Mediolateral Graft Tympanoplasty for Anterior or Subtotal Tympanic Membrane Perforation

Jung, Timothy T. K.; Park, Seong Kook

doi:10.1016/j.otohns.2004.10.018

Cited by 60 publications

(62 citation statements)

References 16 publications

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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.…”

Section: Discussionmentioning

confidence: 61%

“…Over the years, several surgical techniques have been tried to improve the take-up rate and hearing results such as underlay, overlay, cartilage tympanoplasty, [5] Anterior tucking [anterior hitch], [8] over-under technique, [9,10] vein graft, [2] mediolateral tympanoplasty, [11] sandwich graft tympanoplasty, [12] modified window shade by Schraff et al, [13] paper patching, lobule fat graft, etc. We are presenting a modification of over-under tympanoplasty using a pedicle temporalis fascia graft to improve the graft take-up rate without jeopardising the hearing results.…”

Section: Discussionmentioning

confidence: 99%

“…[9] And hearing improvement varies from 70% [11] to 85.7%. [15] Nardone M et al reported 78% success rate in a critical analysis of long-term results in a 1,000-adult patient series.…”

Section: Discussionmentioning

confidence: 99%

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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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Section: Discussionmentioning

confidence: 61%

Section: Discussionmentioning

confidence: 99%

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

Bashir¹,

Radhakrishnan²,

Raj³

2017

jemds

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“…Angeli et al reported that the lateral technique effectively addresses the largest possible eardrum defects, resulting in an intact neotympanum and an aerated middle ear in 91 % of cases [19]. Jung and Parks, using a mediolateral graft method to repair subtotal and anterior perforations, demonstrated 97 % ear drum closure and reported complications in 5 of 100 cases [20]. Blokmanis and Archibald reported a closure rate of 98 % for near-total perforations using a modified house tympanoplasty technique.…”

Section: Discussionmentioning

confidence: 99%

Treatment of Large Tympanic Membrane Perforations: Medial to Malleus Versus Lateral to Malleus

Kulduk

Dündar

Soy

et al. 2015

Indian J Otolaryngol Head Neck Surg

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The perforation size affects the success of tympanic membrane (TM) reconstruction, in addition to the surgical technique used. Large TM perforations present a surgical challenge. The perforation size has been reported to be a prognostic factor, and poorer results are obtained with large versus small perforations. We aimed to evaluate patients who had undergone tympanoplasty for large perforations at our clinic using either the underlay or overunderlay technique and to compare the results in terms of re-perforation, retraction, lateralization, and improvement of hearing. Of 302 patients with chronic otitis media, 114 who had a perforation that involved over 50 % of the pars tensa were enrolled in the study. The underlay technique was used in 61 patients, and the over-underlay technique in 53 patients. In the underlay group, the preoperative mean perforation size was 30.11 ± 5.35 mm 2 (range 20.00-52.00 mm 2 ) (n = 61). In the over-underlay group, the preoperative mean perforation size was 31.41 ± 8.65 mm 2 (range 22.00-48.00 mm 2 ) (n = 53). The graft success rate of tympanoplasty performed using the underlay technique was 89.1 % in 61 patients. Seven (10.9 %) patients had graft failure. The graft success rate with the over-underlay technique in 53 patients was 90.5 %. Five (9.5 %) patients had graft failure in this group. Three graft lateralizations (5.6 %) and two retractions (3.8 %) were observed at 12 months postoperatively in the over-underlay group. However, in the underlay group, no graft lateralization but five retractions (8.2 %) were observed at 12 months. The graft-take rates and hearing improvement results in both groups were successful and compatible with those in the literature.

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“…Jung TT, Park, 17 reported a hearing improvement of 0-40 dB in 70%cases (0-10 dB in 19% of ears, 11-20 dB in 44%, 21-30 dB in 7%, and 31-40 dB in 4%) even without ossiculoplasty. With ossiculoplasty using PORP-15% TORP-11% there were hearing improvement of 11 to 30 dB.…”

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confidence: 96%

Audiometric Evaluation of Tympanoplasty for Hearing Improvement

Chapparbandi¹,

Mithun²,

Chapparbandi³

2015

jemds

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AIM:To determine the hearing improvement in tympanoplasty by preoperative and postoperative audiometric evaluation after I month and 3 months and 6 months of tympanoplasty. MATERIALS & METHODS:50 Patients presenting having CSOM and presenting with complaints of deafness or ear discharge in ENT OPD at Basaveshwar Teaching and General Hospital, Gulbarga from 2012 to 2014. Pre-operative audiometry and appropriate investigation was done followed by tympanoplasty. Patient was followed up regularly with post-operative audiometry at 1 month, 3 month and 6 month. Assessment of hearing improvement was done by comparing preoperative and postoperative A-B gap at speech frequency. RESULTS: The number of patients who underwent Type l tympanoplasty was 26, Type II was 5, Type III was 6 and Type 4 was 1. They had a mean A-B gap closure of 10.3dB, 10.2dB, 9.33dB and 5dB respectively. When mastoidectomy was included as a part of the procedure the hearing improvement was comparatively lesser. The mean Air-Bone gap closure was 8.9dB.The mean A-B gap closure was 10.2 dB for temporalis fascia graft, 4dB for temporalis fascia with conchal cartilage and 9.2dB in case of autograft incus. The mean A-B gap closure of medium, large and subtotal perforation were 4.7, 11.7 and 6.6 respectively. The total success rate in terms of graft uptake rate was 88%. CONCLUSION: The study shows that A-B gap closure is greatest for Type I followed by Type II, Type III and Type IV in decreasing order. Tympanoplasty in which modified radical mastoidectomy was a part of the procedure did not give as much hearing improvement as otherwise. The grafting material also had significant bearing on the success of surgery. The Airborne gap closure is greatest for temporalis fascia graft than dura or autograft incus. Air-bone gap closure is also greater for temporalis fascia when used alone compared to when it is used along with conchal cartilage. Reperforation rates are higher when temporalis fascia is used alone compared to cases where reinforcement with cartilage is done showing greater graft stability in cartilage tympanoplasty.

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Mediolateral Graft Tympanoplasty for Anterior or Subtotal Tympanic Membrane Perforation

Abstract: C-1.

Cited by 60 publications

References 16 publications

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

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

Treatment of Large Tympanic Membrane Perforations: Medial to Malleus Versus Lateral to Malleus

Audiometric Evaluation of Tympanoplasty for Hearing Improvement

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