Symposium: Contraindications to tympanoplasty. I. Absolute and relative contraindications

Ha, Bailey

doi:10.1288/00005537-197601000-00014

Cited by 16 publications

(6 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…If the contralateral ear is normal, routine tympanoplasty is performed at age 4 60 . If the contralateral ear is abnormal at this time, adenoidectomy is considered and tympanoplasty is generally deferred until age 7 61–63 . If contralateral disease is still present at this time, cartilage tympanoplasty is performed on the worse ear as a perforation in the contralateral ear has been shown to be associated with a high risk for failure 64 …”

Section: Discussionmentioning

confidence: 99%

Cartilage tympanoplasty: Indications, techniques, and outcomes in A 1,000‐patient series

2003

View full text Add to dashboard Cite

O&ectiveslriypthesis* The purpose of this studywas to analyze the anatomical and audiologic results in more than 1,OOO cartilage tympanoplasties that utilized a logical application of several techniques for the management of the difficult ear (cholesteatoma, recurrent perforation, atelectasis). Our hypothesis was that pathology and status of the ossicular chain should dictate the technique used to achieve optimal outcome. Study Design: Retrospective clinical study of patients undep going cartilage tympanoplasty between JuIy 1994 and July 2001. A computerized otologic database and patient charts were used to obtain the necessary data. Methods: A modification of the perichondriumlcartilage island flap was utilized for tympanic membrane reconstruction in cases of the atelectatic ear, for high-risk perforation in the presence of an intact ossicular chain, and in association with ossiculoplasty when the malleus was absent. A modification of the palisade technique was utilized for TIM reconstruction in cases of cholesteatoma and in association with ossiculoplasty when the malleus was present. Hearing results were reported using a fowfrequency (500,1,000,2,OOO, 3,000 Hz) puretone average &bone gap (Pl'A-ABG). The Student t test was used for statistical comparison Postoperative complications were recorded, & s u k During the study period, cartilage was used for TM reconstruction in more than 1,OOO patients, of which 712 had sufficient data available for inclusion. Of these, 636 were available for outcomes analysis. In 220 cholesteatoma cases, the average pre-and postoperative PTA-ABGs were 26.S & 12.6 dB and 14.6 f 8.8 dB, respectively CP < .05). Recurrence was seen in 8 cases (3.6%), conductive HL requiring revision in 4 (lA%), perforation in 3 (1.4%), and postand intraoperative tube insertion in 11 (6.Wo) and 18 eara (&27i), respectively. In 216 cases of high-risk perf- ears (4,2%), conductive HL req&hgrevision in 4 (l.%), postoperative and intraoperative tube insertion in 4 (1.9%) and 6 ears ( 2 . 8 % ) , respectively. In 98 cases of atelectasis, the average pre-and postoperative =A-ABGs were 20.2 f 10.9 d B and 14.2 3 10.2 dJ3, reqectively (P < .05). Complications included 1 perforation (LO%), conductive loss requiring revision in 2 cases (2.W), and post-and intraoperative tube insertion in 7 (7.1%) and 12 ears (I%), respectively. In 103 cases to improve hearing (audiologic), the average pre-and postoperative PTA-ABGs were 33.6 2 9.6 dB and 14.6 f 10.1 dB, respectively Cp < .%). Complications included 1 perforation (l.Wo), conductive loss requiring revision in 11 (ll%), and post-and intraoperative tube insertion in 6 (5.8%) and 2 (l.Wo), respectively. ConcZrcsionS: Cartilage tympanoplasty achieves good anatomical and audiologic results when pathology and status of the ossicular chain dictate the technique utilized. Significant hearing hprovement was realized in each pathological group. In the atelectatic ear, cartilage allowed us to reconstruct the TM with good anatomic results compared to traditional mnstructions, ...

show abstract

Section: Discussionmentioning

confidence: 99%

Cartilage tympanoplasty: Indications, techniques, and outcomes in A 1,000‐patient series

