Comparison of temporal muscle fascia and tragal cartilage perichondrium in endoscopic type 1 tympanoplasty with limited elevation of tympanomeatal flap

Özdamar, Kadir; Şen, Alper

doi:10.1016/j.bjorl.2019.06.014

Cited by 17 publications

(17 citation statements)

References 19 publications

(31 reference statements)

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“…Concurrent articles on cartilage tympanoplasty frequently report hearing thresholds or averages using the highest frequency of 2000 Hz, 3,5,13,29 3000 Hz 1 , 8,28,[30][31][32] or 4000 Hz. 2,4,6,12,14,15,[33][34][35][36] Were we to narrow our reporting to these same levels or simply present a pure tone average, the high frequency loss presented here would have been missed, since statistical significance was only noted at 4000, 6000 and 8000 Hz.…”

Section: Discussionmentioning

confidence: 85%

Over-under cartilage tympanoplasty: technique, results and a call for improved reporting

et al. 2020

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Objective This study aimed to describe the microscopic over-under cartilage tympanoplasty technique, provide hearing results and detail clinically significant complications. Method This was a retrospective case series chart review study of over-under cartilage tympanoplasty procedures performed by the senior author between January 2015 and January 2019 at three tertiary care centres. Cases were excluded for previous or intra-operative cholesteatoma, if a mastoidectomy was performed during the procedure or if ossiculoplasty was performed. Hearing results and complications were obtained. Results Sixty-eight tympanoplasty procedures met the inclusion criteria. The median age was 13 years (range, 3–71 years). The mean improvement in pure tone average was 6 dB (95 per cent confidence interval 4–9 dB; p < 0.0001). The overall perforation closure rate was 97 per cent (n = 66). Revision surgery was recommended for a total of 6 cases (9 per cent) including 2 post-operative perforations, 1 case of middle-ear cholesteatoma and 3 cases of external auditory canal scarring. Conclusion Over-under cartilage tympanoplasty is effective at improving clinically meaningful hearing with a low rate of post-operative complications.

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Section: Discussionmentioning

confidence: 85%

Over-under cartilage tympanoplasty: technique, results and a call for improved reporting

et al. 2020

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“…Even though otologists have been performing surgeries to treat this condition for more than five decades, the choice of graft and surgical techniques have always been a controversy. Nevertheless, surgical experience and personal preference of the surgeon plays a paramount role in repair approach selection ( Özdamar and Sen, 2019 ).…”

Section: Discussionmentioning

confidence: 99%

Long-term results of type I tympanoplasty with perichondrium reinforced cartilage palisade vs temporalis fascia for large perforations: A retrospective study

Shakya

Nepal

2021

Journal of Otology

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Objective To compare the rate of graft uptake and postoperative hearing outcomes of Type I tympanoplasty with perichondrium reinforced cartilage palisade to temporalis fascia for large tympanic membrane (TM) perforations over 5 years follow-up period. Materials and methods This was a retrospective comparative study involving patients with chronic otitis media with large TM perforations. The patients underwent type I tympanoplasty using either perichondrium reinforced cartilage palisade (CP group) or temporalis fascia (TF group) as the graft via a transmeatal approach and under local anesthesia. Morphological and functional results were recorded at three- and five years follow-up. Demographic profiles including age and sex, surgery side, contralateral disease and graft uptake rate, as well as hearing outcomes, were compared between the two groups. Results At three years follow-up, graft uptake was 94.87% for perichondrium reinforced cartilage palisade and 80.7% for fascia, respectively, (p = 0.67). At five years follow-up, the uptake rate dropped to 87.17% in the CP group, but to 66.6% in the TF group (p=0.019). Hearing improved after surgery in both groups, and showed no significant difference between the two groups. Conclusion Over long-term, perichondrium reinforced palisade showed a statistically significant better outcome regarding graft uptake than temporalis fascia in type Itympanoplasty for large TM perforations with comparable audiometric results

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“…Kaya et al and Çayir et al have reported a high success rate (96–97%) with cartilage tympanoplasty; similar results have been noted by Ozbek, Yegin and Friedman et al 10 12 25 26 27 On the other hand, Demirci, Şen et al and Özdamar et al have noted no difference in cartilage and fascia tympanoplasties: whereas Bozdemir et al found better results with fascia, compared with conchal cartilage. 28 29 30 31 Mohamad et al, in their systematic review, reported that tympanoplasties with cartilage to have a better morphological outcome than fascia; however, they did not find much difference in hearing outcomes. 32 …”

Section: Discussionmentioning

confidence: 99%

A Three Point Assessment Protocol for Tympanoplasty Outcomes: A Retrospective Analysis

Naina

Pokharel

Syed

et al. 2020

Int Arch Otorhinolaryngol

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Introduction The surgical outcome of chronic otitis media (COM) of the mucosal type in the pediatric population with high rates of recurrent tympanic membrane perforation is indeed a concern for the attending surgeon. Objective The present study was done to evaluate the outcome of tympanoplasty in children with chronic otitis media mucosal type. Methods A retrospective analysis of the medical records of all children, aged < 16 years old, who underwent tympanoplasty for COM of the mucosal type was performed. These patients were addressed by a three-point assessment, for predicting outcome of tympanoplasty, which included the age of the patient, addressing the nasal/pharyngeal issues, and the status of the COM (discharging or dry). Surgical success was assessed in terms of graft uptake and improvement of hearing. Factors affecting the surgical outcome were also analyzed. Results A total of 90 children underwent type 1 tympanoplasty; 7 were lost to follow-up and 10 had incomplete audiometric results. In the 73 tympanoplasties analyzed, graft uptake was seen in 91.7% of the patients. Children with longer duration of ear discharge (> 8 years) had greater hearing loss. Children aged > 8 years old showed statistically significant higher chance of graft uptake (p = 0.021). Five of the six children who had graft rejection had bilateral disease. Conclusion A three-point assessment in the management of pediatric COM of the mucosal type offers good outcomes with post-tympanoplasty graft uptake rates > 90%.

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Comparison of temporal muscle fascia and tragal cartilage perichondrium in endoscopic type 1 tympanoplasty with limited elevation of tympanomeatal flap

Cited by 17 publications

References 19 publications

Over-under cartilage tympanoplasty: technique, results and a call for improved reporting

Over-under cartilage tympanoplasty: technique, results and a call for improved reporting

Long-term results of type I tympanoplasty with perichondrium reinforced cartilage palisade vs temporalis fascia for large perforations: A retrospective study

A Three Point Assessment Protocol for Tympanoplasty Outcomes: A Retrospective Analysis

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