Type 1 tympanoplasty in patients with large perforations: Comparison of temporalis fascia, partial-thickness cartilage, and full-thickness cartilage

Caixia, Xing; Liu, Hong; Li, Guodong; Li, Jianfeng; Li, Xin

doi:10.1177/0300060520945140

Cited by 15 publications

(12 citation statements)

References 21 publications

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“…Our results can be supported by Xing et al, 2020 who reported that the success rate was 96.7% in the partialthickness cartilage and full-thickness cartilage groups, and >90% in the temporalis fascia group. There was no difference in the success rate among the groups.…”

Section: Discussionsupporting

confidence: 87%

“…However, the study by Xing et al, 2020 reported that the air conduction threshold was significantly higher before the operation than after the operation in the temporalis fascia, partial-thickness cartilage, and full-thickness cartilage groups. Although the hearing gain in the temporalis fascia group and the partialthickness cartilage group was higher than that in the full-thickness cartilage group, there was no significant difference in the graft success rate among the groups.…”

Section: Discussionmentioning

confidence: 88%

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impact of cubism graft on the outcome of tympanoplasty surgery

Mahmoud

Fathalla

Elsheikh

et al. 2022

ijhs

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Background: Tympanoplasty is a widely performed surgery for the repair of tympanic membrane perforation. Aim of the study: to compare the auditory and anatomical outcomes between two different techniques in tympanoplasty: the first with temporalis facia graft + the new “cubism” graft and the other with temporalis facia graft alone. Patients and methods: A prospective, randomized study was conducted in Otorhinolaryngology Head and Neck Surgery Department, Al-Azhar University Hospital (Damietta). Results: Cubism graft group wasn't significantly different to Temporalis fascia only group regarding ABG (p= 0.233). The ABG gain 3 month 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 month ranged from 10 to 16 with mean ± SD = 14.12 ± 1.91 with statistical significant difference (p= 0.005) between the two groups. Conclusion: The novel “cubism” graft technique offers many advantages. Cartilage grafts can be thinned harmlessly while obtaining a convenient additional material in this technique. This hybrid, cartilaginous dust and PRF mixture graft can be used widely in tympanoplasty. We experienced that both functional and anatomical outcomes of this graft are very satisfying.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 88%

impact of cubism graft on the outcome of tympanoplasty surgery

Mahmoud

Fathalla

Elsheikh

et al. 2022

ijhs

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“…On the other hand, hearing gain can be fewer in cartilage tympanoplasty than other graft materials unless cartilage has been thinned. Several previous studies have proven that partial‐thickness cartilage is better than full‐thickness cartilage for improvement of hearing 10,11 . Slicing the cartilage graft is the most commonly used method for thinning.…”

Section: Introductionmentioning

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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“…The full‐text review was performed on 709 studies, of which 624 were excluded for reasons such as failure to report TM perforation size, inability to stratify outcomes by perforation size, incorrect graft type, and no free full‐text. Following a thorough full‐text review, 85 studies were eventually selected for having met full inclusion criteria 10,14,15,17,18,25‐104 . A comprehensive overview of the search process is detailed in the corresponding PRISMA diagram (Figure 1).…”

Section: Resultsmentioning

confidence: 99%

Comparing Myringoplasty to Type I Tympanoplasty in Tympanic Membrane Repair: A Systematic Review and Meta‐analysis

Jungbauer

Jeong

Nguyen

et al. 2023

Otolaryngol.--head neck surg.

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Objective To compare the anatomic success rates of type I tympanoplasty (tympanoplasty) versus myringoplasty. By our definition, tympanoplasty involves entering the middle ear via elevation of a tympanomeatal flap, while myringoplasty involves surgery to the drumhead without middle ear exposure. Data Sources PubMed, Scopus, CINAHL, Cochrane. Review Methods To be included, studies must have documented surgical technique, tympanic membrane (TM) perforation size (as % of TM), and success rate using tissue or alloplastic grafts. Exclusion criteria included series with more than 10% of patients with cholesteatoma or middle ear pathology. A meta‐analysis of weighted summary proportions under the random effects model was performed, and proportion differences (PD) were calculated. A secondary analysis of hearing outcomes was performed. Results Eighty‐five studies met inclusion, with a tympanoplasty cohort of n = 7966 and n = 1759 for myringoplasty. For perforations, less than 50% of the TM, the success rate for tympanoplasty and myringoplasty was 90.2% and 91.4%, respectively (PD: 1.2%, p = .19). In perforations greater than 50%, tympanoplasty and myringoplasty success rates were 82.8% and 85.3%, respectively (PD: 2.5%, p = .29). For both procedures, perforations less than 50% of the TM had higher success rates than perforations greater than 50% of the TM (p < .01). Both techniques endorsed significant improvements to air‐bone gap (ABG) metrics. Conclusion Our analysis suggests that the anatomic success rate is similar for tympanoplasty and myringoplasty, regardless of perforation size, and that smaller perforations experience higher success rates in both techniques. ABG outcomes were also similar between procedure techniques.

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Type 1 tympanoplasty in patients with large perforations: Comparison of temporalis fascia, partial-thickness cartilage, and full-thickness cartilage

Cited by 15 publications

References 21 publications

impact of cubism graft on the outcome of tympanoplasty surgery

impact of cubism graft on the outcome of tympanoplasty surgery

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

Comparing Myringoplasty to Type I Tympanoplasty in Tympanic Membrane Repair: A Systematic Review and Meta‐analysis

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