TỔNG QUAN CHẤT LIỆU TẠO HÌNH XƯƠNG CON

Abstract

Objective: To describe the characteristics of studies on materials used in ossiculoplasty. Methods: A narrative review was conducted based on peer-reviewed English-language articles published between 2000 and June 2024, sourced from PubMed and the Hanoi Medical University Library using relevant keywords. Results: Among 78 identified articles, 19 met inclusion criteria. Thirteen types of materials were reported. The most effective materials were HA-HAP (72.73% of patients achieved ABG < 10 dB), homologous nasal septal cartilage (90% achieved ABG < 20 dB), and Mimix hydroxyapatite (mean ABG reduction of 17 dB). Most studies were retrospective (57.89%) and conducted in both developed and developing countries (USA, Germany, India, South Korea, Turkey). Complications such as prosthesis displacement, extrusion, joint adhesion, and cholesteatoma were infrequent. Conclusion: The diversity of prosthetic materials supports tailored treatment in ossiculoplasty. Among them, homologous nasal septal cartilage, HA-HAP cement, and Mimix hydroxyapatite showed the most favorable hearing outcomes.