Acoustic Properties of Different Cartilage Reconstruction Techniques of the Tympanic Membrane

Mürbe, Dirk; Zahnert, Thomas; Bornitz, Matthias; Hüttenbrink, Karl-Bernd

doi:10.1097/00005537-200210000-00012

Cited by 132 publications

(109 citation statements)

References 19 publications

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“…Historically various graft materials have been used to reconstruct tympanic membrane including skin, fascia, vein, perichondrium, dura and cartilage [14]. At present the most common material used for tympanoplasty is temporalis fascia followed by tragal perichondrium [6].…”

Section: Discussionmentioning

confidence: 99%

“…At present the most common material used for tympanoplasty is temporalis fascia followed by tragal perichondrium [6]. The success rate of the intervention in terms of closure of perforation with fascia is estimated to be around 80-90 % for primary tympanoplasty [14,15]. However these results decrease in some specific cases, such as large or subtotal perforations, anterior perforations, revision tympanoplasty.…”

Section: Discussionmentioning

confidence: 99%

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Cartilage Support for Fascia Graft in Type I Tympanoplasty

Kulkarni

Burse

et al. 2014

Indian J Otolaryngol Head Neck Surg

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To evaluate the success rate, in terms of anatomical and functional results, in our technique of cartilage support for fascia graft in type I tympanoplasty. Retrospective study of tragal cartilage support for fascia graft in tympanoplasty for large central perforation in 748 patients was carried at an academic institution during January 2004 to March 2012. Patients' age ranged from 11 to 65 years. 325 (43.4 %) male and 423 (56.6 %) female patients were operated and mean post-operative follow up was of 24 months (range 6-48 months). The inclusion criteria were large central or subtotal perforation, anterior quadrant perforation, anterior tympanosclerotic patch with perforation and revision myringoplasty. Small central perforation, posterior perforations, traumatic perforations and Ossiculplasty were excluded from this study. In this technique, a piece of tragal cartilage carved in semi lunar shape is inserted medial to anterior remnant of tympanic membrane. Temporalis fascia graft is sandwiched between cartilage and anterior remnant of tympanic membrane. Post-operative closure of perforation was noted. Pure-tone average pre and post-operative air-bone gap in dB at 250, 500, 1000, 2000, and 4,000 Hz were compared. The overall success rate of our technique was 98.3 % in terms of graft uptake and within 13.35 ± 5.22 dB of air bone gap closure in terms of hearing improvement. This study reveals that cartilage support for fascia graft in type I tympanoplasty is a highly reliable technique and gives significant improvement in graft take-up and hearing status.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Cartilage Support for Fascia Graft in Type I Tympanoplasty

Kulkarni

Burse

et al. 2014

Indian J Otolaryngol Head Neck Surg

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“…9 However, the use of cartilage has also been criticized due to concerns of decreased middle ear space and postoperative surveillance in cholesteatoma cases. 10 The various other techniques used are palisade, cartilage island, and CST. 9 The use of cartilage, both tragal and conchal as a shield, at the level of handle of malleus is accounted in this study.…”

Section: Introductionmentioning

confidence: 99%

Cartilage Shield Tympanoplasty: A Retrospective Chart Review of 69 Cases

Patadia¹,

Keshri²,

Shah³

2015

An International Journal of Otorhinolaryngology Clinics

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Objective: Cartilage shield tympanoplasty (CST) is an acknowledged procedure to repair total tympanic membrane perforations. The main objective of this study was to share our experience of CST, in form of its technique, graft uptake and hearing outcomes. Patients: A total of 69 cases of type 1 CST, from January 2013 to March 2014. We followed all patients for a minimum period of 6 months.Intervention: Therapeutic. Main outcome measures:Graft uptake rate, along with preand postoperative pure tone audiogram air bone gap (ABG) and postoperative complications, was evaluated. We compared ABG using Student's t-test. Results:Graft uptake was seen in 68 cases (98.5%). The mean pre-and postoperative pure tone audiometry (PTA)-ABG was 37.58 ± 6.43 dB and 20.19 ± 8.14 dB, respectively. Hearing improvement was maximum at 2 kHz with mean postoperative value of 17.73 dB, and the least improvement was seen at 8 kHz with value of 30 dB in postoperative period. Conclusion:The graft uptake rate was excellent, and hearing results were satisfactory. Cartilage shield tympanoplasty should be a recommended procedure for total perforation, subtotal perforation and revision cases. However, long-term results are still awaited.

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“…The thought of a prospective study using cartilage as to reconstruct the tympanic membrane came after going through the limited number of clinical studies exploring the outcomes of cartilage palisade in tympanoplasty procedures. [8][9][10][11][12] The aim of this article was to compare the graft acceptance rates and auditory outcomes of cartilage tympanoplasty operations using the palisade technique with those of primary tympanoplasty using temporalis fascia in two groups of patients.…”

Section: Introductionmentioning

confidence: 99%

Comparison of outcomes of palisade cartilage with temporalis fascia following tympanoplasty at a tertiary care centre in Nepal

Jaiswal

Chettri

Shah

et al. 2016

Int J Otorhinolaryngol Head Neck Surg

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Background: Mucosal type of chronic otitis media is a common disease worldwide with 5.2% prevalence in Nepal. Cartilage material is criticized in terms of hearing results due to its thickness. The objective of this study was to compare graft uptake and post-operative hearing of palisade cartilage with temporalis fascia following tympanoplasty.Methods: A prospective randomized study conducted over 12 months included subjects of chronic otitis media mucosal inactive having dry ear for at least 4 weeks. 76 subjects were enrolled and reviewed on 6th post-operative day, 6th and 12th post-operative week. The graft uptake and post-operative hearing were evaluated. The results were compared within and between the groups. Results: The graft uptake on 42nd and 90th post-operative days were comparable with no statistical difference. The difference of mean pre-operative, 42nd and 90th post-operative air bone gaps in palisade cartilage and temporalis fascia were also comparable. The results were statistically significant, showing improvement in hearing after surgery. Closure of air-bone gap within 30 dB was achieved in 71.87% in temporalis fascia and 88.89% in palisade cartilage. The intergroup difference was not statistically significant.Conclusions: The graft uptake rates and hearing results after palisade cartilage are similar to temporalis fascia.

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Acoustic Properties of Different Cartilage Reconstruction Techniques of the Tympanic Membrane

Cited by 132 publications

References 19 publications

Cartilage Support for Fascia Graft in Type I Tympanoplasty

Cartilage Support for Fascia Graft in Type I Tympanoplasty

Cartilage Shield Tympanoplasty: A Retrospective Chart Review of 69 Cases

Comparison of outcomes of palisade cartilage with temporalis fascia following tympanoplasty at a tertiary care centre in Nepal

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