Role of Cartilage as a Graft Material for Tympanic Membrane and in Middle Ear Reconstruction

作者: Anant Chouhan , Bhuvnesh Kumar Singh , Praveen Chandra Verma

DOI: 10.4236/IJOHNS.2015.42012

关键词:

摘要: Objective: The work was planned to evaluate the results of cartilage graft in surgical treatment chronic suppurative otitis media. Study Design: A prospective study. Materials and Methods: present study a tympanoplasties tympanomastoid surgeries performed on 100 patients. main outcome measures were both anatomical functional form incorporation postoperative hearing function. Results: Cartilage used as tympanic membrane and/or ossicle cases. There no immediate or long term complications surgery except for 10 cases which there failure uptake. 7.6-decibel (dB) improvement mean air conduction threshold post-operatively. closure average bone gap 8.4 decibels noted statistically significant. Conclusion: is very effective option repair conducting mechanism ear with good take-up rates, less chances rejection extrusion few significant complications. thickness creates stiffness that more resistant than fascia anatomic deformities caused by negative middle pressure thus improving integrity graft.

参考文章(19)
Sertac Yetiser, Yusuf Hidir, Temporalis fascia and cartilage-perichondrium composite shield grafts for reconstruction of the tympanic membrane. Annals of Otology, Rhinology, and Laryngology. ,vol. 118, pp. 570- 574 ,(2009) , 10.1177/000348940911800807
JAMES P. ALBRITE, BERT G. LEIGH, Dural homograft (allostatic) myringoplasty. (Preliminary report). Laryngoscope. ,vol. 76, pp. 1687- 1693 ,(1966) , 10.1288/00005537-196610000-00006
Richard A. Buckingham, Fascia and Perichondrium Atrophy in Tympanoplasty and Recurrent Middle Ear Atelectasis Annals of Otology, Rhinology, and Laryngology. ,vol. 101, pp. 755- 758 ,(1992) , 10.1177/000348949210100907
A. Mahadevaiah, Bhavin Parikh, Modified intact canal wall mastoidectomy — long term results in hearing and healing Indian Journal of Otolaryngology and Head & Neck Surgery. ,vol. 60, pp. 317- 323 ,(2008) , 10.1007/S12070-008-0109-7
J. Marquet, Myringoplasty by eardrum transplantation The Laryngoscope. ,vol. 78, pp. 1329- 1336 ,(1968) , 10.1288/00005537-196808000-00006
Fritz Zöllner, The principles of plastic surgery of the sound-conducting apparatus. Journal of Laryngology and Otology. ,vol. 69, pp. 637- 652 ,(1955) , 10.1017/S0022215100051240
Jyothi P. Dabholkar, Krishna Vora, Abhik Sikdar, Comparative study of underlay tympanoplasty with temporalis fascia and tragal perichondrium. Indian Journal of Otolaryngology and Head & Neck Surgery. ,vol. 59, pp. 116- 119 ,(2007) , 10.1007/S12070-007-0035-0
Bengt Salén, MYRINGOPLASTY USING SEPTUM CARTILAGE. Acta Oto-laryngologica. ,vol. 188, pp. 82- 91 ,(1964) , 10.3109/00016486409134544
Cem Ozbek, Onur Çiftçi, E. Evrim Unsal Tuna, Özlem Yazkan, Cafer Ozdem, A comparison of cartilage palisades and fascia in type 1 tympanoplasty in children: anatomic and functional results. Otology & Neurotology. ,vol. 29, pp. 679- 683 ,(2008) , 10.1097/MAO.0B013E31817DAD57