Total Middle Ear Reconstruction

Ekvall, Lars

doi:10.3109/00016487309139713

Cited by 27 publications

(12 citation statements)

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“…Whether repneumatization of a radical cavity, as used during recent years (Smyth and Dowe, 1972;Smith, 1975;Ekvall, 1973;Perkins, 1976), is pre ferable to obliteration is questionable. In the great majority of cases we pre ferred obliteration considering that in most ears with an old radical cavity tubal function is impaired, that the mucosa in the posterior part of the tympanic cavity, epitympanum, and aditus is lacking, and that an anatomically completely correct reconstruction of the absent bony auditory meatus can be performed only by a large piece of autograft bone or by a homograft meatus.…”

Section: Discussionmentioning

confidence: 99%

“…In total reconstructions with a view to repneumatization of the cavity, the auditory meatus has been recon structed by autologous tragal cartilage (McCleve, 1969\Szpunar, 1973, homo logous septal cartilage (Smyth and Dowe, 1971), a large autologous bone graft from the mastoid process (Ekvall, 1973;Smith, 1975), by a homologous osseous auditory canal (Smith, 1975), or homologous dura with autologous bone pâté (Perkins, 1976). Fig.…”

Section: Introductionmentioning

confidence: 99%

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Combined Grafts in Total Reconstruction of Old Radical Cavities

Tos¹

1977

ORL

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93 patients with an old, infected and discharging radical cavity were subjected to total reconstruction of the middle ear, especially to obtain a permanently dry ear. The cavity was obliterated and the auditory meatus reconstructed by various muscle grafts and large pieces of fascia (41 ears), by combined grafts consisting of tragal cartilage, pieces of bone, homologous septal cartilage, and muscle grafts (40 ears). In the 12 prognostically most favourable ears the cavity was repneumatized. The functional results were the same in all three groups, namely a functional success in 72%. At follow-up 1–6 years after the operation there was functional success in 62%, but 94% of the ears were dry. Obliteration of the cavity by combined grafts was at long sight more solid than obliteration by muscle. It is discussed whether, in reconstructing radical cavities, repneumatization of the cavity is preferable to obliteration, and it is concluded that at long sight a solid obliteration must afford a more stable ear than repneumatization.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Combined Grafts in Total Reconstruction of Old Radical Cavities

Tos¹

1977

ORL

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“…Original aspects of this study Our method is based on the original TMRS procedure described by Ekvall (2), which has an advantage over obliteration or ablation in that a smaller amount of local tissue is required for mastoid elimination. However, our method has some distinctive features.…”

Section: Comparison With Previous Reports On Mastoid Eliminationmentioning

confidence: 99%

Total Middle Ear Reconstructive Surgery for the Radicalized Ear

Ishimoto¹,

Ito²,

Sasaki³

et al. 2002

Otology & Neurotology

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“…1 In the otolaryngology department of the University of Tokyo, total middle-ear reconstruction has been performed in many patients with cavity problems since 1993. 2 We have previously described in detail the operative procedure for total middle-ear reconstruction.…”

Section: Introductionmentioning

confidence: 99%