Long-term anatomic and functional results of cartilage tympanoplasty in atelectatic ears

Özbek, Cem; Çiftçi, Onur; Özdem, Cafer

doi:10.1007/s00405-009-1084-7

Cited by 20 publications

(32 citation statements)

References 17 publications

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“…In these studies, significant outcomes have been obtained in large series, with regard to at least 10 dB and a higher decrease in ABG. [3,4,6,7,18,20,37] The outcomes change according to the type of tympanoplasty; as was expected, better acoustic outcomes have been obtained in tympanoplasty type 1. [3,20] In ossicular reconstruction surgeries (TORP, PORP) or type 3 tympanoplasty, Austin obtained successful outcomes.…”

Section: Discussionmentioning

confidence: 76%

Anatomic and functional results in tragal cartilage tympanoplasty in adults: Correlation with prognostic factors

Öz¹

2018

Tr-ENT

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Objectives: This study aims to evaluate the graft success and functional results of cartilage island graft tympanoplasties performed in adult patients. Patients and Methods:Medical records of patients operated on for chronic otitis media at our clinic were reviewed. One hundred and ninety-five patients (212 ears) older than 16 years of age that had undergone tympanoplasty operation and that had been followed up for at least six months postoperatively, were included in the study. The prognostic factors that could have impact on graft success were analyzed. The pure-tone average and postoperative gain in air-bone gap (ABG) were recorded as the mean of 0.5, 1 and 2 kHz thresholds.Results: Graft success was achieved in 191 patients (90%), and graft perforation occurred in 21 patients (10%). When the risk factors that might lead to graft perforation were analyzed separately, the presence of cholesteatoma (p=0.014), and not performing mastoidectomy during tympanoplasty (p=0.031) were significantly associated with graft perforation. The average preoperative ABG, including all types of tympanoplasty operations was 40.20±17.3 dB, and postoperative ABG was 30.14±19.21 dB (p<0.05). Conclusion:The presence of cholesteatoma and tympanoplasty without mastoidectomy were found to affect graft success negatively. Cartilage island graft is an effective technique for tympanic membrane closure and significant hearing improvement.

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Section: Discussionmentioning

confidence: 76%

Anatomic and functional results in tragal cartilage tympanoplasty in adults: Correlation with prognostic factors

Öz¹

2018

Tr-ENT

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“…Ozbek et al 20 studied the long-term efficacy of cartilage palisades in TPL for atelectatic ears. The mean followup time was 44.5 months.…”

Section: Discussionmentioning

confidence: 99%

“…The reported follow-up rates in the current literature are between 19.9 months and 12 years according to our search 3 7 20 - 22 . Mean follow-up time was 68.64 months in the present study.…”

Section: Discussionmentioning

confidence: 99%

Risultati audiologici e rate di attecchimento dell'innesto di cartilagine con pericondrio nella timpanoplastica: PACIT

Solmaz¹,

Akduman

Haksever³

et al. 2016

Acta Otorhinolaryngol Ital

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La cartilagine rappresenta una delle opzioni più interessanti per il confezionamento dell'innesto nella timpanoplastica (TPL). Col presente studio presentiamo i nostri risultati audiologici e il rate di attecchimento nei casi di TPL trattati con innesto di cartilagine con pericondrio (PACIT). Sono stati analizzati, in termini di tipo di chirurgia effettuata, attecchimento dell'innesto e risultati audiologici, 194 orecchi di 191 pazienti (108 maschi, 83 donne). Sono state effettuate 127 (65,46%) TPL tipo I, 45 (23,20%) tipo II e 22 (11,34%) tipo III. Il gap medio fra via aerea e via ossea all'audiometria tonale preoperatoria è stato rispettivamente 33,74 ± 9,60, 52,58 ± 9,07, e 56,58 ± 10,27 dB HL; i valori nel postoperatorio sono stai invece 18,55 ± 9,25, 31,21 ± 4,36, and 44,84 ± 12,45 dB HL. Nel postoperatorio di è registrato un miglioramento della soglia (≥ 10dB) nel 76,81% degli orecchi valutati, con un recupero medio di 20 dB HL (range 10-40 dB). Tuttavia il 19,07% degli orecchi valutati non ha mostrato un miglioramento della soglia uditiva, e il 4,12% ha manifestato un peggioramento della soglia. L'innesto ha attecchito correttamente nel 91,24% dei casi con follow-up di almeno 13 mesi con una media di 68,64 mesi, mentre si è registrato un fallimento nel 8,76% dei casi. In considerazione dei livelli postoperatori della soglia uditiva e dell'elevato rate di attecchimenti registrato, il presente studio ha evidenziato l'efficacia a lungo termine dell'innesto di cartilagine con pericondrio.

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“…Highrisk perforations including total, subtotal, atelectatic perforations, those with cholesteatoma and revision cases can be treated efficiently with cartilage reinforcement tympanoplasty [11] . It was also suggested that palisade cartilage tympanoplasty is an effective technique for tympanic membrane closure and hearing improvement in atelectatic ears, and mastoidectomy does not change the anatomic or audiologic findings in these types of ears [12] .…”

Section: Discussionmentioning

confidence: 99%

Tympanoplasty with Island Cartilage or Temporalis Fascia: A Comparative Study

Bozdemir

Kutluhan²,

Yalçıner³

et al. 2012

ORL

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Purpose: To compare clinical and audiological outcomes of the type 1 tympanoplasties where conchal cartilage (island graft) and temporalis fascia were used as the graft material. Procedures: In this retrospective study, the results of type 1 tympanoplasty operations (n = 50) in which cartilage and temporalis fascia were used for graft material were compared. Results: Pre- and postoperative otoscopic findings of both groups were similar (p > 0.05). Preoperatively, the pure tone averages (PTAs) and hearing thresholds of the fascia and cartilage groups were similar (p > 0.05). However, postoperatively, the PTAs and air-bone gap closure were better with temporalis fascia compared to cartilage grafting (p < 0.05). On frequency-specific comparisons, the pure tone thresholds at the frequencies of 0.5, 1 and 2 kHz recovered better with temporalis fascia compared to cartilage (p < 0.05). Although the pure tone recovery was better at 4 kHz with temporalis fascia, the difference between the groups were not significantly different (p > 0.05). Conclusion and Message: In conclusion, in contrast to many reports in the literature, temporalis fascia grafting seems better in our study than grafting with conchal cartilage.

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Long-term anatomic and functional results of cartilage tympanoplasty in atelectatic ears

Cited by 20 publications

References 17 publications

Anatomic and functional results in tragal cartilage tympanoplasty in adults: Correlation with prognostic factors

Anatomic and functional results in tragal cartilage tympanoplasty in adults: Correlation with prognostic factors

Risultati audiologici e rate di attecchimento dell'innesto di cartilagine con pericondrio nella timpanoplastica: PACIT

Tympanoplasty with Island Cartilage or Temporalis Fascia: A Comparative Study

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