Cartilage graft or fascia in tympanoplasty in patients with low middle ear risk index (anatomical and audological results)

作者: Elif Ersoy Callioglu , B. Tijen Ceylan , Gokhan Kuran , Sule Demirci , Kamil Gokce Tulaci

DOI: 10.1007/S00405-012-2238-6

关键词:

摘要: The aim of this study was to compare anatomic and audiological results cartilage graft with temporal fascia in type 1 tympanoplasty patients low middle ear risk index (MERI). In retrospective study, 63 that underwent chondroperichondrial island between July 2009 November 2010 were compared 45 whom muscle used. Patients both groups had MERI values varying 3. Five nine masteidectomy group, respectively. Mean duration follow-up 11.9 ± 3.7 (5–17) months. value calculated at pre-operative post-operative hearing threshold 0.5, 1, 2, 4 kHz, air bone gap (ABG) gain groups. when ABG compared, significant decrease seen levels (p < 0.001). However, no difference = 0.608), which 10.1 7.00 dB group 10.8 5.38 group. groups, age, sex, the addition mastoidectomy procedure effect on success. Cartilage is a material may be preferred without concern about effects results, especially, values. impact outcome operation results. further studies larger case series carried out clarify issue.

参考文章(23)
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
M Rondinelli, M Cavaliere, G Mottola, M Iemma, Tragal cartilage in tympanoplasty: anatomic and functional results in 306 cases Acta Otorhinolaryngologica Italica. ,vol. 29, pp. 27- 32 ,(2009)
John L. Dornhoffer, Hearing Results With Cartilage Tympanoplasty Laryngoscope. ,vol. 107, pp. 1094- 1099 ,(1997) , 10.1097/00005537-199708000-00016
Warren Y. Adkins, Composite autograft for tympanoplasty and tympanomastoid surgery. Laryngoscope. ,vol. 100, pp. 244- 247 ,(1990) , 10.1288/00005537-199003000-00007
Shabbir Indorewala, Dimensional Stability of the Free Fascia Grafts: An Animal Experiment Laryngoscope. ,vol. 112, pp. 727- 730 ,(2002) , 10.1097/00005537-200204000-00024
Jesús Cabra, Alfonso Moñux, Efficacy of Cartilage Palisade Tympanoplasty Otology & Neurotology. ,vol. 31, pp. 589- 595 ,(2010) , 10.1097/MAO.0B013E3181DBB35E
Benjamin D. Webb, C. Y. Joseph Chang, Efficacy of tympanoplasty without mastoidectomy for chronic suppurative otitis media. Archives of Otolaryngology-head & Neck Surgery. ,vol. 134, pp. 1155- 1158 ,(2008) , 10.1001/ARCHOTOL.134.11.1155
Tayfun Kirazli, Cem Bilgen, Rasi̇t Midilli, Fati̇h Ögüt, Hearing results after primary cartilage tympanoplasty with island technique Otolaryngology-Head and Neck Surgery. ,vol. 132, pp. 933- 937 ,(2005) , 10.1016/J.OTOHNS.2005.01.044
Ronald G. Amedee, Wolf J. Mann, Herbert Riechelmann, Cartilage palisade tympanoplasty American Journal of Otology. ,vol. 10, pp. 447- 450 ,(1989) , 10.1097/00129492-198911000-00006