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Use of Hydroxyapatite (HA) Cement for Ossicular Reconstruction

Presenting Author: Joel Goebel

Published online by Cambridge University Press:  03 June 2016

Joel Goebel
Joel Goebel*
Affiliation:
Washington University School of Medicine
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Abstract

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Learning Objectives: 1. Understand the indications for use of HA cement for ossicular reconstruction. 2. Appreciate the surgical tips for successful application of HA cement to the ossicular chain.

Panel Discussion: Use of Hydroxyapatite (HA) Bone Cement for Ossicular Reconstruction

Abstract: Reconstruction of the ossicular chain in chronic ear disease and cholesteatoma depends on many factors including ossicular chain remnant, state of middle ear aeration and Eustachian tube function and ability to eradicate middle ear mucosal disease. In select cases, use of hydroxyapatite (HA) bone cement to re-establish ossicular chain continuity is a viable method of reconstruction. In this panel, various methods of reconstruction will be addressed and the role of HA cement will be discussed including video demonstration of practical surgical tips for application of HA cement to the ossicular chain remnant for reconstruction.