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[Features and results of surgical rehabilitation of hearing loss in osteogenesis imperfecta].

A I KrukovE V GarovE I ZelikovichE E ZagorskayaA S KaloshinaE E GarovaA S PanasovaO V KovtunA G Khublaryan
Published in: Vestnik otorinolaringologii (2024)
Stapes surgery for conductive and mixed hearing loss in OI patients is functionally effective. The best results are achieved after therapy with bisphosphonates with preparations of sodium fluoride, calcium and vitamin D, performing the operation when the density of demineralization zones reaches 1000 HU and using laser assistance. Taking into account the demineralization of the bone structures of the temporal bone, it is recommended to use autocartilaginous stirrup prostheses to restore sound conduction or to cover the attachment area of other prostheses with autologous tissues to prevent necrosis of the long stalk of the incus and stabilize long-term functional results.
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