor.departmentUludağ Üniversitesi/Tıp Fakültesi/Kulak Burun Boğaz Anabilim Dalı.tr_TR
dc.contributor.orcid0000-0002-9698-0546tr_TR
dc.contributor.researcheridAAI-3877-2021tr_TR
dc.contributor.researcheridA-1452-2019tr_TR
dc.contributor.scopusid56868421800tr_TR
dc.contributor.scopusid55088015000tr_TR
dc.contributor.scopusid55407733900tr_TR
dc.contributor.scopusid56254721200tr_TR
dc.contributor.scopusid13610800100tr_TR
dc.contributor.scopusid6602318367tr_TR
dc.date.accessioned2022-04-08T08:27:25Z
dc.date.available2022-04-08T08:27:25Z
dc.date.issued2012-06
dc.description.abstractObjectives: To evaluate the effects and the predictive value of environmental risk factors on the success of different reconstruction materials used in ossiculoplasty. Study Design: Retrospective case review. Setting: Tertiary referral university hospital. Patients: Between January 2007 and October 2010, 110 patients who underwent ossiculoplasty with or without mastoidectomy due to chronic otitis media were enrolled in the study. All patients were classified into 1 of the 3 risk groups (mild, moderate, and severe) according to their measured Middle Ear Risk Index score. Interventions: The patients underwent exploratory tympanotomy, tympanoplasty, or tympanomastoidectomy (canal wall-up or wall-down), all with ossicular reconstruction. The ossicular reconstructions were performed using either bone cement, autologous bone interposition, or allograft material. Main Outcome Measures: For each patient, the air-conduction threshold and air-bone gap (ABG) were measured at the 12th month after ossiculoplasty. The ABG gain and air-conduction improvement were compared with preoperative values. The correlation of the success of ossiculoplasty with the middle ear risk group of patients was investigated. Moreover, the efficacy of different types of reconstruction material on the success of ossiculoplasty in the same risk group was evaluated. Results: In the mild-and moderate-risk groups, the ABG gain (p = 0.001 and p = 0.014) and air-conduction improvement (p G 0.001 for both) were statistically significant, whereas those changes were found to be insignificant in the severe-risk group. Moreover, the ABG gain and air-conduction improvement in none of the risk groups revealed a significance in favor of any of the used reconstruction materials. Conclusion: The results of this study revealed that none of the reconstruction materials or specific techniques have a superiority in the functional outcomes in patients from the same middle ear risk group. We conclude that the success of ossiculoplasty is highly correlated with the pathophysiological status of the middle ear and is independent of the type of replacement material.en_US
dc.identifier.citationDemir, U. L. vd. (2012). "Is it the middle ear disease or the reconstruction material that determines the functional outcome in ossicular chain reconstruction". Otology & Neurotology, 33(4), 580-585.en_US
dc.identifier.endpage585tr_TR
dc.identifier.issn1531-7129
dc.identifier.issn1537-4505
dc.identifier.issue4tr_TR
dc.identifier.pubmed22429941tr_TR
dc.identifier.scopus2-s2.0-84861337680tr_TR
dc.identifier.startpage580tr_TR
dc.identifier.urihttps://doi.org/10.1097/MAO.0b013e31824b774c
dc.identifier.urihttp://hdl.handle.net/11452/25672
dc.identifier.volume33tr_TR
dc.identifier.wos000304315900017tr_TR
dc.indexed.pubmedPubMeden_US
dc.indexed.scopusScopusen_US
dc.indexed.wosSCIEen_US
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.journalOtology & Neurotologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergitr_TR
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectNeurosciences & neurologyen_US
dc.subjectOtorhinolaryngologyen_US
dc.subjectBone cementIncus interpositionen_US
dc.subjectMiddle ear risk indexen_US
dc.subjectOssiculoplastyen_US
dc.subjectTitanium replacement prosthesesen_US
dc.subjectPrognostic-factorsosen_US
dc.subjectSiculoplastyen_US
dc.subjectTympanoplastyen_US
dc.subjectIncusen_US
dc.subject.emtreeAdolescenten_US
dc.subject.emtreeAdulten_US
dc.subject.emtreeAgeden_US
dc.subject.emtreeArticleen_US
dc.subject.emtreeAuditory ossicleen_US
dc.subject.emtreeChilden_US
dc.subject.emtreeEar diseaseen_US
dc.subject.emtreeFemaleen_US
dc.subject.emtreeHumanen_US
dc.subject.emtreeMaleen_US
dc.subject.emtreeMethodologyen_US
dc.subject.emtreeMiddle ageden_US
dc.subject.emtreeMiddle ear reconstructionen_US
dc.subject.emtreePlastic surgeryen_US
dc.subject.emtreeRetrospective studyen_US
dc.subject.emtreeRisk factoren_US
dc.subject.emtreeTreatment outcomeen_US
dc.subject.emtreeTympanoplastyen_US
dc.subject.meshAdolescenten_US
dc.subject.meshAdulten_US
dc.subject.meshAgeden_US
dc.subject.meshChilden_US
dc.subject.meshEar diseasesen_US
dc.subject.meshEar ossiclesen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle ageden_US
dc.subject.meshOssicular replacementen_US
dc.subject.meshReconstructive surgical proceduresen_US
dc.subject.meshRetrospective studiesen_US
dc.subject.meshRisk factorsen_US
dc.subject.meshTreatment outcomeen_US
dc.subject.meshTympanoplastyen_US
dc.subject.meshYoung adulten_US
dc.subject.scopusOssicular Prosthesis; Incus; Tympanoplastyen_US
dc.subject.wosClinical neurologyen_US
dc.subject.wosOtorhinolaryngologyen_US
dc.titleIs it the middle ear disease or the reconstruction material that determines the functional outcome in ossicular chain reconstructionen_US
dc.typeArticle
dc.wos.quartileQ2 (Clinical Neurology)en_US
dc.wos.quartileQ1 (Otorhinolaryngology)en_US

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