Tympanoplasty in High-Risk Perforation and Atelectatic Ear Using Perichondrium-Cartilage Island Graft and Temporalis Fascia

Thakur, Vaidehi; Malhotra, Tarun; Jha, Shymal; Kama, D.T.

doi:10.4103/jmms.jmms_41_21

Cited by 3 publications

(1 citation statement)

References 20 publications

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“…This tissue adhesive method was used for oral, chylous, tympanoplasty, pharyngeal fistulas, perilymphatic closure, closure of cerebrospinal fluid leaks, and implantation of local skin flaps and split-thickness skin grafts in hereditary hemorrhagic telangiectasia. Tissue glue is useful for local hemostasis and tissue healing makes the surgeon's job easier, and may save more involved surgical procedures (23,24) . While there was no discernible detrimental difference in the repair of skeletal tissue between the two groups, soft tissue healing showed significantly superior outcomes in the experimental group using the pain score scale.…”

Section: Discussionmentioning

confidence: 99%

An Investigation on the Fibrin Glue's Impact on Myringoplasty's Success Rate: A Randomized Controlled Study

Qureshi,

Khan,

Saleem

et al. 2023

PJMHS

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Objective: The study's goal is to evaluate the success rates of graft uptake in platelet-rich fibrin-assisted underlay myringoplasties employing temporalis fascia grafts to those in traditional underlay myringoplasties. Methods: This study was conducted in Mayo Hospital in Lahore's ENT department carried out this double-blind, randomized, controlled trial investigation. We recruited 60 individuals with dry central tympanic membrane perforations. Patients with co-morbidities such as diabetes and sensorineural hearing loss were not included. Probability basic random sampling was used. The patients were split into two groups using a lottery system. With the help of SPSS version 26, statistical analysis was carried out. The P-value was calculated using the chi-square test. Results: There were 60 patients, of whom 38 were males and 22 were women. The control group's average age was 27.53 ± 11.41 years, but the study group's average age (Fibrin) was 31.77 ± 12.43 years. At the 2-month follow-up, the grafts were successfully absorbed by every patient in the platelet-rich fibrin group. 23 out of 30 patients in the control group who underwent the conventional method successfully absorbed their grafts, however, the remaining 7 patients had different issues that led to graft rejection. Practical Implication: The tympanic membrane would mend more quickly if platelet-rich fibrin was used after ear procedures. Fibrin glue in tympanoplasty has been tried in several locations throughout the globe. [7,8] When concentrated fibrinogen solutions are combined with thrombin, fibrin glue is created. It may also be made from platelet-rich plasma. Our research compares platelet-rich fibrin-assisted underlay myringoplasties employing temporalis fascia grafts to traditional underlay myringoplasties to see which has a higher graft uptake success rate. Conclusions: The use of platelet-rich fibrin on the anterior ligament grafting line and perforation edges during underlay myringoplasty has greatly increased the success rate of the graft. Keywords: platelet-rich fibrin, temporal fascia graft, myringoplasty

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Section: Discussionmentioning

confidence: 99%

An Investigation on the Fibrin Glue's Impact on Myringoplasty's Success Rate: A Randomized Controlled Study

Qureshi,

Khan,

Saleem

et al. 2023

PJMHS

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Comparison of temporalis muscle fascia and cartilage grafts for primary type 1 tympanoplasty: a meta-analysis of randomized controlled trials

Lajdam

Alahmadi

Alhakami

et al. 2023

Eur Arch Otorhinolaryngol

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Unveiling the Giants: A Descriptive Study of Giant External Auditory Canal Osteomas – An Uncommon Clinical Odyssey

Tandon,

Malhotra,

Naga

et al. 2024

Journal of Marine Medical Society

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Background: External auditory canal (EAC) osteoma, an uncommon manifestation within the mastoid bone, emerges as a particularly intriguing subject of study. Despite its low prevalence, the emergence of giant variants of these osteomas presents unique clinical and therapeutic challenges. Aim and Objectives: The study focuses on five patients presenting with giant bony osteomas, aiming to elucidate the prevalence, clinical features, radiological aspects, and optimal management strategies of these lesions. Material and Methods: Patients were selected from those presenting to the ear, nose, and throat outpatient department at a tertiary hospital between June 2022 and June 2023. Diagnosis was established through clinical examination and high-resolution computed tomography scans of the temporal bone. The diagnostic process underscored the importance of imaging studies in confirming osteoma characteristics, differentiating them from other conditions like exostosis. Management primarily involved surgical excision using a novel “eggshell thinning” technique to ensure minimal damage to the EAC skin and preserve natural canal contours. Results: The patients, predominantly young males, presented with symptoms ranging from hearing loss to ear pain and aural fullness. The outcomes across the cases were optimal, with surgical interventions resulting in symptom resolution. Notably, the innovative eggshell thinning technique facilitated complete removal while preserving skin flap integrity in 80% of cases. The contour of canal was well maintained. Conclusion: This research highlights the importance of recognizing and addressing the distinctive features of giant osteomas in the EAC. The findings emphasize the effectiveness of the surgical approach utilized, characterized by minimal trauma and successful preservation of skin flap integrity. The study calls for continued research and documentation to refine strategies for managing such rare entities, underscoring the necessity for a patient-centered, multidisciplinary approach in otologic surgery.

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Tympanoplasty in High-Risk Perforation and Atelectatic Ear Using Perichondrium-Cartilage Island Graft and Temporalis Fascia

Cited by 3 publications

References 20 publications

An Investigation on the Fibrin Glue's Impact on Myringoplasty's Success Rate: A Randomized Controlled Study

An Investigation on the Fibrin Glue's Impact on Myringoplasty's Success Rate: A Randomized Controlled Study

Comparison of temporalis muscle fascia and cartilage grafts for primary type 1 tympanoplasty: a meta-analysis of randomized controlled trials

Unveiling the Giants: A Descriptive Study of Giant External Auditory Canal Osteomas – An Uncommon Clinical Odyssey

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