To Compare Short and Long-Term Graft Uptake and Hearing Outcome of Type I Cartilage Tympanoplasty Between Small, Medium and Large Perforations Using Reinforced Sliced Conchal Cartilage

Singh, Satinder; Nagi, Ravinder Singh; Singh, Jagdeepak

doi:10.1007/s12070-019-01727-6

Cited by 6 publications

(5 citation statements)

References 18 publications

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“…Singh reported that the graft uptake rate using a 0.5-mm-thick sliced conchal cartilage reinforced by the temporalis fascia could be as high as 94.11% at the 6-month follow-up. The graft uptake rate was as high as 86.3% in Group I in our study, which is comparable to the findings obtained in Group II and with various other materials reported in other studies [ 10 , 11 , 17 ]. The majority of our patients showed significant improvement in the ABG (≥ 10 dB) and speech reception thresholds.…”

Section: Discussionsupporting

confidence: 92%

Endoscopic tympanoplasty with post-conchal perichondrium in repairing large-sized eardrum perforations

Chen

Hsu

Wang

2022

Eur Arch Otorhinolaryngol

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Purpose This study aimed to compare the outcomes of endoscopic tympanoplasty with post-conchal perichondrium (PCP) and microscopic tympanoplasty with temporalis fascia in repairing large-sized eardrum perforations. Methods We performed a retrospective chart review of 43 patients who underwent type 1 tympanoplasty for simple large-sized perforations. The patients were divided into two groups: Group I (endoscopic ear surgery with a PCP graft, 22 patients) and Group II (microscopic ear surgery with temporalis fascia, 21 patients). Graft success rate, demographic data, pre- and postoperative pure-tone average and word-recognition score, closure of the air − bone gap, and postoperative pain scale scores were compared between the two groups. Results The graft success rates in groups I and II were 86.3% and 85.7%, respectively. The mean operation time in Group I (79.8 ± 16.5 min) was significantly shorter than that in Group II (99.9 ± 26.7 min) (p = 0.006). Both groups showed significant improvements in the pure-tone average and word-recognition scores. Average closure of the air − bone gap (ABG) in groups I and II was 20.7 ± 6.9 dB and 17.6 ± 8.4 dB, respectively. The reduction in ABG in Group I had a significantly higher magnitude than in Group II at 1000 and 2000 Hz, respectively (p = 0.028 and p = 0.017). The two groups showed no significant difference in postoperative pain scores. Conclusion Endoscopic tympanoplasty with PCP showed a reliable, fascia-preserved, and excellent outcome in repairing large-sized perforations.

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Section: Discussionsupporting

confidence: 92%

Endoscopic tympanoplasty with post-conchal perichondrium in repairing large-sized eardrum perforations

Chen

Hsu

Wang

2022

Eur Arch Otorhinolaryngol

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“…In addition to the healing results, hearing improvements also play an important role in the evaluation of alternative strategies [ 35 , 36 ]. Yadav et al [ 10 ] indicated that TFT with the addition of PRP can provide greater hearing improvement.…”

Section: Discussionmentioning

confidence: 99%

“…In addition to adding more studies with larger populations to obtain more reliable results, other factors also influenced the hearing results [ 5 ]. For patients with TM perforations, the outcome of hearing function for TM repair depends on factors such as graft type, surgical approach, Eustachian tube function, and the site and size of perforations [ 35 , 36 ]. Among the included studies, patients had simple perforations without other serious middle ear disorders, especially ossicular chain interruption, which may possibly explain the lack of differences between the two groups in terms of hearing improvements.…”

Section: Discussionmentioning

confidence: 99%

Comparative efficacy of platelet-rich plasma applied in myringoplasty: A systematic review and meta-analysis

