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Braz J Otorhinolaryngol. 2014 Nov-Dec;80(6):522-6. doi: 10.1016/j.bjorl.2014.08.007. Epub 2014 Aug 28.

Preparation and placement of cartilage island graft in tympanoplasty.

Author information

1
Department of Otorhinolaryngology and Head and Neck Surgery, Abant İzzet Baysal University Medical Faculty, Bolu, Turkey. Electronic address: vyurttas@hotmail.com.
2
Otorhinolaryngology Clinic, Kapadokya Private Hospital, Nevşehir, Turkey.
3
Otorhinolaryngology Clinic, Ankara Atatürk Teaching and Research Hospital, Ankara, Turkey.

Abstract

INTRODUCTION:

Cartilage graft tympanoplasty has a better success rate in the treatment of chronic otitis media if regularly prepared and placed.

OBJECTIVE:

To prepare cartilage island material and evaluate its effect on the success rate of tympanoplasty.

METHODS:

The medical records of 87 patients (48 males and 39 females; mean age, 27.3±11.2 years; range, 14-43 years) with chronic otitis media without cholesteatoma who underwent intact canal-wall-up tympanoplasty and revision surgery between December of 2007 and October of 2011 were retrospectively evaluated. Surgery was performed under general anesthesia via a retroauricular approach.

RESULTS:

The overall success rate of this technique was 93% in terms of perforation closure. No graft lateralization or displacement into the middle ear occurred. The overall average preoperative air bone gap was 37.27±12.35 dB, and the postoperative air bone gap was 27.58±9.84 dB. The mean postoperative follow-up period was 15.3 months (range: 7-21 months).

CONCLUSION:

If cartilage graft is properly prepared and placed, cartilage graft tympanoplasty appears to provide better success rates and hearing results.

KEYWORDS:

Cartilagem auricular; Ear cartilage; Otorhinolaryngologic surgical procedures; Perfuração da membrana timpânica; Procedimentos cirúrgicos otorrinolaringológicos; Tympanic membrane perforation

PMID:
25457073
DOI:
10.1016/j.bjorl.2014.08.007
[Indexed for MEDLINE]
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