Ossicular Chain Reconstruction With Glass Ionomer Cement Following Removal of Active Middle Ear Implant

Abstract The use of bone cement in ossicular chain reconstruction (OCR) represents an area of recent interest. This multi‐institutional retrospective study assesses the efficacy of glass ionomer cement (GIC) in OCR following the explantation of a fully implantable active middle ear implant. A postop...

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Main Authors: William J. McFeely, Alexis E. McFeely, Jack A. Shohet
Format: Article
Language:English
Published: Wiley 2025-01-01
Series:OTO Open
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Online Access:https://doi.org/10.1002/oto2.70062
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author William J. McFeely
Alexis E. McFeely
Jack A. Shohet
author_facet William J. McFeely
Alexis E. McFeely
Jack A. Shohet
author_sort William J. McFeely
collection DOAJ
description Abstract The use of bone cement in ossicular chain reconstruction (OCR) represents an area of recent interest. This multi‐institutional retrospective study assesses the efficacy of glass ionomer cement (GIC) in OCR following the explantation of a fully implantable active middle ear implant. A postoperative 4‐frequency mean air‐bone gap (ABG) was obtained for 15 subjects by averaging 0.5, 1, 2, and 4 kHz frequencies. For Group A (short‐term, N = 15), at a mean of 4.5 months postoperatively, 9 (60%) achieved an ABG between 0 and 10 dB, 5 (33%) were 11 to 20 dB, and 1 (7%) was 21 to 30 dB. For Group B (long‐term, N = 5), at a mean of 50 months postoperatively, 4 (80%) were 0 to 10 dB and 1 (20%) was 11 to 20 dB. These results suggest that GIC represents an effective means of ABG closure after device explantation.
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spelling doaj-art-618cd3116dd24df2bb1f8d595f11bfee2025-08-20T03:44:25ZengWileyOTO Open2473-974X2025-01-0191n/an/a10.1002/oto2.70062Ossicular Chain Reconstruction With Glass Ionomer Cement Following Removal of Active Middle Ear ImplantWilliam J. McFeely0Alexis E. McFeely1Jack A. Shohet2North Alabama ENT Associates P.C. Huntsville Alabama USAUAB Heersink School of Medicine Birmingham Alabama USAShohet Ear Associates Medical Group Inc. Orange County California USAAbstract The use of bone cement in ossicular chain reconstruction (OCR) represents an area of recent interest. This multi‐institutional retrospective study assesses the efficacy of glass ionomer cement (GIC) in OCR following the explantation of a fully implantable active middle ear implant. A postoperative 4‐frequency mean air‐bone gap (ABG) was obtained for 15 subjects by averaging 0.5, 1, 2, and 4 kHz frequencies. For Group A (short‐term, N = 15), at a mean of 4.5 months postoperatively, 9 (60%) achieved an ABG between 0 and 10 dB, 5 (33%) were 11 to 20 dB, and 1 (7%) was 21 to 30 dB. For Group B (long‐term, N = 5), at a mean of 50 months postoperatively, 4 (80%) were 0 to 10 dB and 1 (20%) was 11 to 20 dB. These results suggest that GIC represents an effective means of ABG closure after device explantation.https://doi.org/10.1002/oto2.70062active middle ear implantaudiometryEsteem®explantglass ionomer cementossiculoplasty
spellingShingle William J. McFeely
Alexis E. McFeely
Jack A. Shohet
Ossicular Chain Reconstruction With Glass Ionomer Cement Following Removal of Active Middle Ear Implant
OTO Open
active middle ear implant
audiometry
Esteem®
explant
glass ionomer cement
ossiculoplasty
title Ossicular Chain Reconstruction With Glass Ionomer Cement Following Removal of Active Middle Ear Implant
title_full Ossicular Chain Reconstruction With Glass Ionomer Cement Following Removal of Active Middle Ear Implant
title_fullStr Ossicular Chain Reconstruction With Glass Ionomer Cement Following Removal of Active Middle Ear Implant
title_full_unstemmed Ossicular Chain Reconstruction With Glass Ionomer Cement Following Removal of Active Middle Ear Implant
title_short Ossicular Chain Reconstruction With Glass Ionomer Cement Following Removal of Active Middle Ear Implant
title_sort ossicular chain reconstruction with glass ionomer cement following removal of active middle ear implant
topic active middle ear implant
audiometry
Esteem®
explant
glass ionomer cement
ossiculoplasty
url https://doi.org/10.1002/oto2.70062
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