Cartilage‐perichondrial composite graft tympanoplasty in the treatment of posterior marginal and attic retraction pockets

Levinson, Richard

doi:10.1288/00005537-198709000-00013

Cited by 110 publications

(91 citation statements)

References 22 publications

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“…Gerber et al [13] analyzed the hearing results of cartilage and fascia tympanoplasty in a frequency-specific manner and compared two groups; they observed that there was no significant difference between the groups. Levinson et al [14] reported that ABGs were reduced to 10 dB in 65% and to 20 dB in 86% of patients who underwent cartilage tympanoplasty. Dornhoffer [15] did not find any significant difference in hearing gains after cartilage-perichondrium grafting and perichondrium grafting alone.…”

Section: Discussionmentioning

confidence: 99%

Pediatric Type 1 Cartilage Tympanoplasty: Comparison between Graft Success Rates and Hearing Results in Adults

Övet¹,

Alataş²,

Şentürk³

et al. 2016

Int Adv Otol

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OBJECTIVE:It is an ongoing debate whether tympanoplasty should be performed in the pediatric age group. The purpose of this study was to analyze and compare the anatomical and functional outcomes of type I cartilage tympanoplasty in children and adults. MATERIALS and METHODS:The file records of patients who underwent type 1 cartilage tympanoplasty were retrospectively reviewed. In total, 133 patients who underwent type 1 tympanoplasty for chronic otitis media were included. Tragal cartilage grafts were used in all patients. The patients were divided into two groups: pediatric (age≤16 years, n=54) and adult (age>18 years, n=79) groups. The graft success rates and hearing results between the two groups were compared. RESULTS:The graft success rate was 90.2% (120/133) in the study group. At the end of the 24-month follow-up, the graft was intact in 48 of the 54 (88.9%) patients in the pediatric group and 72 of the 79 patients in the adult group (91.1%) (p=0.769). The functional success rate (postoperative air-bone gap<20 dB) obtained in the study group was 90.2% (120/133). The functional success rate was 88.9% (48/54) in the pediatric group and 91.1% (72/79) in the adult group (p=0.255). CONCLUSION:The graft success rates and hearing results obtained with cartilage grafts are similar in children and adults. Therefore, cartilage grafts may be safely used in pediatric patients, similar to their use in adults.

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Section: Discussionmentioning

confidence: 99%

Pediatric Type 1 Cartilage Tympanoplasty: Comparison between Graft Success Rates and Hearing Results in Adults

Övet¹,

Alataş²,

Şentürk³

et al. 2016

Int Adv Otol

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“…Although temporal muscles show high success rates in the early postoperative period after tympanoplasty, some studies have reported a decrease in graft performance in later stages (13,14). Due to these negative results, thicker and stronger cartilage grafts are used as alternatives (13,15,16). With its rigid and thick structure, cartilage is resistant to resorption and atrophy (17,18).…”

Section: Discussionmentioning

confidence: 99%

Long-Term, High-Frequency Tympanometry and Audiometry Results after Cartilage and Fascia Tympanoplasty

Özdamar¹,

Taşkın²,

Aydın³

et al. 2014

Turk Arch Otolaryngol

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Objective: Fascia or cartilage can be used as grafts in tympanoplasty; however, the disadvantage of cartilage is that it causes stiffness and rigidity in the newly formed tympanic membrane. The aim of this study was to compare the long-term high-frequency tympanometry and audiometry outcomes of tympanoplasty using cartilage and fascia.Methods: Forty patients in whom tragal cartilage was used in type 1 tympanoplasty and 40 patients in whom temporal muscle fascia was used were included in the study. The preoperative and postoperative audiometries of the two groups were compared. Postoperative highfrequency tympanometry (224, 668, 800, and 1000 Hz) and air volume, compliance, and pressure differences of the two groups were also compared. Results:The mean age of the patients was 31.3±4.5 year. The success rates were 96% in the cartilage group and 92% in the fascia group. In the fascia group, the preoperative mean air bone gap was 27.9±97 decibels (dB), and the postoperative mean air bone gap was 19.1±7.6 dB. The postoperative mean air bone gap improvement was 8.8±9.9 dB; the difference was statistically significant. In the cartilage group, the preoperative mean air bone gap was 28.2±9.6 dB, and the postoperative mean air bone gap was 17.2±10.5 dB. The postoperative mean air bone gap improvement was 10.9±10.3 dB; the difference was statistically significant. When postoperative mean air bone gap improvement was compared, there was no statistical difference between the two groups. When high-frequency tympanogram values were compared, there were no significant differences between the two groups at 224, 668, 800, or 1000 Hz frequencies in terms of air volume, compliance, or pressure values. Conclusion:The use of temporal muscle fascia and cartilage in tympanoplasty is statistically similar when compared in terms of tympanic membrane repair, hearing gain, air volume, pressure, and compliance. For this reason, cartilage graft can easily be preferred in tympanoplasty, especially in revision cases and adhesive otitis media, without fear of stiffness or rigidity effects.

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“…3 The use of cartilage in middle ear surgery dates back to 1959, when it was used in management of retraction pockets. 4,5 Cartilage is the material of choice with chronic Eustachian tube dysfunction due to its increased stability. 6 Heermann was the first to introduce cartilage palisade technique in 1962.…”

Section: Introductionmentioning

confidence: 99%

Cartilage Shield Tympanoplasty: A Retrospective Chart Review of 69 Cases

Patadia¹,

Keshri²,

Shah³

2015

An International Journal of Otorhinolaryngology Clinics

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Objective: Cartilage shield tympanoplasty (CST) is an acknowledged procedure to repair total tympanic membrane perforations. The main objective of this study was to share our experience of CST, in form of its technique, graft uptake and hearing outcomes. Patients: A total of 69 cases of type 1 CST, from January 2013 to March 2014. We followed all patients for a minimum period of 6 months.Intervention: Therapeutic. Main outcome measures:Graft uptake rate, along with preand postoperative pure tone audiogram air bone gap (ABG) and postoperative complications, was evaluated. We compared ABG using Student's t-test. Results:Graft uptake was seen in 68 cases (98.5%). The mean pre-and postoperative pure tone audiometry (PTA)-ABG was 37.58 ± 6.43 dB and 20.19 ± 8.14 dB, respectively. Hearing improvement was maximum at 2 kHz with mean postoperative value of 17.73 dB, and the least improvement was seen at 8 kHz with value of 30 dB in postoperative period. Conclusion:The graft uptake rate was excellent, and hearing results were satisfactory. Cartilage shield tympanoplasty should be a recommended procedure for total perforation, subtotal perforation and revision cases. However, long-term results are still awaited.

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Cartilage‐perichondrial composite graft tympanoplasty in the treatment of posterior marginal and attic retraction pockets

Cited by 110 publications

References 22 publications

Pediatric Type 1 Cartilage Tympanoplasty: Comparison between Graft Success Rates and Hearing Results in Adults

Pediatric Type 1 Cartilage Tympanoplasty: Comparison between Graft Success Rates and Hearing Results in Adults

Long-Term, High-Frequency Tympanometry and Audiometry Results after Cartilage and Fascia Tympanoplasty

Cartilage Shield Tympanoplasty: A Retrospective Chart Review of 69 Cases

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