Skip to main content

Hydroxyapatite in the Infected Middle Ear

  • Chapter
Biomaterials in Otology

Summary

In order to test the suitability of hydroxyapatite implants for use in tympanoplasty, a study was performed in which the behaviour of these biomaterials was observed in the infected middle ear of the rat. Infection was induced by means of intratympanical injection of a Staphylococcus aureus suspension. The reactions observed show great resemblance with the events witnessed in the middle ear infected without implant. Another similarity can be demonstrated between the implant inserted in the infected tympanon and the implant remaining in the non infected middle ear cavity. All implants are characterized by a mucosal and bony lining. Macropores, when present, become filled with fibrous tissue, gradually replaced by bone. The bonding between the tissue and the implant appears to be tight.

The results obtained from this study indicate the apparent suitability of sintered hydroxyapatite implants as means for substitution of bone in the middle ear.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Homsy, C. A., Kent, J., Hinds, E. 1973. Materials for oral implantation: biological and functional criteria. JADA, 86: 817.

    PubMed  CAS  Google Scholar 

  2. Shea, J. J., Homsy, C. A. 1974. The use of Proplast in otologic surgery. Laryngoscope, 84: 1835.

    Article  PubMed  CAS  Google Scholar 

  3. Shea, J. J., Emmett, J. R., Smyth, G. D. L. 1977. Biocompatible implants in otology. ORL, 39: 9.

    Google Scholar 

  4. Jahnke, K., Plester, D., Heimke, G. 1979. Aluminium oxid keramik, ein bioinertes material fur die mittelohr chirurgie. Arch. Otorhinolaryngol., 223: 2.

    Google Scholar 

  5. Hench, L. L., Paschall, H. A. 1973. Direct bond of bioactive glassceramic materials to bone and muscle. J.Biomed. Mater. Res. Symp., 4: 25.

    Article  Google Scholar 

  6. Kuypers, W., Grote, J. J. 1977. The use of Proplast in experimental middle ear surgery. Clin. Otolaryngol., 2: 15.

    Google Scholar 

  7. Grote, J. J., Kuypers, W. 1983. The use of biomaterials in reconstructive middle ear surgery. Biomaterials in reconstructive surgery. Ed. Rubin, R. J.: 987.

    Google Scholar 

  8. Teichgraeber, J. F., Spector, M., Per-Lee, J. H., Jackson, R. T. 1983. Tissue response to Plasti-pore and Proplast in the middle ear of cats. Am. J.Otology. (in press). 104

    Google Scholar 

  9. Johns, A. 1981. The use of Proplast in reconstruction of the posterior meatal wall. J.Laryngol. Otol., 95: 899.

    Article  PubMed  CAS  Google Scholar 

  10. Kerr, A. G. 1981. Proplast and Plastipore. Clin. Otolaryngol., 6:187.

    Article  PubMed  CAS  Google Scholar 

  11. Boedts, D., de Leeuw, I., Moenclaey, L. 1983. Mineral and collagen contents of human ossicles. Arch. Otorhinolaryngol., 237: 197.

    Article  PubMed  CAS  Google Scholar 

  12. Driessen, A. A., Klein, C. P. A. T., de Groot, K. 1982. Preparation and some properties of sintered B-whitlockite. Biomaterials, 3: 113.

    Article  PubMed  CAS  Google Scholar 

  13. Klein, C. P. A. T., Driessen, A. A., de Groot, K., van den Hooff, A. 1982. Biodegradation behaviour of various calciumphosphates in bone tissue. J.Biomed. Mater. Res.

    Google Scholar 

  14. Grote, J. J., Kuypers, W., de Groot K. 1981. Use of sintered hydroxyapatite in middle ear surgery. ORL, 43: 248.

    Article  PubMed  CAS  Google Scholar 

  15. Peelen, J. G. J., Rejda, B. V., de Groot, K. 1978. Preparation and properties of sintered hydroxyapatite. Ceramurgia Int., 5: 71.

    Article  Google Scholar 

  16. Daems, W.Th., Brederoo, P. 1973. Electron microscopical studies on the structure, phagocytic properties and peroxidatic activity of resident and exudate peritoneal macrophages in the guinea pig. Z.Zellforsch, 144: 247.

    Article  PubMed  CAS  Google Scholar 

  17. Scherft, J. P. 1978. The lamina limitans of the organic bone matrix: formation in vitro. Journal of ultrastructure research, 64: 173.

    Article  PubMed  CAS  Google Scholar 

  18. v.d. Rhee, H. J. 1979. The differentiation of monocytes into macrophages epitheloid cells and multinucleated giant cells in subcutaneous granulomas. Cell tissue Res. Vol. 197, no. 3: 355–396.

    Article  PubMed  Google Scholar 

  19. Lucht, U. 1980. Osteoclasts: ultrastructure and functions. in: the reticuloendothelial system, Ed. Carr, J. Daems, W. Th. 1: 705.

    Google Scholar 

  20. Homsy, C. A. 1970. Biocompatibility in selection of materials for implantation. J.Biomed. Mater. Res. 4: 341.

    Article  PubMed  CAS  Google Scholar 

  21. Kuypers, W. 1983. Behaviour of bioimplants in the middle ear. Biomaterials. in otology.

    Google Scholar 

  22. Osborn, J. F., Newesly, H. 1982. Bonding osteogenesis induced by calciumphosphate ceramic implants. Biomaterials 1980, in: Advances in biomaterials, Ed. Winter, Gibbons, Plenck, 3: 51.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1984 Martinus Nijhoff Publishers, Boston

About this chapter

Cite this chapter

Van Blitterswijk, C.A., Grote, J.J., Kuypers, W. (1984). Hydroxyapatite in the Infected Middle Ear. In: Grote, J.J. (eds) Biomaterials in Otology. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-6756-4_12

Download citation

  • DOI: https://doi.org/10.1007/978-94-009-6756-4_12

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-009-6758-8

  • Online ISBN: 978-94-009-6756-4

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics