Morphologische und funktionelle Ergebnisse der Knorpelpalisadentympanoplastik

Neumann, Andreas; Hennig, A.; Schultz-Coulon, H.-J.

doi:10.1007/s00106-001-0619-z

Cited by 12 publications

(3 citation statements)

References 16 publications

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“…Complications rates and long-term failure rates appear statistically and clinically comparable to tympanoplasty using temporalis fascia with no difference in the odds ratio of the two groups based on meta-analysis (0.89, 95% CI: 0.62 to 1.30). While this systematic review specifically excluded studies that reported results of palisade cartilage tympanoplasty combined with other procedures, an overall graft take rate of >97% has been reported in patients with who underwent combined palisade tympanoplasty with mastoidectomy for pathologies such as as cholesteatoma, adhesive otitis, and chronic mucosal disease [13, 18]. Our results are consistent with previous systematic reviews that demonstrate superior graft integration rate with cartilage tympanoplasty compared to temporalis fascia [8, 19].…”

Section: Discussionsupporting

confidence: 88%

“…Specifically, only studies reporting hearing outcomes beyond 6 months were included. In addition to strict inclusion and exclusion criteria, the quality of studies were further assessed by grading their level of evidence based on the Oxford Centre for Evidence-Based Medicine Levels of Evidence for Therapy Studies [13]. …”

Section: Methodsmentioning

confidence: 99%

“…The palisade technique specifically involves placement of 0.5 to 3-mm-thick pieces of cartilage placed side by side and often overlapping, under the TM remnant until the defect is covered [9]. This technique has been used with recurrent perforations, adhesive otitis media or tympanic membrane retractions and other mixed middle ear pathologies [12, 13]. Although several authors have reported success with this technique, we aimed to systematically review the literature on the use of cartilage palisades in Type 1 tympanoplasty and report clinical outcomes of this procedure including hearing and overall graft survival rate.…”

Section: Introductionmentioning

confidence: 99%

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The palisade cartilage tympanoplasty technique: A systematic review and meta-analysis

Jeffery

Shillington

Andrews

et al. 2017

Journal of Otolaryngology - Head & Neck Surgery

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BackgroundTympanoplasty is a common procedure performed by Otolaryngologists. Many types of autologous grafts have been used with variations of techniques with varying results. This is the first systematic review of the literature and meta-analysis with the aim to evaluate the effectiveness of one of the techniques which is gaining popularity, the palisade cartilage tympanoplasty. PubMed, EMBASE, and Cochrane databases were searched for "palisade", “cartilage”, “tympanoplasty”, "perforation" and their synonyms.Main body of abstractIn total, 199 articles reporting results of palisade cartilage tympanoplasty were identified. Five articles satisfied the following inclusion criteria: adult patients, minimum 6 months follow-up, hearing and surgical outcomes reported. Studies with patients undergoing combined mastoidectomy, ossicular chain reconstruction, and/or other middle ear surgery were excluded. Perforation closure, rate of complications, and post-operative pure-tone average change were extracted for pooled analysis. Study failure and complication proportions that were used to generate odds ratios were pooled. Fixed effects and random effects weightings were generated. The resulting pooled odds ratios are reported. Palisade cartilage tympanoplasty has an overall take rate of 96% at beyond 6 months and has similar odds of complications compared to temporalis fascia (OR 0.89, 95% CI 0.62, 1.30). The air-bone gap closure is statistically similar to reported results from temporalis fascia tympanoplasty.ConclusionsCartilage palisade tympanoplasty offers excellent graft take rates and good postoperative hearing outcomes for perforations of various sizes and for both primary and revision cases. This technique has predictable, long-term results with low complication rates, similar to temporalis fascia tympanoplasty.

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Section: Discussionsupporting

confidence: 88%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The palisade cartilage tympanoplasty technique: A systematic review and meta-analysis

Jeffery

Shillington

Andrews

et al. 2017

Journal of Otolaryngology - Head & Neck Surgery

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Reconstruction of the tympanic membrane applying cartilage: Techniques, indications and results

Neumann

Jahnke

2005

HNO

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Autogenous cartilage-perichondrium-composite-grafts have become essential and well established transplant materials in reconstructive middle ear surgery. They have proven to be particularly appropriate for surgical situations which benefit from the bradytrophy and stiffness of the cartilage (adhesive otitis, retraction pockets, subtotal tympanic membrane defects, revision tympanoplasty). Of the numerous techniques available, the perichondrium-island technique and the palisade-cartilage technique are described in detail in this review, also regarding modifications and comments in the literature. Both methods show good functional and morphological results and should be chosen according to individual surgical requirements. The data of experimental investigations are involved in the decision which technique should be favored.

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