Incudostapedial rebridging ossiculoplasty with bone cement.

OBJECTIVE This study reports the authors' technique and hearing results with bone cement reconstruction of the incudostapedial chain. The technique is called incudostapedial rebridging ossiculoplasty. STUDY DESIGN A retrospective analysis of the hearing results of the incudostapedial rebridging ossiculoplasty was performed on 15 patients. BACKGROUND Recently, bone cements have been available commercially, and their use in otologic surgery is increasing. Polymaleinate glass ionomer cement is a commercially available bone cement that can be used to reconstruct a discontinuity between the incus and the stapes. SETTING Tertiary referral center. PATIENTS Disease-free or cleansed middle ear and mastoid and intact ossicular chain except for discontinuity between the long process of the incus and the head of the stapes. INTERVENTIONS Therapeutic. MAIN OUTCOMES MEASURES Functional results of incudostapedial rebridging ossiculoplasty. RESULTS Of 15 patients, 9 achieved a successful hearing result (an air-bone gap within 20 dB) with incudostapedial rebridging ossiculoplasty after 1 year. The mean preoperative and postoperative air-bone gaps were 32.9 and 14.3 dB, respectively. CONCLUSIONS Incudostapedial rebridging ossiculoplasty with bone cement is a cost-effective and safe procedure that yields good hearing results in selected patients.