Ana Sayfa » Yayın Arşivi » Kulak Burun Boğaz ve Baş Boyun Cerrahisi Dergisi » 1994 » Kemikçik Rekonstrüksiyonunda Biyouyumlu Materyaller
 

Kemikçik Rekonstrüksiyonunda Biyouyumlu Materyaller

Özeri C., Şafak M.A.

1960’larda kronik otit cerrahisindeki amaç kuru bir kavite oluşturmakken, bugün önemli olan iletim rekonstriksiyonudur. Ossiküloplasti için plastik, seramik, metal gibi pek çok biyouyumlu protezler denenmiştir. Klinikler arası ortak kritirlerin olmaması ve kronik otitin çeşitli patolojik etkileri nedeniyle, ossiküloplasti için hangi protezin üstün olduğuna karar verilmesini güçleştirir.

Biocompatible Materials in Ossiculoplasty

Özeri C., Şafak M.A.

While until 30 years ago, the sole objective otologic surgery for chronic ear disease was to eliminate otorrhea and make the ear safe, today, to reconstruct the conductive mechanism is the most important aim. Chronic ear surgery has stimulated a great deal of experimentation in the use of nonbiologic implantable materials. Some of the biocompatible materials used for ossicular reconstruction are a large varety of plastics, ceramics, metals, glass inomer cement, carbon-carbon and the combination of these, table 1. The hearing succes rates for ossiculer reconstruction are generally reported in terms of closure of the air-bone gap just like as the succes rates for otosclerosis surgery. But the problems associated with reconstructed ears involved by chronic otitis media are quite different from those in patients suffering from otosclerosis. Normal auditory function requires the distribution of information from both cochleas. On the other hand the postoperative air three shold and the difference from those of other ear is more important than the air-bone gap of the opereted ear for functional hearing. So it is difficult to say which of these prostheses possess superiority, in lack of any consensus of reported succes rates.

Kulak Burun Boğaz ve Baş Boyun Cerrahisi Dergisi 2(3)/247-253

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