{Reference Type}: Journal Article
{Title}: Bone mineral density of the incus body and long process in patients with chronic otitis media and its relationship with functional outcome in type II tympanoplasty.
{Author}: Kuru A;Bayram A;Tokmak TT;Yaşar M;
{Journal}: Acta Otolaryngol
{Volume}: 144
{Issue}: 3
{Year}: 2024 Mar 24
{Factor}: 1.698
{DOI}: 10.1080/00016489.2024.2356611
{Abstract}: <B>UNASSIGNED: </B>Inflammatory conditions such as chronic otitis media (COM) can cause irreversible impairments in the microarchitecture and functions of the incus, which subsequently leads to conductive hearing loss.<BR><B>UNASSIGNED: </B>To investigate bone mineral density (BMD) of the incus body (IB) and long process (ILP) on preoperative temporal CT in COM patients with and without incudo-stapedial joint discontinuity (ISJD), and also to determine the association between BMD values and the postoperative air-bone gap (ABG) in the ISJD group.<BR><B>UNASSIGNED: </B>The mean IB density (IBD)/occipital bone density (OBD) and ILP density (ILPD)/OBD values were compared between the patients with and without ISJD. The correlation between ABG gain and preoperative incus density values was assessed in the ISJD group.<BR><B>UNASSIGNED: </B>The mean IBD/OBD and ILPD/OBD values were significantly higher in patients with intact ISJ. There was a moderate positive correlation between postoperative ABG gain and ILPD/OBD values in the ISJD group.<BR><B>UNASSIGNED: </B>The decrease in BMD of the incus may involve ILP as well as IB in patients with ISJD caused by ILP lysis in COM. A higher preoperative ILPD/OBD was correlated with a higher postoperative ABG gain in COM patients with ISJD.