Cartilage Palisade Tympanoplasty and Diving

Bonifačić, Marta; Manestar, Darko; Velepić, Marko; Bonifačić, David

doi:10.1097/00129492-200107000-00002

Cited by 15 publications

(9 citation statements)

References 6 publications

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“…Due to its toughness it successfully resists low atmospheric pressure which is typical for a tube dysfunction. Its elasticity is suitable for the transmission of sound vibration [11]. In 2003 Dornhoffer however points out that in his clinical research of a vast number of cartilage tympanoplasties, functional results were very good [12].…”

Section: Discussionmentioning

confidence: 99%

Cartilage palisade tympanoplasty in children and adults: Long term results

Velepić

Starčević

Tićac

et al. 2012

International Journal of Pediatric Otorhinolaryngology

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Section: Discussionmentioning

confidence: 99%

Cartilage palisade tympanoplasty in children and adults: Long term results

Velepić

Starčević

Tićac

et al. 2012

International Journal of Pediatric Otorhinolaryngology

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“…The use of cartilage for tympanic membrane repair is well described [1–3] and has reported benefits of long-term graft survival, low recurrence and infection rates, and decreased development of tympanic membrane retraction pockets over time [3–5]. Authors have reported excellent functional results for small and large perforations [6–8] and often combine tympanoplasty with other middle ear procedures [2].…”

Section: Introductionmentioning

confidence: 99%

The palisade cartilage tympanoplasty technique: A systematic review and meta-analysis

Jeffery

Shillington

Andrews

et al. 2017

Journal of Otolaryngology - Head & Neck Surgery

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BackgroundTympanoplasty is a common procedure performed by Otolaryngologists. Many types of autologous grafts have been used with variations of techniques with varying results. This is the first systematic review of the literature and meta-analysis with the aim to evaluate the effectiveness of one of the techniques which is gaining popularity, the palisade cartilage tympanoplasty. PubMed, EMBASE, and Cochrane databases were searched for "palisade", “cartilage”, “tympanoplasty”, "perforation" and their synonyms.Main body of abstractIn total, 199 articles reporting results of palisade cartilage tympanoplasty were identified. Five articles satisfied the following inclusion criteria: adult patients, minimum 6 months follow-up, hearing and surgical outcomes reported. Studies with patients undergoing combined mastoidectomy, ossicular chain reconstruction, and/or other middle ear surgery were excluded. Perforation closure, rate of complications, and post-operative pure-tone average change were extracted for pooled analysis. Study failure and complication proportions that were used to generate odds ratios were pooled. Fixed effects and random effects weightings were generated. The resulting pooled odds ratios are reported. Palisade cartilage tympanoplasty has an overall take rate of 96% at beyond 6 months and has similar odds of complications compared to temporalis fascia (OR 0.89, 95% CI 0.62, 1.30). The air-bone gap closure is statistically similar to reported results from temporalis fascia tympanoplasty.ConclusionsCartilage palisade tympanoplasty offers excellent graft take rates and good postoperative hearing outcomes for perforations of various sizes and for both primary and revision cases. This technique has predictable, long-term results with low complication rates, similar to temporalis fascia tympanoplasty.

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“…The palisade cartilage technique is also resistant to the extreme barometric changes that occur during diving. [10] It has also been shown that a palisade cartilage tympanoplasty provides restoration of the same level of auditory function as a tympanoplasty using temporalis fascia. [11] Until date, many authors have applied composite grafts of perichondrium cartilage and found no impairment of sound conduction in the ear.…”

mentioning

confidence: 99%