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Polycel®을 사용한 이소골 재건술의 청력 개선효과

Other Titles
 Hearing Results of Ossiculoplasty Using Polycel® Prosthesis 
 문인석  ;  송미현  ;  이호기  ;  최재영  ;  이원상  ;  정명현  ;  김희남  ;  한수진 
 Korean Journal of Otolaryngology (대한이비인후과학회지), Vol.47(12) : 1224-1229, 2004 
Journal Title
Korean Journal of Otolaryngology(대한이비인후과학회지)
Issue Date
Ossicular replacement ; Ossicular prosthesis ; Polyethylene ; Audiometry
Background and Objectives:During the last decade, the surgical use of alloplasts has become more and more widespread among otologists. In this study, we evaluated the hearing results of ossiculoplasty using Polycel® prosthesis.

Subjects and Method:One hundred eighty eight cases who underwent ossicular chain reconstruction using Polycel® prosthesis and had been followed up postoperatively for more than 12 months at Severance Eye-ENT Hospital from 1998 to 2002 were reviewed retrospectively. Postoperative hearing results were assessed by measuring the postoperative air-bone gap (ABG) and closure in air-bone gap. Successful postoperative ABG criteria were defined as the following three groups;ABG of ≤10 dB, ABG of ≤20 dB, and ABG of ≤30 dB. Several prognostic factors such as the condition of middle ear mucosa and ossicles, presence or absence of cholesteatoma, surgical method, staging and revision surgery were analyzed.

Results:Of the total of 188 cases, 22 cases (11.7%) were ≤10 dB ABG, 96 (51.1%) cases were ≤20 dB ABG, and 158 (84.0%) cases were ≤30 dB ABG. The hearing results were good for healthy middle ear mucosa and cases which contained stapes superstructure, the hearing results were good.

Conclusion:Polycel® is a good material to be used in ossiculoplasty as a hydroxyapatite and autologous bone. In ossiculoplasty, good prognostic factors of the middle ear condition were healthy middle ear mucosa and the presence of stapes superstructure.
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1. College of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Hee Nam(김희남)
Lee, Won Sang(이원상)
Lee, Ho Ki(이호기)
Chung, Myung Hyun(정명현)
Choi, Jae Young(최재영) ORCID logo https://orcid.org/0000-0001-9493-3458
Han, Su Jin(한수진)
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