Experiences with Tissue Adhesives in Middle Ear Operations

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Abstract
A report of 123 middle ear operations using a cyanoacrylate adhesive is presented. The results of healing and restoration of the hearing function are equal or better than those achieved by standard methods of tympanoplasty. Good results can be obtained only when the quantity used is kept as small as possible. Check-ups 1 and 2 years after the operation show, that in the majority of cases successful results were lasting. A tendency to further improvement of hearing was noticeable. The use of tissue adhesive in tympanoplasty facilitates particularly the reconstruction of the chain of hearing ossicles. Findings after implantation by revision or planned second operations prove, that the acrylate polymerisate does not impede the healing process of the affected mucosa in the middle ear if sufficiently small quantities are applied.

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