A comparative study of surgical outcomes of ossiculoplasty using biomaterials and autologous implants

Kawatra, Rahul; Maheshwari, Puneet

doi:10.3329/bjo.v19i1.12619

Cited by 4 publications

(2 citation statements)

References 18 publications

(6 reference statements)

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“…Rahul Kawatra et al found no influence of the condition (active or inactive middle ear infection at the time of surgery) on the subsequent graft take rate. (10) Aslam et al found no influence of the state of the middle ear activity on the results of graft take rate ( the take rate was 92.7% in the active ears and 93.1% in the inactive ears). (16) This was not the case in a study done by Sarkar et al ,they found that the percentage of take rate of(164) inactive ears was (91.4%) and( 80.9% ) in active ears.…”

Section: Discussionmentioning

confidence: 97%

Temporalis Fascia Graft Underlay Technique for Type (1) Tympanoplasty in Chronic Otitis Media

Saleh¹,

Hussien²

2015

Kufa Jour. Nurs. Sci.

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Background: Myringoplasty is a procedure used to seal a perforated tympanic membrane by using a graft material; temporalis fascia graft was most commonly used.Objective: To study the success rate of myringoplasty operation to close tympanic membrane perforation. Methodology: A prospective study of (40) selected patients with tympanic membrane perforation had undergone myringoplasty in Al-Imamain Al-Kadimain medical city over a period of (18) months (January2011-June2012). Preoperative and postoperative examinations of the patients were done clinically, radiologically and audio logically. All cases operated under general anesthesia and temporalis fascia graft was used in all cases. At the end of follow up period (4-6) months, an intact graft and hearing improvement considered a rule of success. Data was analyzed by chi-square (X2). Results: Generally from the whole number (40) patients whom undergo tympanoplasty type-1(myringoplasty), the success rate was (85%). With small perforation the success rate was (100%) while in total perforation was (75%). Also we found that the success rate in posterior perforation was high (91.6%) in comparison to the anterior perforation (83.3%).The patients were selected despite activity of the diseased ear with exclusion of all patients who had (cholesteatoma, ossicular dislocation or adhesion, granulation tissue and those with hearing loss of more than 40dB. Discussion was made with the presence or not of other procedures (exploration of mastoid bone) and its effects on the results of myringoplasty. Conclusion: Temporalis fascia graft underlay technique of type-1 tympanoplasty is an effective method for closure of tympanic membrane perforation with a success rate of (85%). Recommendation: Sealing of perforated tympanic membrane by using other types of graft materials and other surgical procedures can be done.

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Section: Discussionmentioning

confidence: 97%

Temporalis Fascia Graft Underlay Technique for Type (1) Tympanoplasty in Chronic Otitis Media

Saleh¹,

Hussien²

2015

Kufa Jour. Nurs. Sci.

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“…For example, the I‐PORPs responded well at low frequencies but poorly at high frequencies, which may be explained by the relatively higher mass of these prostheses. The lack of any significant difference between the titanium ORPs and the I‐PORP has also been seen clinically, and makes a case for the use of I‐PORPs, because they are autologous tissue and are therefore inherently biocompatible. No significant difference was found between the performance of an I‐PORP contacting the manubrium or the TM, suggesting that this choice should be made based on the specific anatomy of the patient.…”

Section: Discussionmentioning

confidence: 98%

First results of a novel adjustable‐length ossicular reconstruction prosthesis in temporal bones

Gottlieb

Monfared

et al. 2016

The Laryngoscope

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Objective The performance of an ossicular replacement prosthesis (ORP) is influenced by its alignment and appropriate tension between the tympanic membrane and the stapes footplate. A novel ORP with a flexible element that potentially allows for length adjustment in situ is presented and tested for acoustic performance. Study Design Laser Doppler vibrometry in fresh human cadaveric temporal bones was used to test the acoustic performance of the adjustable ORP relative to standard prostheses used for ossiculoplasty. Methods The 3D velocity of the stapes posterior crus was measured in the 0.2–20kHz range using a Polytec CLV-3D laser Doppler vibrometer. The middle ear cavity was accessed through a facial recess approach. After measuring the normal response, the incus was removed and stapes velocity was measured in the disarticulated case, then after insertion of the new prosthesis, a conventional prosthesis (Kurz BELL Dusseldorf type), and a sculpted autologous incus prosthesis in each temporal bone. The 3D stapes velocity transfer function (SVTF) was calculated for each case and compared. Results The novel ORP design restored stapes velocity to within 6 dB (on average) of the intact response. No significant differences in 3D-SVTF were found between the new, conventional, or autologous ORPs. Conclusion The inclusion of an in situ adjustable element into the ORP design did not adversely affect its acoustic performance. The adjustable element may increase the ease of achieving optimal ORP placement, especially through a facial recess approach.

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Ossiculoplasty: A Prospective Study on 50 Patients Using Various Graft Materials

Lamba

Sohal

Goyal

2019

Indian J Otolaryngol Head Neck Surg

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A comparative study of surgical outcomes of ossiculoplasty using biomaterials and autologous implants

Abstract: Objective: To determine amongst biomaterials (Teflon and Silicon)

Cited by 4 publications

References 18 publications

Temporalis Fascia Graft Underlay Technique for Type (1) Tympanoplasty in Chronic Otitis Media

Temporalis Fascia Graft Underlay Technique for Type (1) Tympanoplasty in Chronic Otitis Media

First results of a novel adjustable‐length ossicular reconstruction prosthesis in temporal bones

Ossiculoplasty: A Prospective Study on 50 Patients Using Various Graft Materials

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