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Electrocoagulation improving bone cement use in middle-ear surgery: short-term and middle-term results

Published online by Cambridge University Press:  04 November 2016

C Galy-Bernadoy ,
M Akkari ,
M Mondain ,
A Uziel  and
F Venail
C Galy-Bernadoy*
Affiliation:
ENT – Head and Neck Surgery Department, Gui de Chauliac University Hospital, University of Montpellier, France
M Akkari
Affiliation:
ENT – Head and Neck Surgery Department, Gui de Chauliac University Hospital, University of Montpellier, France
M Mondain
Affiliation:
ENT – Head and Neck Surgery Department, Gui de Chauliac University Hospital, University of Montpellier, France Institute for Neurosciences of Montpellier (INSERM U1051), Saint Eloi University Hospital, University of Montpellier, France
A Uziel
Affiliation:
ENT – Head and Neck Surgery Department, Gui de Chauliac University Hospital, University of Montpellier, France Institute for Neurosciences of Montpellier (INSERM U1051), Saint Eloi University Hospital, University of Montpellier, France
F Venail
Affiliation:
ENT – Head and Neck Surgery Department, Gui de Chauliac University Hospital, University of Montpellier, France Institute for Neurosciences of Montpellier (INSERM U1051), Saint Eloi University Hospital, University of Montpellier, France
*
Address for correspondence: Dr Camille Galy-Bernadoy, ENT – Head and Neck Surgery Department, Gui de Chauliac University Hospital, 80 avenue Augustin Fliche, 34295 Montpellier cedex 5, France Fax: +33 4 67 33 67 28 E-mail: galycamille@gmail.com
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Abstract

Background:

Bone cement is used for ossicular chain repair and revision stapes surgery. Its efficient use requires cautious removal of mucosa from the ossicles. This paper reports a technique for easy, fast and safe removal of this mucosa prior to cement application. It consists of the application of monopolar electrocoagulation on the ossicles prior to bone cement application.

Methods:

The outcomes of six cases of revision stapes surgery and seven cases of partial ossiculoplasty, conducted between 2007 and 2012 using this new technique, were evaluated. Intra-operative reports and audiometric data were collected.

Results:

During the last assessment, reconstruction using bone cement resulted in mean post-operative air–bone gaps of 4.1 ± 6.5 dB in revision stapes surgery cases and 5.7 ± 5.5 dB in partial ossiculoplasty cases, reflecting a significant hearing improvement (p = 0.03). No complications were observed.

Conclusion:

Electrocoagulation allows the removal of mucosa from the ossicles in an easy, fast and safe manner, enabling the use of bone cement for ossicular chain reconstruction.

Keywords

Stapes SurgeryOssicular ReplacementBone CementsElectrocoagulation
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 130 , Issue 12 , December 2016 , pp. 1110 - 1114
Copyright
Copyright © JLO (1984) Limited 2016 

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References

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