The altered metabolism of the full thickness skin graft

Wullstein, Horst; Wullstein, S. R.

doi:10.1288/00005537-197211000-00003

Cited by 5 publications

(4 citation statements)

References 18 publications

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“…perichondrium, and cartilage are used for grafting. 1,2 Cartilage grafts being resistant to retraction and infections, are preferred in patients with eustachian tube (ET) dysfunction, retraction pockets, anteriorly located perforations, and revision surgery.…”

Section: The Effect Of Eustachian Tube Dimensions On the Success Rate...mentioning

confidence: 99%

The Effect of Eustachian Tube Dimensions on the Success Rate of Cartilage Type 1 Tympanoplasty

TAYLAN CEBİ,

KARATAŞ,

GÖÇGÜN

et al. 2024

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To clarify the influence of eustachian tube (ET) anatomical measurements on the success rate of Type 1 cartilage tympanoplasty. Material and Methods: The medical records of 99 patients, who underwent cartilage Type 1 tympanoplasty were reviewed retrospectively. The length of ET (ETl), tubotympanic angle (TTa), ET-Reid horizontal plane angle (ETa), and ET pretympanic diameter (ETd) were measured on temporal bone computed tomography using the multiplanar reconstruction technique. Two groups were created based on the anatomical success of the procedure. Group 1 consisted of ears with successful anatomic outcomes and Group 2 consisted of ears without successful anatomic outcomes a year postoperatively. The ET anatomical measurements of Groups 1 and 2 were compared. Results: A total of 108 ears (90 unilateral and 9 bilateral ears of 99 patients) were included in our study. The differences between the ETl, TTa, ETa, and ETd of Groups 1 and 2 were statistically insignificant. Conclusion: Our study showed that ETl, TTa, ETa, and ETd do not have a significant role in the anatomic outcome of Type 1 cartilage tympanoplasty. Using cartilage grafts in Type 1 tympanoplasty might be preferred to rule out the anatomical disadvantages regarding the ET. Studies with greater sample sizes are required to assess both the anatomy and function of the ET in the success rate of Type 1 tympanoplasty with various graft types.

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Section: The Effect Of Eustachian Tube Dimensions On the Success Rate...mentioning

confidence: 99%

The Effect of Eustachian Tube Dimensions on the Success Rate of Cartilage Type 1 Tympanoplasty

TAYLAN CEBİ,

KARATAŞ,

GÖÇGÜN

et al. 2024

KBB ve BBC Dergisi

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“…1,2 Poverty, ignorance, crowded living conditions due to large family, poor sanitation, lack of personal and environmental hygiene are some of the main factors for the prevalence of COM. 3,4,5 Myringoplasty is a surgical procedure for closure of perforation of pars tensa of tympanic membrane. 6,7 There has been a clinical impression that lack of an aerating mastoid at the time of initial myringoplasty may be a significant source of failure in patients with COM mucosal type, so cortical mastoidectomy along with myringoplasty has been preferred surgery for many surgeons.…”

Section: Introductionmentioning

confidence: 99%

Surgical Outcome of Myringoplasty With and Without Cortical Mastoidectomy in Chronic Otitis Media Mucosal Inactive Type

Jha¹,

Nirala²,

Sah³

et al. 2022

JCMC

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Background: Chronic otitis media is usually complicated due to perforation of tympanic membrane and ultimately leading to hearing loss. The objective of this study was to compare the results of myringoplasty alone with myringoplasty with cortical mastoidectomy in COM (Chronic Otitis Media) mucosal inactive type in terms of graft uptake. Methods: This was a descriptive, prospective, qualitative type of study. A total of thirty patients of COM mucosal inactive type were included in the study of which 15 patients were selected alternatively for myringoplasty alone while another 15 patients were selected for myringoplasty with cortical mastoidectomy. Pure tone audiometry was done within 1 week prior to surgery. Graft uptake was assessed after 6 weeks and results were compared within and between the groups using Chi-square test. Results: Graft uptake rate of myringoplasty alone and myringoplasty with cortical mastoidectomy done using temporalis fascia graft and underlay technique was same 86.66% (n=26) and failure rate was 13.33% (n=4).The graft take was higher 88.9%(n=8) in small perforation worsened in medium (85 %) and then in subtotal perforation (79%). Graft uptake rate was highest in central perforation (86.9%) followed by posterior perforation (84.6%) and least in anterior perforation (77.7%). Mean age of presentation was 27.7 years, ranging from 15 to 60 years. Most common approach was permeatal in myringoplasty and postaural in case of myringoplasty with cortical mastoidectomy. Conclusions: The graft uptake rate myringoplasty alone are comparable to those of myringoplasty with cortical mastoidectomy. The choice of surgery is based on surgeon’s preference.

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“…Various grafts have been tried for tympanoplasty time to time with varying results.Cartilage was first used by Utech in 1959 and recent years especially with advent of endoscopic tympanoplasty it became graft of choice. [1][2][3] Cartilage differs from traditional graft material, such as fascia and perichondrium, primarily due to its increased thickness. This might suggest an increased rigidity, with resulting conductive hearing loss; however, several studies have demonstrated that hearing results are no different than with fascia.…”

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confidence: 99%

Comparative study of anatomical and functional results of butterfly myringoplasty versus temporalis fascia underlay myringoplasty

S.,

Chavadaki

2023

Int J Otorhinolaryngol Head Neck Surg

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Background: Myringoplasty is traditionally been done by using temporalis fascia graft material. But in recent years understanding of physiology and pathology of middle ear cleft is drastically improved with technical advancement in surgical methods. Various grafts have been tried for myringoplasty time to time with varying results. Methods: A case control study was conducted; where 52 patients underwent myringoplasty with butterfly graft and second group of 52 patients underwent myringoplasty with temporalis fascia graft under general anesthesia in major OT. All the patients were followed up for 3 months. The results of the procedure were assessed, with respect to closure of tympanic membrane perforations and improvement in the air bone gap post operatively. Results: Butterfly group had statistically significant number of healed patients and hearing improvement compared to temporalis fascia group at the end of one month and with no statistical significance at the end of three months. The age group less than 18 years showed better uptake with butterfly graft. The difference of mean pre-operative, 1 month and 3 months post-operative air bone gaps in butterfly graft were 35.57±2.87 dB, 27.86±2.53 dB, 24.65±2.66dB and in temporalis fascia were 35.97±2.6dB, 29.36±1.54dB, 25.12±1.73 dB respectively. Conclusions: Butterfly group had statistically significant hearing improvement in patients compared to temporalis fascia group at one month and with no statistical significance at three months post procedure. The age group less than 18 years showed better uptake with butterfly graft.

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The altered metabolism of the full thickness skin graft

Cited by 5 publications

References 18 publications

The Effect of Eustachian Tube Dimensions on the Success Rate of Cartilage Type 1 Tympanoplasty

The Effect of Eustachian Tube Dimensions on the Success Rate of Cartilage Type 1 Tympanoplasty

Surgical Outcome of Myringoplasty With and Without Cortical Mastoidectomy in Chronic Otitis Media Mucosal Inactive Type

Comparative study of anatomical and functional results of butterfly myringoplasty versus temporalis fascia underlay myringoplasty

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