The Principles of Plastic Surgery of the Sound-Conducting Apparatus

Zöllner, Fritz

doi:10.1017/s0022215100051240

Cited by 380 publications

(197 citation statements)

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“…After Wullstein [15] and Zollner [16] introduced tympanoplasty in early 1950s, overlay graft was being used in all surgeries. The article ''tympanoplasty as an operation to improve hearing in chronic otitis media and its results'' by Wullstein had prepared the arena for the operation to be performed with a goal to improve hearing and protect the middle ear from the outside environment [15].…”

Section: The Surgical Evolutionmentioning

confidence: 99%

A Review on the History of Tympanoplasty

Sarkar

2012

Indian J Otolaryngol Head Neck Surg

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The history of myringoplasty and tympanoplasty is one of the most interesting in the history of ear surgery. The aims and ambitions of otologists have evolved along with time and experience. The objective of this article is to give an idea about the evolution of tympanoplasty, thus giving inspiration to future surgeons in their quest for a perfect technique which would be as good as a normal ear and its hearing. The history of otology starts from the early Egyptian healers. Hippocrates in his time observed that ear infections may be cause of death especially in young children. Early surgeries were performed mainly for drainage in order to save the life of the child having the ear disease. With time and scientific developments newer methods of treatment started to evolve. The invention of antimicrobials and their usage threw a new light into the treatment of otology infections. Then after the advent of microscope and with better understanding of the anatomy and physiology of ear and its diseases treatment strategies and surgical planning kept on advancing. Surgeons with time have become more interested in returning back the hearing along with curing infection from ear. But the quest is on for the perfect surgical technique which would give best results with minimal maneuvering. History of tympanoplasty nearly sums up the history of evolution of otology as a whole. The quest is still on to devise a way so as to give maximum post-operative hearing using minimal instrumentation.

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Section: The Surgical Evolutionmentioning

confidence: 99%

A Review on the History of Tympanoplasty

Sarkar

2012

Indian J Otolaryngol Head Neck Surg

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“…In 1955, Zoellner and Wullstein used different types of graft for tympanoplasty: Temporalis fascia, skin, fascia lata, vein, perichondrium, dura mater. [1][2][3][4][5] Temporalis fascia remains the most commonly used material for tympanic membrane reconstruction with a success rate of 93-97% in primary tympanoplasties. 6 In other situations, such as recurrent perforation following tympanoplasty, severe attic and/or posterior uncontrolled retraction pockets with cholesteatoma formation, atelectasis of the tympanic membrane, fascia and perichondrium have been shown to undergo atrophy and subsequent failure, regardless of the placement technique used.…”

Section: Introductionmentioning

confidence: 99%

Comparative study between result of temporalis muscle fascia and tragal cartilage perichondrium as a graft material in type 1 tympanoplasty

Kumar

Narayan

Narain

et al. 2018

Int J Otorhinolaryngol Head Neck Surg

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Background: Leading cause of deafness in India is chronic suppurative otitis media. Most common cause of TM perforation is chronic suppurative otitis media. With this background this study was to compare hearing results, as well as graft takes for commonly preferred reconstruction techniques of the TM (i.e., temporalis fascia vs. cartilage) in tympanoplasty.Methods: The present study consists of 60 cases of C.S.O.M (TTD) which was divided into two groups with 30 cases in each group. In first group type1 tympanoplasty was done by Temporalis fascia technique. In second group type 1 tympanoplasty done by tragal cartilage with perichondrium technique. History and otoscopic examination along with pure tone audiometry was performed preoperatively. Postoperative hearing results and graft uptake were compared between two groups, all surgeries were performed through the post aural approach. Results: Graft uptake results are better with tragal cartilage with perichondrium technique. Hearing improved significantly in both groups. Though this was slightly better in TFT, but not significant statistically.Conclusions: Graft uptake rates are better with the tragal cartilage with perichondrium technique in comparison of TFT and hearing results are almost equivalent with both techniques.

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“…Success in myringoplasty is usually assessed in terms of healing of the perforation as well as hearing gain [1,3]. The modern era of middle ear surgery began with the introduction of tympanoplasty by Zollner and Wullstein [4,5]. The use of vein grafts for myringoplasty was first described by Shea [6].…”

Section: Introductionmentioning

confidence: 99%

A Comparative Study of Temporalis Fascia Graft and Vein Graft in Myringoplasty

Parida

Nochikattil

Gopalakrishnan

et al. 2012

Indian J Otolaryngol Head Neck Surg

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To compare the surgical outcome of temporalis fascia graft (TFG) and vein graft (VG) in myringoplasty. This prospective study was carried out over 60 patients with inactive tubotympanic type of chronic suppurative otitis media, with small to moderate size central perforation in Jawaharlal Institute of Post Graduate Medical Education and Research, Puducherry from November 2009 to March 2011. Patients were equally randomized into two groups; TFG group and VG group according to the graft material used for myringoplasty. After routine investigations, X-ray mastoid and paranasal sinuses and pure tone audiometry, all cases were operated under local anesthesia using underlay technique. Patients were followed at 2 week, 1 and 3 month postoperatively. Graft uptake, audiological improvement, degree of hearing improvement, and complications were studied during follow up. In TFG group, graft uptake rate was 80 % and hearing improvement was present in 66.7 % whereas in VG group graft uptake rate was 83.3 % and hearing improvement was present in 70 %. No patient had deterioration in hearing, sensory neural hearing loss or any other complications postoperatively. Difference between the preoperative and postoperative air bone (AB) gap was considered as degree of hearing improvement. Postoperative AB gap was \10 dB in 60 % and 66.7 % of patients of TFG group and VG group respectively. The difference in graft uptake rate and hearing improvement between two groups was not statistically significant. Both TFG and VG are equally effective in terms of graft uptake and hearing improvement in myringoplasty.

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The Principles of Plastic Surgery of the Sound-Conducting Apparatus

Cited by 380 publications

References 0 publications

A Review on the History of Tympanoplasty

A Review on the History of Tympanoplasty

Comparative study between result of temporalis muscle fascia and tragal cartilage perichondrium as a graft material in type 1 tympanoplasty

A Comparative Study of Temporalis Fascia Graft and Vein Graft in Myringoplasty

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