Huang

Shi

et al. 2021

PLoS ONE

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Background Tympanic membrane (TM) perforation is quite common in the clinical setting. Chronic TM perforations require surgical treatments such as myringoplasty. Currently, platelet-rich plasma (PRP) is a novel, effective substance that is increasingly utilized for TM perforation repair. This study aims to evaluate the effectiveness of PRP in the application of TM perforation repair. Methods A systematic search was conducted to screen the Medline, Embase, Cochrane, Scopus and Web of Science databases up to July 2020. Studies were identified in accordance with the selection criteria by two coauthors independently. Data regarding the healing and hearing outcomes were pooled and analyzed via Review Manager version 5.3 and STATA version 12.0 software. Odds ratio (OR) was utilized to compare the closure rate. Furthermore, the results of hearing improvements and incidence of complications were also compared to evaluate the effectiveness of PRP. Results A total of eight studies with 455 participants were eligible according to the selection criteria. Compared to conventional surgery, the OR of closure was 2.70 (95% CI: 1.27 to 5.76, P = 0.01, I2 = 0%) in randomized controlled trial (RCT) subgroup and 6.18 (95% CI: 2.22 to 17.25, P = 0.0005, I2 = 0) in non-RCT subgroup. The overall OR of closure was 3.69 (95% CI: 2.02 to 6.74, P<0.0001, I2 = 0%), suggesting a significant effect on the healing of TM perforation. Between preoperative and postoperative hearing results, there is no statistical difference between the PRP and the control groups. Additionally, the use of PRP resulted in a lower incidence of complication than the use of conventional approaches. Conclusion The application of PRP during the TM surgeries can enhance the closure rate, provide similar hearing improvements and decrease the incidence of postoperative complications. Given these advantages, PRP can be considered an effective treatment for TM regeneration.

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“…В течение последних 10 лет различными авторами выполнены метаанализы, позволяющие утверждать, что применение хрящевого трансплантата не только снижает риск развития реперфорации неотимпанальной мембраны, но и позволяет добиться того же уровня функционального результата в сравнении с использованием фасции височной мышцы [8][9][10][11][12][13][14].…”

Section: Introductionunclassified

The use of a combined flap in closed-type tympanoplasty

Komarov,

Dvorianchikov,

Anikin

2023

Medicinskij sovet

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Introduction. Cartilage graft has been used in otosurgery since 1959. Cartilage resistance to pressure drops in the tympanic cavity and blood supply deficit in the early postoperative period favorably distinguish it from autofascia. When performing myringoplasty, it is important to create conditions for the formation of a neotympanic membrane that has the same three-dimensional spatial configuration as the native tympanic membrane with full contact of the membrane with the bone tympanic ring and the handle of the malleus. Also, the formation of the neotympanic membrane (myringoplasty) is a key step in tympanoplasty with ossiculoplasty, which ensures not only the restoration of the tightness of the tympanic membrane, but also the contact and proper fixation of the distal part of the prosthesis used to replace the lost elements of the auditory ossicular chain.Objective. Evaluate the effectiveness of closed-type tympanoplasty by using a combined autofascial-autocartilaginous flap.Materials and methods. A study group was formed, including patients who underwent tympanoplasty of types 1–3 according to M. Tos according to the proposed method of using an autofascial-autocartilaginous flap (343 patients), and a comparison group, including patients who underwent type 1 tympanoplasty with using autofascia (54 patients).Results. Long-term anatomical results showed greater stability of the neotympanic membrane formed by the proposed method (2% reperforations). Functional results in the range of speech frequencies had no significant differences. Comparison of functional results in the high frequency range demonstrated a significant advantage of the proposed technique.Conclusion. The conclusion is drawn that the proposed method of forming a neotympanic membrane close in configuration to the native tympanic membrane provides a high functional result with a reduction in the gap in sound conduction between the diseased and healthy ear to 5–10 dB at frequencies of 0.5–16 kHz.

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To Compare Short and Long-Term Graft Uptake and Hearing Outcome of Type I Cartilage Tympanoplasty Between Small, Medium and Large Perforations Using Reinforced Sliced Conchal Cartilage

Cited by 6 publications

References 18 publications

Endoscopic tympanoplasty with post-conchal perichondrium in repairing large-sized eardrum perforations

Endoscopic tympanoplasty with post-conchal perichondrium in repairing large-sized eardrum perforations

Comparative efficacy of platelet-rich plasma applied in myringoplasty: A systematic review and meta-analysis

The use of a combined flap in closed-type tympanoplasty

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