Mastoid Obliteration Using Homograft Bone: Preliminary Report

Shea, M; Gardner, Gale

doi:10.1001/archotol.1970.04310040047009

Cited by 18 publications

(4 citation statements)

References 27 publications

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“…However, follow-up has shown in many cases only partial obliteration of the vacity even by this method (Tos, 1974). Schiller (1963) recommended obliteration of the cavity by bone grafts from the iliac crest, Shea and Gardner (1970) by homologous bone chips, but apparently these methods are not much used. Fatty tissue from the abdomen (Ringenberg and Fornatto, 1962), widely used in the surgical treatment of acoustic tumours (House, 1964), is also rarely used in middle-ear surgery.…”

Section: Introductionmentioning

confidence: 99%

Combined Grafts in Total Reconstruction of Old Radical Cavities

Tos¹

1977

ORL

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93 patients with an old, infected and discharging radical cavity were subjected to total reconstruction of the middle ear, especially to obtain a permanently dry ear. The cavity was obliterated and the auditory meatus reconstructed by various muscle grafts and large pieces of fascia (41 ears), by combined grafts consisting of tragal cartilage, pieces of bone, homologous septal cartilage, and muscle grafts (40 ears). In the 12 prognostically most favourable ears the cavity was repneumatized. The functional results were the same in all three groups, namely a functional success in 72%. At follow-up 1–6 years after the operation there was functional success in 62%, but 94% of the ears were dry. Obliteration of the cavity by combined grafts was at long sight more solid than obliteration by muscle. It is discussed whether, in reconstructing radical cavities, repneumatization of the cavity is preferable to obliteration, and it is concluded that at long sight a solid obliteration must afford a more stable ear than repneumatization.

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Section: Introductionmentioning

confidence: 99%

Combined Grafts in Total Reconstruction of Old Radical Cavities

Tos¹

1977

ORL

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“…1 Repair with autologous cartilage 2 and bone dust (bone paté) 3 are commonly employed; however, these materials are often inadequate for large defects. Homograft materials have been used to provide larger grafts 4,5 ; however, concerns regarding the transmission of infectious agents and availability have limited their use. Other problems associated with autologous grafting are the difficulty in stabilizing these materials, the potential for resorption of the graft, and fibrous tissue formation around the graft, which may interfere with hearing reconstruction.…”

mentioning

confidence: 99%

Alloplastic bone cements in otologic surgery: Long‐term follow‐up and lessons learned

Saunders

2006

Otolaryngol.--head neck surg.

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“…In den folgenden Jahren wurde diese Technik mit unterschiedlich gestielten Muskellappen von mehreren Otochirurgen weiterentwickelt (30,41,13,37). Die anfänglich guten Resultate dieser Technik wurden aber mit der Zeit durch die Atrophie der Weichteile in den meisten Fallen wieder zunichte gemacht (47,52). Auch mit anderen biologischeri Geweben und sogar mit Kunststoffen wurde der Versuch unternommen, die Mastoidhöhle zu obliterieren, so z.B.…”

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“…Auch mit anderen biologischeri Geweben und sogar mit Kunststoffen wurde der Versuch unternommen, die Mastoidhöhle zu obliterieren, so z.B. mit Fett (6,29), Knochenspanen (15,12,45,44,47), Knorpel (12, 13), Knochenpaste (13), Methylrnetakrylat (27) und mit Palacos R® (31).…”

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