2003

View full text Add to dashboard Cite

show abstract

“…Various factors have been postulated to be predictive of a successful repair and thus have been offered as selection criteria, the foremost being the age of the patient. Numerous studies 227‐233 have recommended ages from 3 years to after puberty as appropriate for tympanic membrane repair; other studies have reported that age has no significance at all 234‐236…”

Section: Tympanoplasty In Childrenmentioning

confidence: 99%

“…Glasscock et al 244 recommended repair only after 3 or 4 years of uneventful observation. Bailey 245 suggested age 6 years, whereas Goodman and Wallace 246 recommended waiting until puberty.…”

Section: Tympanoplasty In Childrenmentioning

confidence: 99%

Overlay Versus Underlay Tympanoplasty. Part I: Historical Review of the Literature

Rizer

1997

The Laryngoscope

140

View full text Add to dashboard Cite

The history of otology is the history of the successful treatment of infections of the middle ear and the eardrum. Otologists have sought to restore hearing lost to infections of the eardrum since the 1600s. The development of instruments, techniques, and materials to treat infection is fascinating because of the serendipitous nature of the discoveries and the insight of the discoverers. This historical review describes the history of the treatment of infections of the ear and the development of modern techniques of ear surgery. Two contemporary methods of tympanic membrane repair are then described.

show abstract

“…Furthermore, in elderly patients under treatment with antiplatelet or anticoagulant agents that cannot be withdrawn due to comorbidities, the developed MAT method can still be easily performed. 31 Only minimal bleeding was observed when dissecting this avascular area and there was therefore no need for the use of compression bandages on the incision wound. 25 …”

Section: Discussionmentioning

confidence: 99%

Developing a novel meatal areolar tissue autograft for minimally invasive tympanoplasty

Chen

Huang

Kuo

et al. 2020

Journal of the Chinese Medical Association

View full text Add to dashboard Cite

Background: We developed an easy and minimally invasive method of transmeatal tympanoplasty using meatal areolar tissue (MAT) grafts to achieve less postoperative morbidity or surgical scarring. We compared the functional and anatomical results of the developed method with conventional endaural tympanoplasty with a temporalis fascia (TF) graft. Methods: In this retrospective cohort study, 58 patients (59 ears) with simple chronic otitis media who underwent type I tympanoplasty between January 2016 and August 2018 were included. All surgeries were performed in a tertiary referral hospital and by the same senior surgeon. The tympanic membrane (TM) was repaired with either a TF or an MAT graft. Results: Healing of the perforated TM and improvement in a hearing test by air-bone gap (ABG) closure were identified. Postoperative wound conditions were also evaluated. Twenty-eight ears were grafted with MAT, and 31 ears were grafted with TF. Graft success was observed in 26 patients (92.9%) in the MAT group and 28 patients (90.3%) in the TF group. Both groups showed functional improvement compared with the preoperative measurements. The postoperative pure tone audiogram ( p = 0.737), ABG closure ( p = 0.547), and graft success rate ( p = 0.726) were not significantly different between the two groups. Neither wound dehiscence nor keloid formation was observed in our patients. Conclusion: Both MAT and TF grafts revealed satisfactory surgical and functional results. Compared with the conventional endaural approach with TF grafts, the new transmeatal approach method with an MAT graft causes relatively minimal trauma and results in better wound cosmetics. This method represents an easy, minimally invasive surgery and shows comparatively good results.

show abstract

Symposium: Contraindications to tympanoplasty. I. Absolute and relative contraindications

Cited by 16 publications

References 0 publications

Cartilage tympanoplasty: Indications, techniques, and outcomes in A 1,000‐patient series

Cartilage tympanoplasty: Indications, techniques, and outcomes in A 1,000‐patient series

Overlay Versus Underlay Tympanoplasty. Part I: Historical Review of the Literature

Developing a novel meatal areolar tissue autograft for minimally invasive tympanoplasty

Contact Info

Product

Resources

About