New Cartilage Slicer for Slicing Techniques in Tympanoplasty: Design and Applications

Parab, Sapna Ramkrishna; Khan, Mubarak Muhamed

doi:10.1007/s12070-018-1467-4

Cited by 19 publications

(5 citation statements)

References 19 publications

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“…A partial‐thickness cartilage graft is preferred to achieve better auditory outcomes in tympanoplasty. The cartilage slicer and slicing with surgical blade are commonly used methods for thinning the cartilage 11,17 . Sometimes, the slicing method can bring some problems.…”

Section: Discussionmentioning

confidence: 99%

The new “cubism” graft technique in tympanoplasty: A randomized controlled trial

Kaya

Şahin

et al. 2021

Laryngoscope Investig Oto

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Objectives The aim of this prospective, randomized‐controlled study is to analyze the outcomes of a new graft technique in tympanoplasty and compare its outcomes with cartilage island graft plus extra perichondrium. Methods A total of 44 patients with noncomplicated chronic otitis media were included in this prospective randomized‐controlled clinical trial. Patients were randomly divided into 2 double‐layer graft groups: The cartilage island graft + cubism graft (study group) and the cartilage island graft + extra perichondrium (control group). The main outcome measures of the study were the air‐bone gap (ABG), ABG gain, and graft status. Results Graft success rate was 100% and 95.5% in the study group and the control group, respectively. There were statistically significant differences in the postoperative first month ABG and ABG gain between study and control groups (P < .05). ABG and ABG gain showed no significant differences in the postoperative sixth month between groups (P > .05). Conclusion This study revealed that both graft techniques have satisfactory functional and morphological results compared to preoperative findings. The use of cubism graft with cartilage island graft has significantly better auditory outcomes in short‐term and similar results in long‐term compared to double‐layered cartilage island graft with extra perichondrium. Cubism graft is a highly promising graft technique with its many advantages. Level of Evidence 1b.

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Section: Discussionmentioning

confidence: 99%

The new “cubism” graft technique in tympanoplasty: A randomized controlled trial

Kaya

Şahin

et al. 2021

Laryngoscope Investig Oto

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“…Techniques such as cartilage slicing using a cartilage slicer or surgical blade are commonly employed to thin the cartilage. However, the slicing process may lead to issues such as perichondrial contraction, resulting in a curvature of the graft edges towards the dissected side, potentially leading to residual perforations and compromised graft success [13,14] .…”

Section: Discussionmentioning

confidence: 99%

The Impact of Cubism Graft on The Outcome of Tympanoplasty Surgery

Mahmoud,

Fathalla,

El sheikh

et al. 2024

International Journal of Medical Arts

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Article informationBackground: Tympanoplasty is a common procedure for repairing tympanic membrane perforation. Over the past years, several methods of grafting have been tried with satisfactory results. However, many consequences and obstacles that may affect success rate and hearing gain had been encountered. Aim of the work:To compare the auditory and anatomical outcomes between two different techniques in tympanoplasty: the first with temporalis facia graft with the new "cubism" graft and the other with temporalis facia graft alone. Patients and Methods:A prospective, randomized clinical trial included 40 patients with tympanic membrane perforation due to chronic suppurative otitis media. Patients were randomly assigned to cubism graft or non-cubism graft in addition to the standard temporalis facia graft. The two groups are compared for take rate and pure tone audiometry after the surgery.Results: Cubism graft group wasn't significantly different to Temporalis fascia only group regarding ABG [p= 0.233]. The ABG gain 3 months in Cubism graft group ranged from 14 to 17.5 with mean ± SD = 16.17 ± 1.15 while in Temporalis fascia only group the ABG gain 3 months ranged from 10 to 16 with mean ± SD = 14.12 ± 1.91 with statistically significant difference [p= 0.005] between the two groups. Conclusion:The novel "cubism" graft had an overall 95% take rate compared to 85% in non-cubism grafting. Furthermore, hearing improvement was significantly associated with cubism grafting. This hybrid, cartilaginous dust and PRF mixture graft can be used widely in tympanoplasty.

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“…The size of the perforation were roughly assessed using opening action of the alligator micro ear forceps. The cartilage slicer Slice !t [8] is provided with predetermined wells of various diameters ranging from 4 mm to 10 mm. The size of the perforation was approximated on the cartilage slicer to know its exact dimensions.…”

Section: Preparation Of Butterfly Cartilage Graftmentioning

confidence: 99%

“…2. The use of a multi-utility cartilage slicer SLICE !T developed by Khan and Parab [8] patent number) has the following special features:…”

Section: Introductionmentioning

confidence: 99%

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Endoscopic Cartilage Butterfly Tympanoplasty: A Two-Handed Technique with Endoscope Holder

Parab¹,

Khan²,

Zaidi³

2020

Indian J Otolaryngol Head Neck Surg

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The aim of the study was to evaluate and report the short-term results of two-handed endoscopic cartilage butterfly tympanoplasty using endoscope holders. The efficacy of the operative technique was evaluated and assessed by comparing the air-bone-gap on pure tone audiometry preoperatively and on follow-up at 6 months and 1-year post operatively. Patients with uncomplicated otitis media and healthy middle ear status with no ossicular involvement underwent endoscopic transcanal cartilage butterfly tympanoplasty. Small and medium sized tympanic membrane perforations were included in the study. Preand postoperative air-bone gaps and presence for any residual perforation was noted. A total 69 patients consisting of 45 males and 24 females with a mean age of 24.45 years were included in the study group. Small perforations involving only one quadrant were 39 in number while the medium sized perforations involving two quadrants were 26 in number and the ones involving three quadrants were 4 in number. At the end of the follow-up period of 6 months and 1 year, successful closure occurred in 67 of 69 patients with a success rate of 97.1%. The mean preoperative Air-Bone gap was 34 ± 3.45 dB which showed a steady decline on follow-up at 6 months 13 ± 4.53 and 15.34 ± 3.39 dB at 1 year following surgery. Recurrent perforation was noted in two patients involving three quadrants of the tympanic membrane.Endoscopic two-handed butterfly cartilage tympanoplasty can be safely performed in small and medium sized perforations with no middle ear disease/ossicular involvement. The hearing outcomes and successful closure rate are similar to those of other surgical methods. Our study uses the endoscope which provides superior image quality and the use of an endoscope holder makes the technique a two handed one, thereby making the manoeuvring of the microear instruments easier. Moreover, it can be performed under local anaesthesia with low complication rates and quick recovery. Level of Evidence Level 4.

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New Cartilage Slicer for Slicing Techniques in Tympanoplasty: Design and Applications

Cited by 19 publications

References 19 publications

The new “cubism” graft technique in tympanoplasty: A randomized controlled trial

The new “cubism” graft technique in tympanoplasty: A randomized controlled trial

The Impact of Cubism Graft on The Outcome of Tympanoplasty Surgery

Endoscopic Cartilage Butterfly Tympanoplasty: A Two-Handed Technique with Endoscope Holder

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