Comparison of temporal muscle fascia and cartilage grafts in pediatric tympanoplasties

Demirci, Sule; Tüzüner, Arzu; Karadaş, Hatice; Açikgöz, Cemile; Çaylan, Refik; Samim, Ethem Erdal

doi:10.1016/j.amjoto.2014.07.011

Cited by 29 publications

(30 citation statements)

References 22 publications

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“…In another study, Jiang et al reported significantly better anatomical results with cartilage graft (11). Similar results were published about anatomical outcomes by numerous researchers (12)(13)(14)(15).…”

Section: Discussionsupporting

confidence: 76%

Cartilage reinforcement graft versus fascia graft in tympanoplasty*

Ocak¹,

Beton²,

Taş³

et al. 2017

Turk J Med Sci

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IntroductionThe main aim of successful tympanoplasty is to create a well aerated closed cavity after total removal of the disease. Numerous types of grafting materials have been used for closure of the tympanic membrane including fascia, periosteum, perichondrium, cartilage, vein, skin, and fat tissue (1-4). Autografts are thought to be the most compatible grafting materials with the best surgical results in tympanoplasty. Temporalis muscle fascia (TMF) is the most popular one with the ease of obtainment and the satisfactory functional and anatomical results. TMF has been used in nearly 90% of surgeries (5). Cartilage as a grafting material was popularized by Utech in the 1950s (6). It is a stable and stiff barrier when compared to fascia, particularly in atelectatic ears or eustachian tube dysfunction. Initial studies showed that cartilage is an appropriate material for grafting after cholesteatoma removal or large defects in scutum. On the other hand, the hearing results were not favorable in the preliminary reports.In this study we aimed to compare TMF and cartilage as grafting materials focusing on the hearing and anatomical outcomes in different pathologies. Materials and methods Patient population and study designA retrospective chart review was conducted for patients who had undergone tympanoplasty with/ without ossiculoplasty and/or mastoidectomy at Ankara University Otolaryngology Department from November 2006 through September 2013 with a minimum follow-up period of 6 months.The patients were divided into two main groups: grafted with TMF alone (fascia group) and TMF reinforced with cartilage (cartilage group). In the cartilage group, conchal, tragal, or cymbal cartilage was used with underlay technique together with the TMF as a part of reinforcement technique as stated by Sarac ( 7). An elliptic cartilage graft was harvested from the concha, tragus, or cymba with a thickness of 1-3 mm and a diameter of 1 × 1 Background/aim: The purpose of this study was to compare cartilage reinforcement graft results with temporalis fascia graft alone in terms of hearing and anatomical outcomes in tympanoplasty. Materials and methods:Patients who underwent tympanoplasty with/without ossiculoplasty and/or mastoidectomy at a university hospital from 2006 through 2013 were reviewed retrospectively. The patients were divided into those grafted with temporalis muscle fascia alone and with fascia reinforced with cartilage. The postoperative air bone gap, gain in hearing thresholds, and graft status were evaluated for each group. Results:The study subjects included 179 patients. There were 82 patients in the fascia group and 97 patients in the cartilage group. Successful hearing results were elicited in 79.2% of the fascia group and 85.5% of the cartilage group. There was no significant difference in overall graft success. The graft was intact in 82.9% of the fascia group and 86.5% of the cartilage group. Conclusion:In this comparative study the use of cartilage to reinforce the temporalis muscle fascia was analyzed, showin...

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Section: Discussionsupporting

confidence: 76%

Cartilage reinforcement graft versus fascia graft in tympanoplasty*

Ocak¹,

Beton²,

Taş³

et al. 2017

Turk J Med Sci

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“…A total of 37 articles were finally included in our meta‐analysis, resulting in a pooled population of 3,606 patients: 1,795 undergoing cartilage tympanoplasty and 1,811 undergoing fascia tympanoplasty. There were 11 PCSs, three of which were randomized .…”

Section: Resultsmentioning

confidence: 99%

“…There were 11 PCSs, three of which were randomized . The remaining 26 comparative studies were retrospective . Three prospective studies and 12 retrospective studies were considered as low‐bias studies (see the online Supporting Table SI about the characteristics of the included studies).…”

Section: Resultsmentioning

confidence: 99%

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Comparison of cartilage with temporalis fascia tympanoplasty: A meta‐analysis of comparative studies

et al. 2016

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“…11 Short follow up studies are showing higher success rate than long term follow up studies. 12 Studies were done to compare success rate of temporal muscle fascia grafts and cartilage grafts in tympanoplasty. 20 This technique is modified by extension of incision from 12'0 clock to 1'0 clock position to allow the graft to be anchored under the handle of malleus and bony annulus, which allows good graft uptake and postoperative hearing results.…”

Section: Surgical Techniques and Resultsmentioning

confidence: 99%

Overview of tympanoplasty techniques and results

Chavan

Ingole

Birajdar

2017

Int J Otorhinolaryngol Head Neck Surg

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<p>The objective of this article is to overview about the changing techniques of tympanoplasty surgery and increase in the anatomical and functional success rate of surgeries. Introduction of endoscope in ear surgeries is time saving. Endoscopes are helpful to access hidden areas which was difficult with the help of microscope such as facial recesses, sinus tympani, extension of posterior-superior retraction pockets, etc. Also various modifications done in the techniques of using graft material for tympanoplasty surgery are reviewed in terms of graft acceptance and improvement of hearing. Articles reviewed are research articles, original articles and review articles published in pub med indexed journals. Because of Newer techniques in ear surgeries, tympanoplasty is becoming day care surgery. Also newer techniques are with cosmetic view and gives maximum post-operative hearing using minimal instrumentation. Efforts are taken to review the tympanoplasty surgical technique and its results.</p><p> </p>

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Comparison of temporal muscle fascia and cartilage grafts in pediatric tympanoplasties

Cited by 29 publications

References 22 publications

Cartilage reinforcement graft versus fascia graft in tympanoplasty*

Cartilage reinforcement graft versus fascia graft in tympanoplasty*

Comparison of cartilage with temporalis fascia tympanoplasty: A meta‐analysis of comparative studies

Overview of tympanoplasty techniques and results

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