Auricular cartilage palisade tympano-, epitympano-, antrum- and mastoid-plastics

J, Heermann

doi:10.1111/j.1365-2273.1978.tb00726.x

Cited by 28 publications

(18 citation statements)

References 2 publications

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“…A number of cartilage techniques and modifications have been described: the cartilage palisade tympanoplasty and Heermann techniques, [33][34][35] composite autograft shield, 27,36,37 perichondrium island flap, 24,25,38 cartilage butterfly inlay graft, 39,40 'crown cork' technique, 41 cartilage mosaic tympanoplasty, 42 cartilage wheel, 43 cartilage slicing, 16,44 and cartilage reinforcement. 45 Either tragal or conchal cartilage can be used -the choice depends on the surgeon's preference.…”

Section: Discussionmentioning

confidence: 99%

Comparison between cartilage–perichondrium composite ‘ring’ graft and temporalis fascia in type one tympanoplasty in children

Albirmawy

2010

J. Laryngol. Otol.

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In our paediatric patients, type one tympanoplasty with a modified cartilage-perichondrium composite ring graft yielded good anatomical and functional results. The anatomical results obtained using this graft (with its unique appearance and stability during and after surgery) were superior to those for temporalis fascia. The ring graft group had equivalent, if not better, post-operative audiometric results, compared with the temporalis fascia group. Thus, the ring graft is believed to be effective in enabling both tympanic membrane closure and rapid hearing improvement, in the paediatric population.

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Section: Discussionmentioning

confidence: 99%

Comparison between cartilage–perichondrium composite ‘ring’ graft and temporalis fascia in type one tympanoplasty in children

Albirmawy

2010

J. Laryngol. Otol.

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“…Cartilage has been used with great success to reconstruct TM. Cartilage can be used in the form of several parallel, full-thickness strips (palisade technique) or in plates of different sizes and shapes; in [17,21,22]. Cartilage has been shown to be well tolerated by middle ear.…”

Section: Discussionmentioning

confidence: 99%

Cartilage Support for Fascia Graft in Type I Tympanoplasty

Kulkarni

Burse

et al. 2014

Indian J Otolaryngol Head Neck Surg

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To evaluate the success rate, in terms of anatomical and functional results, in our technique of cartilage support for fascia graft in type I tympanoplasty. Retrospective study of tragal cartilage support for fascia graft in tympanoplasty for large central perforation in 748 patients was carried at an academic institution during January 2004 to March 2012. Patients' age ranged from 11 to 65 years. 325 (43.4 %) male and 423 (56.6 %) female patients were operated and mean post-operative follow up was of 24 months (range 6-48 months). The inclusion criteria were large central or subtotal perforation, anterior quadrant perforation, anterior tympanosclerotic patch with perforation and revision myringoplasty. Small central perforation, posterior perforations, traumatic perforations and Ossiculplasty were excluded from this study. In this technique, a piece of tragal cartilage carved in semi lunar shape is inserted medial to anterior remnant of tympanic membrane. Temporalis fascia graft is sandwiched between cartilage and anterior remnant of tympanic membrane. Post-operative closure of perforation was noted. Pure-tone average pre and post-operative air-bone gap in dB at 250, 500, 1000, 2000, and 4,000 Hz were compared. The overall success rate of our technique was 98.3 % in terms of graft uptake and within 13.35 ± 5.22 dB of air bone gap closure in terms of hearing improvement. This study reveals that cartilage support for fascia graft in type I tympanoplasty is a highly reliable technique and gives significant improvement in graft take-up and hearing status.

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“…27 Torsion of plates prompted Heermann to develop the palisade technique. [20][21][22] If torsion is a major problem when utilizing plates, the laboratory data referred to previously should be further emphasized as just that. Again, the attainment of clinical data is warranted.…”

Section: Discussionmentioning

confidence: 99%

“…1) to avoid the postoperative torsion, which may occur with larger cartilage plates. 21,22 Regrettably, Heermann never published clinical results of his method.…”

Section: Introductionmentioning

confidence: 93%

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Ten‐year results of cartilage palisades versus fascia in eardrum reconstruction after surgery for sinus or tensa retraction cholesteatoma in children

et al. 2009

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The cartilage palisade grafting technique appears superior with respect to prevention of long-term eardrum retraction. The occurrence of cholesteatoma recurrency and eardrum perforation seem to be independent of grafting material, although these results may be due to type 2 error (low number of ears). In sinus cholesteatoma surgery and in type III tympanoplasty, the long-term hearing results appear better when grafting cartilage palisades.

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Auricular cartilage palisade tympano-, epitympano-, antrum- and mastoid-plastics

Abstract: Autogenous auricular cartilage and perichondrium have been used to reconstruct the tympanic membrane and ossicular chain. The variations of technique are described.

Cited by 28 publications

References 2 publications

Comparison between cartilage–perichondrium composite ‘ring’ graft and temporalis fascia in type one tympanoplasty in children

Comparison between cartilage–perichondrium composite ‘ring’ graft and temporalis fascia in type one tympanoplasty in children

Cartilage Support for Fascia Graft in Type I Tympanoplasty

Ten‐year results of cartilage palisades versus fascia in eardrum reconstruction after surgery for sinus or tensa retraction cholesteatoma in children

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