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

Cayé‐Thomasen, Per; Andersen, John Rastrup; Uzun, Cem; Hansen, S.; Tos, Mirko

doi:10.1002/lary.20195

Cited by 24 publications

(21 citation statements)

References 24 publications

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“…The success of tympanoplasty depends on the eradication of the disease and re-creation of a healthy and aerated middle ear [1,2]. Temporalis fascia grafts have been used for years for reconstruction of the tympanic membrane because of their easy accessibility at the surgical site.…”

Section: Discussionmentioning

confidence: 99%

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Comparison of different tympanic membrane reconstruction techniques in type I tympanoplasty

Demirpehlivan

Önal

Arslanoğlu

et al. 2011

Eur Arch Otorhinolaryngol

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The objective of the study was to assess the functional results after type I tympanoplasty with temporal muscle fascia, perichondrium/cartilage island and cartilage palisades. The records of 120 patients who underwent type I tympanoplasty operation between January 2003 and June 2007 were retrospectively reviewed. This study aimed to comprise a homogeneous group of patients to make the comparisons as accurate as possible. For this purpose, primary tympanoplasty cases with subtotal perforations, intact ossicular chain, dry ear for a period of at least 1 month, and normal middle ear mucosa were included in the study. Patients younger than 15 years of age and patients with cholesteatoma were excluded. Temporal muscle fascia was used in 67 (55.8%), perichondrium/cartilage island flap was used in 34 (28.3%), and cartilage palisades were used in 19 (15.8%) of the patients. Pre- and postoperative otoscopic examinations, pure-tone averages, and air-bone gaps were compared pre and postoperatively. Concerning all of the cases, the graft take rate was 85% (102/120). In the perichondrium/cartilage island flap group, the graft take rate was 97.7%, whereas the graft take rates for the fascia group and cartilage palisades group were 80.6 and 79.0%, respectively. In the perichondrium/cartilage island flap group, the pure-tone average was 36.36 dB, whereas the pure-tone averages for the fascia group and cartilage palisades group were 36.07 and 39.79 dB, preoperatively. The postoperative pure-tone averages were 24.54 dB fort he perichondrium/cartilage island flap group, 24.51 dB for the fascia group and 23.23 dB for the cartilage palisades group. Cartilage grafting is not only more enduring against infection and negative middle ear pressure but also it has low re-perforation rates on long-term follow-up. Thus, cartilage may be preferred more often for primary tympanoplasties with high graft rate and hearing improvement.

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Section: Discussionmentioning

confidence: 99%

“…Restoration of the sound conducting mechanism is of secondary importance. The anatomic and functional results mostly depend on the properties of the graft materials such as skin, fascia, vein, dura mater, perichondrium, periost, subcutaneous tissue, and cartilage [2].…”

Section: Introductionmentioning

confidence: 99%

Comparison of different tympanic membrane reconstruction techniques in type I tympanoplasty

Demirpehlivan

Önal

Arslanoğlu

et al. 2011

Eur Arch Otorhinolaryngol

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“…These facts have motivated the usage of cartilage in tympanoplasty. Cartilage was at first used for stabilization, but soon also for the reconstruction of the whole tympanic membrane [1][2][3].…”

Section: Introductionmentioning

confidence: 99%

Cartilage palisade tympanoplasty in children and adults: Long term results

Velepić

Starčević

Tićac

et al. 2012

International Journal of Pediatric Otorhinolaryngology

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“…The long-term efficacy of cartilage palisades in the reconstruction of postero-superior retraction pockets has been well documented in clinical studies [10,11]. The rigidity and thickness of cartilage as graft material has raised questions over hearing conduction but most clinical studies have failed to demonstrate any hearing impedance after cartilage tympanoplasty, even in an intact ossicular chain scenario [12][13][14].…”

Section: Comparison With Other Studiesmentioning

confidence: 99%

Cartilage Palisades in Type 3 Tympanoplasty: Functional and Hearing Results

Vashishth

Mathur

Verma

2014

Indian J Otolaryngol Head Neck Surg

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To evaluate the functional and hearing outcomes using full thickness broad cartilage palisades for tympanic membrane reconstruction in type 3 tympanoplasty with titanium prostheses. The retrospective study performed at a tertiary referral institute included 30 patients with posterior mesotympanic retraction pockets or tympanic membrane perforations requiring tympanic membrane and type 3 ossicular reconstruction. Patients with disease extending beyond the aditus requiring canal wall down mastoidectomy were excluded. Disease removal from posterior mesotympanic and epitympanic recesses was confirmed using angled endoscopy and ossicular reconstruction was performed using titanium partial or total ossicular replacement prostheses. Tympanic membrane reconstruction was done, with or without attic reconstruction, using full thickness broad cartilage palisades harvested from the tragus with perichondrium attached laterally. Patients were assessed at 24 and 48 weeks for graft status and any evidence of implant extrusion. Hearing evaluation was done using subjective assessment and pure tone audiometry. In total, 27 out of 30 patients had intact and completely healed grafts at 48 weeks postoperatively (a success rate of 90 %) showing full union and epithelialization of palisades, and with three patients displaying small defects. The mean pure tone air bone gap pre-and postoperatively was 32.4 and 8.8 dB, respectively, with most patients reporting satisfactory postoperative hearing. No evidence of implant extrusion was found in the 48-week period. Tympanic membrane reconstruction using full thickness palisades of tragal cartilage provides good functional and hearing outcomes in type 3 tympanoplasty with titanium prostheses.

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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

Cited by 24 publications

References 24 publications

Comparison of different tympanic membrane reconstruction techniques in type I tympanoplasty

Comparison of different tympanic membrane reconstruction techniques in type I tympanoplasty

Cartilage palisade tympanoplasty in children and adults: Long term results

Cartilage Palisades in Type 3 Tympanoplasty: Functional and Hearing Results

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