Cartilage palisade tympanoplasty in children and adults: Long term results

Velepić, Marko; Starčević, Radan; Tićac, Robert; Kujundžić, Milodar

doi:10.1016/j.ijporl.2012.01.036

Cited by 19 publications

(13 citation statements)

References 17 publications

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“…There were no significant differences in the age and sex distributions of the patients in the fascia and cartilage groups. The mean postoperative follow-up period was 10.8±2.1 (8)(9)(10)(11)(12)(13)(14) months.…”

Section: Resultsmentioning

confidence: 99%

“…However, the possibility that the thick and stiff tympanic membrane that forms in patients with cartilage tympanoplasty might reduce compliance and cause hearing loss has made the acceptance of cartilage as a routine graft material difficult (5,6). Evaluations of graft material compliance have been conducted with standard 226 Hertz (Hz) tympanometry (7)(8)(9); however, the stiffness of new tympanic membrane might not be evaluated adequately with standard tympanometry (10,11).…”

Section: Introductionmentioning

confidence: 99%

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Long-Term, High-Frequency Tympanometry and Audiometry Results after Cartilage and Fascia Tympanoplasty

Özdamar¹,

Taşkın²,

Aydın³

et al. 2014

Turk Arch Otolaryngol

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Objective: Fascia or cartilage can be used as grafts in tympanoplasty; however, the disadvantage of cartilage is that it causes stiffness and rigidity in the newly formed tympanic membrane. The aim of this study was to compare the long-term high-frequency tympanometry and audiometry outcomes of tympanoplasty using cartilage and fascia.Methods: Forty patients in whom tragal cartilage was used in type 1 tympanoplasty and 40 patients in whom temporal muscle fascia was used were included in the study. The preoperative and postoperative audiometries of the two groups were compared. Postoperative highfrequency tympanometry (224, 668, 800, and 1000 Hz) and air volume, compliance, and pressure differences of the two groups were also compared. Results:The mean age of the patients was 31.3±4.5 year. The success rates were 96% in the cartilage group and 92% in the fascia group. In the fascia group, the preoperative mean air bone gap was 27.9±97 decibels (dB), and the postoperative mean air bone gap was 19.1±7.6 dB. The postoperative mean air bone gap improvement was 8.8±9.9 dB; the difference was statistically significant. In the cartilage group, the preoperative mean air bone gap was 28.2±9.6 dB, and the postoperative mean air bone gap was 17.2±10.5 dB. The postoperative mean air bone gap improvement was 10.9±10.3 dB; the difference was statistically significant. When postoperative mean air bone gap improvement was compared, there was no statistical difference between the two groups. When high-frequency tympanogram values were compared, there were no significant differences between the two groups at 224, 668, 800, or 1000 Hz frequencies in terms of air volume, compliance, or pressure values. Conclusion:The use of temporal muscle fascia and cartilage in tympanoplasty is statistically similar when compared in terms of tympanic membrane repair, hearing gain, air volume, pressure, and compliance. For this reason, cartilage graft can easily be preferred in tympanoplasty, especially in revision cases and adhesive otitis media, without fear of stiffness or rigidity effects.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Long-Term, High-Frequency Tympanometry and Audiometry Results after Cartilage and Fascia Tympanoplasty

Özdamar¹,

Taşkın²,

Aydın³

et al. 2014

Turk Arch Otolaryngol

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“…con un mejor resultado quirúrgico a una edad más avanzada (2,7,8,11,13,19,25). Castro (23) y Velepic (26), en sus estudios con niños de edad mínima de 7 años, no encontraron una diferencia significativa con niños de mayor edad. Kessler (27), Knapik (18) y Halim (13) han encontrado tasas de re-perforación más altas en niños menores de 6 años.…”

Section: Discussionunclassified

Resultados Anatómicos Y Audiológicos en Timpanoplastia Tipo I La Población Pediatrica

Montealegre

2018

Acta otorrinolaringol cir cabeza cuello

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Estudio descriptivo de los pacientes pediátricos llevados a cirugía de Timpanoplastia tipo I entre Ene/2009 a Jun/2016. Se logro recopilar la información de 89 pacientes, con un total de 117 oídos operados. La población fue distribuida en tres grupos de acuerdo con la edad al momento del procedimiento quirúrgico así; entre 2 y 5 años (23,08%), entre 6 y 8 años (50,43%) y entre 9 y 11 años (26,50%). El tamaño de la perforación fue; <25% en 17.9% (22), entre 26-50% en el 29,1% (34 ), entre el 51 al 75% fue del 23,9% (27) y >76% de 29,1% (34). Los resultados audiológicos evaluados que se obtuvieron después de comparar los promedios de GAP aéreo óseo y PTA pre y postoperatorios de cada grupo mostraron mejoría esta solo fue estadísticamente significativa en los grupos de entre 6 y 11 años. Los resultados anatómicos medidos por cierre del neotimpano fue exitoso en el 88,9% (24) de los niños entre 2-5 años, del 83,1% (49) de los niños entre 6 y 8 años y del 80,7% (25) de los niños entre 9 y 11 años, sin diferencias entre los grupos.

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“…[11] Palisade cartilage tympanoplasty obtained 71.43% success and average postop ABG was 10.73 ± 7.90 as reported by Marko Velepic. [16] Hai Gavreil et al reported 92.3% graft take-up rate and average hearing improvement of 15 dB by their novel inferior flap technique. The graft take-up rate of window shade grafting technique was 94% and hearing improvement was 85.7%, reported by Dr. Ninad S Gaekwad et al…”

Section: Discussionmentioning

confidence: 99%

Tympanoplasty Using Pedicle Temporalis Fascia Graft- A Novel Modification of Underlay Technique

Bashir¹,

Radhakrishnan²,

Raj³

2017

jemds

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BACKGROUNDTemporalis fascia is the most commonly used graft material for tympanoplasty with closure of the perforation of 70% to 90% of cases. We propose a novel modification of inlay surgical technique, pedicle temporalis fascia graft, to improve the graft take-up rate without compromising the hearing results Aim-The purpose of this study is to assess the take-up rate and hearing results of type 1 tympanoplasty using pedicle temporalis fascia graft.

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Cartilage palisade tympanoplasty in children and adults: Long term results

Cited by 19 publications

References 17 publications

Long-Term, High-Frequency Tympanometry and Audiometry Results after Cartilage and Fascia Tympanoplasty

Long-Term, High-Frequency Tympanometry and Audiometry Results after Cartilage and Fascia Tympanoplasty

Resultados Anatómicos Y Audiológicos en Timpanoplastia Tipo I La Población Pediatrica

Tympanoplasty Using Pedicle Temporalis Fascia Graft- A Novel Modification of Underlay Technique

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