Composite Cartilage Island Grafts in Type 1 Tympanoplasty

Karaman, Emin; Duman, Cihan; Işıldak, Hüseyin; Enver, Özgün

doi:10.1097/scs.0b013e3181c36283

Cited by 17 publications

(9 citation statements)

References 9 publications

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“…In studies regarding this issue, no statistically significant differences in hearing gains were found between cartilage graft and temporal muscle fascia graft patients (21-24). Karaman et al (22) reported that the rate of composite cartilage island graft closure of the tympanic membrane in 74 patients was 97.3% and that ABG improvement was 20.2 dB. Khan et al (23) reported a closing rate of 98.20% and an average improvement of 7.06 dB ABG in the study that they carried out using thinned tragal cartilage grafts.…”

Section: Discussionmentioning

confidence: 91%

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: Discussionmentioning

confidence: 91%

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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“…The greatest concern now is the thickness of the graft material that is used for reconstruction. Many studies documented the reduction in ABG closure and reduction in the compliance of the TM in the long run [15][16][17]. All these studies compare cartilage with fascia.…”

Section: Discussionmentioning

confidence: 99%

A comparative study on outcome of Type I Tympanoplasty using sliced 1-mm Conchal cartilage and full-thickness Conchal cartilage for grafting

Ramalingam

Kamindan

Murugan³

et al. 2020

Egypt J Otolaryngol

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Background: This study aims at comparing the pure tone audiogram and tympanogram results of a measured thickness (1 mm) conchal cartilage graft material (1.0-mm CC) with full-thickness conchal cartilage (FTCC) used for inactive chronic suppurative otitis media (CSOM) mucosal disease with moderate size perforation. Results: A total of 40 successful cartilage tympanoplasty procedures were included in the prospective quasirandomised study. Patients aged between 15 and 55 years with inactive CSOM-moderate size perforation in the tympanic membrane were included. The patients were assessed at the end of 12 weeks with a pure tone audiogram and a tympanogram. The results were compared to know the compliance of the tympanic membrane (TM) between the two groups and the difference in audiometric gain (air-bone gap closure). The air-bone gap gain was better in the 1.0-mm CC group of patients (12) compared to the FTCC group of patients (7). The difference was statistically significant (p = 0.04). The 1.0-mm CC group of patients showed better compliance (0.43) compared to FTCC group of patients (0.73). The air volume and compliance were significantly better in the 1-mm CC group compared to the FTCC group (p = 0.031 and 0.01 respectively). Conclusion: The use of sliced cartilage seems to have a better role in reconstructing the TM when compared to full-thickness cartilage as graft material. It is indeed beneficial to have a compliant TM. Though the results cannot be compared with temporalis fascia grafts, the use of 1.0-mm CC has its advantage in producing an audio logically acceptable outcome in tympanoplasty surgery.

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“…The aim of the present study is to evaluate the anatomical and audiological results using our technique for tympanic membrane pars tensa perforations in type I tympanoplasties. To our knowledge this is the first study describing results with sliced island tragal cartilage in type I tympanoplasty as studies reported previously use full thickness cartilage perichondrial grafts [3,[5][6][7][8][9][10].…”

Section: Introductionmentioning

confidence: 99%

“…In a study by Karaman E and Duman C using full thickness composite cartilage island grafts in type I tympanoplasty, successful Graft take was achieved in 97.29% with mean postoperative pure-tone average air-bone gap improvement of 20.2 dB at 500 Hz, 23.58 dB at 1000 Hz, 22.23 dB at 2000 Hz, and 24.79 at 4000 Hz [5]. Whereas Kirazli T, Bilgen C et al with 15 patients, the mean postoperative gains in air-bone gap were 11.9 dB with the cartilage island [6].…”

mentioning

confidence: 99%

Sliced Island Tragal Cartilage Perichondrial Composite Graft in Type I Tympanoplasty: Early Results and Experience

Khan¹

2014

J. Rhinol.-Otol.

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Composite Cartilage Island Grafts in Type 1 Tympanoplasty

Cited by 17 publications

References 9 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

A comparative study on outcome of Type I Tympanoplasty using sliced 1-mm Conchal cartilage and full-thickness Conchal cartilage for grafting

Sliced Island Tragal Cartilage Perichondrial Composite Graft in Type I Tympanoplasty: Early Results and Experience

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