Fascia Temporalis as Tympanic Graft: A Swedish and German Story

Mudry, Albert

doi:10.1177/15533506211031445

Cited by 2 publications

(1 citation statement)

References 17 publications

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“…5,6 This study aimed to present a novel NSP closure technique derived from Schultz-Coulon's autologous cartilage graft, Seeley's mucosal mobilization, and our own tympanoplasty experience using temporalis muscle fascia for tympanic membrane perforation closures, and to determine its safety, success rate, and degree of patient satisfaction. 5,9,11 2 | MATERIALS AND METHODS…”

Section: Introductionmentioning

confidence: 99%

The “fascia taco” for nasal septum perforation closure—A retrospective Cohort study on success rates and patient reported outcomes

Bier,

Klingner,

Stadlhofer

et al. 2024

Laryngoscope Investig Oto

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ObjectiveNasal septum perforation (NSP) is a common condition affecting ~1.2% of the general population and is still considered challenging to treat. Therapeutic strategies range from conservative local treatments and septal button closures to over 40 different surgical approaches. This study aimed to present a novel secure approach.MethodsWe describe our novel and unique NSP closure approach using a “fascia taco,” in which conchal cartilage is enveloped by temporalis fascia like a taco and splints are left in place for 6–8 weeks. A review of patient charts was conducted and questionnaires including the German‐SNOT‐22 and D‐NOSE were sent by mail to all eligible patients who received a fascia taco between 2016 and 2021.ResultsThirty‐three patients were identified. The questionnaire response rate was 54.5%. The mean operative time (cut to sew) for all patients who only underwent NSP closure was 90.4 min. The overall success rate in terms of postoperative NSP closure was 81.8%. We found an apparent but nonsignificant association between closure failure and smoking (failure rate 66.6% in smokers vs. 15.4% in nonsmokers; X2 = 3.4188, p = .064). Questionnaire analysis showed a significant postoperative reduction of mean values in D‐NOSE from 60.8 to 33.1 (p = .009) and in German‐SNOT‐22 from 38.6 to 21.2 (p = .005).ConclusionThe fascia taco technique is an easy‐to‐apply, safe procedure for NSP closure that is short in duration and associated with a low morbidity, resulting in excellent patient satisfaction.Level of Evidence4.

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