CLINICAL CASE: RECONSTRUCTION OF THE HEAD OF THE STAPES WITH BONE CEMENT FOR CHRONIC SUPPURATIVE OTITIS MEDIA

Abstract

The article presents a clinical case of the formation of a chain of auditory ossicles in the Medcenter.kg clinic of a patient with chronic purulent otitis media accompanied by a total defect of the tympanic membrane, destruction of the long process of the anvil and the head of the stapes. These pathologic changes led to significant hearing loss, which required surgical treatment tactics. During the surgical intervention the reconstruction of the auditory chain was successfully performed using boncement (bone cement), a modern biocompatible material, which allowed to restore the anatomical integrity of the anvil and the head of the stapes. Additionally, the formation of a new autotissue tympanic membrane from the patient's autofascia was performed, which ensured the tightness of the tympanic cavity and improved the functional outcome. The results of postoperative tonal threshold audiometry confirmed a significant improvement in sound conduction, indicating the success of the reconstruction. This clinical case emphasizes the effectiveness of boncement in otosurgery, especially for auditory ossicle defects. The use of this material allows achieving stable functional results, minimizing the risk of rejection and ensuring long-term hearing restoration. The observation demonstrates the prospect of such techniques in the treatment of chronic otitis media in patients with destruction of the elements of the sound conducting apparatus.