Total tympanic membrane reconstruction: AlloDerm versus temporalis fascia

Fishman, Andrew J.; Marrinan, Michelle Siegel; Huang, Tina; Kanowitz, Seth J.

doi:10.1016/j.otohns.2004.12.013

Cited by 57 publications

(39 citation statements)

References 18 publications

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“…Other studies, 10,17 however, found no such association. in our sample, graft integration in patients with diseased contralateral ears was 100% (p=0.646); graft integration was 93.9% in patients with normal contralateral ears (p=0.348), showing that the status of the contralateral ear was not statistically significant for surgical success.…”

Section: Discussionmentioning

confidence: 79%

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Evaluation of the organic and functional results of tympanoplasties through a retro-auricular approach at a medical residency unit

Lima¹,

Marone²,

Martucci³

et al. 2011

Braz. j. otorhinolaryngol. (Impr.)

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Tympanoplasty aims at rebuilding the tympanic membrane with or without middle ear functional recovery. Aim To evaluate the surgical results of tympanoplasties with a retro-auricular surgical approach at a medical residency unit. Materials and Methods Thirty-nine patients with diagnosis of simple chronic otitis media were evaluated; these patients underwent tymplanoplasty by a retro-auricular approach (underlay technique) at a medical residency unit. Patients were included in a prospective medical and audiologic investigation protocol that consisted of a clinical, otomicroscopic and audiometric evaluation. All procedures were supervised by training specialists otorrinolaringology. Results The rate of surgical success - full integration of the graft - was 95% of cases. Improvement of hearing, as demonstrated in audiometry, occurred in 72% of cases. Improvement in tinnitus was demonstrated subjectively on a visual analog scale in 69% of cases. Conclusion Tympanoplasty through a retro-auricular approach is easy to perform. Full graft integration occurred in 95% of cases and was independent of factors deemed by many authors as relevant. The results - improvement of the quality of hearing and tinnitus - were significant.

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Section: Discussionmentioning

confidence: 79%

“…Angeli et al (2006) 10 reached an overall success rate of 97% using temporal fascia to reconstruct the tympanic membrane.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the organic and functional results of tympanoplasties through a retro-auricular approach at a medical residency unit

Lima¹,

Marone²,

Martucci³

et al. 2011

Braz. j. otorhinolaryngol. (Impr.)

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“…However, in their study, 14 of 49 cases showed poor aeration of the middle ear space, often with retraction of the intact eardrum [21]. Fishman et al found an overall success rate of 92 % (46/50) in a study evaluating the efficacy of total TM reconstruction using lateral onlay tecnique with either dermis allograft (84 % success rate) or temporalis fascia (97 % success rate) for the grafting material [22]. In the series reported by Kazikdas et al the graft success rate was 95.7 % using Over-under technique with palisade cartilage tympanoplasty, and 75 % using temporalfascia in 51 cases with subtotal perforations [23].…”

Section: Discussionmentioning

confidence: 93%

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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“…Fishman et al found an overall success rate of 92% (46/50) in a study evaluating the efficiency of total tympanic membrane reconstruction using over-underlay technique. (21) In another study by Florino in Italy, over-underlay myringoplasty was performed in 78 patients. It was observed that graft take was obtained in 91% of cases and the audiometric results showed an average residual air-bone gap of 6.7 dB.…”

Section: Discussionmentioning

confidence: 99%

Myringoplasty, Temporalis Fascia Graft Placed Medial to the Malleus Versus Lateral to the Malleus: A Comparative Study

A¹,

Ranganathswamy²,

Shankar³

et al. 2016

jemds

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BACKGROUNDChronic Suppurative Otitis Media (CSOM) is a worldwide prevalent disease. Despite all the scientific advancement, CSOM is still considered as an important public health problem. Tympanic membrane perforation primarily results from middle ear infections, trauma and iatrogenic causes. Up to 80% of perforations heal spontaneously. The remaining required surgical repair known as Myringoplasty, an operation performed to repair or reconstruct the tympanic membrane. It was introduced by Berthold (3) and was further developed by Wullstein and Zollner.The aim of this study was to compare the results of underlay technique versus over-underlay technique of myringoplasty in the treatment of mucosal type of otitis media.

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Total tympanic membrane reconstruction: AlloDerm versus temporalis fascia

Abstract: TTMR is a highly effective and safe technique.

Cited by 57 publications

References 18 publications

Evaluation of the organic and functional results of tympanoplasties through a retro-auricular approach at a medical residency unit

Evaluation of the organic and functional results of tympanoplasties through a retro-auricular approach at a medical residency unit

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

Myringoplasty, Temporalis Fascia Graft Placed Medial to the Malleus Versus Lateral to the Malleus: A Comparative Study

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