Type I tympanoplasty with island chondro-perichondral tragal graft: the preferred technique?

2013 ◽  
Vol 127 (4) ◽  
pp. 354-358 ◽  
Author(s):  
E De Seta ◽  
D De Seta ◽  
E Covelli ◽  
M Viccaro ◽  
R Filipo
Keyword(s):  
Chronic Otitis Media ◽  
Functional Results ◽  
Tympanic Membrane Perforation ◽  
Type I ◽  
Temporalis Fascia ◽  
Cartilage Tympanoplasty ◽  
Membrane Perforation ◽  
Type I Tympanoplasty ◽  
One Year ◽  
Retrospective Comparative Study

AbstractObjective:This retrospective, comparative study aimed to assess anatomical and functional results in a group of adults undergoing type I tympanoplasty for subtotal tympanic membrane perforation, using two different types of graft.Subjects and methods:The study included 106 patients affected by chronic otitis media, who underwent underlay type I tympanoplasty, 53 using an autologous chondro-perichondral tragal graft and 53 using temporalis fascia. Anatomical and functional outcomes were evaluated over time.Results:Audiometric results comparing the cartilage and fascia groups at six months and one year after surgery showed no statistically significant differences. Assessment of anatomical outcomes indicated a greater number of complications in the fascia group.Conclusion:Functional results indicate the validity of the cartilage tympanoplasty, while anatomical results indicate a slightly better outcome in terms of graft re-perforation and retraction, compared with temporalis fascia at one-year follow up. These results suggest that the cartilage technique is preferable for type I tympanoplasty.

Functional results of temporalis fascia versus cartilage tympanoplasty in patients with bilateral chronic otitis media

2011 ◽  
Vol 126 (1) ◽  
pp. 22-25 ◽  
Author(s):  
K Onal ◽  
S Arslanoglu ◽  
M Songu ◽  
U Demiray ◽  
I A Demirpehlivan
Keyword(s):  
Standard Deviation ◽  
Otitis Media ◽  
Chronic Otitis Media ◽  
Functional Results ◽  
Type I ◽  
Temporalis Fascia ◽  
Cartilage Tympanoplasty ◽  
The Mean ◽  
Graft Success ◽  
And Cartilage

AbstractObjectives:To compare the functional results of type I tympanoplasty performed with either temporalis fascia or a perichondrium and cartilage island flap, in patients with bilateral chronic otitis media.Method:The study included primary tympanoplasty cases with a subtotal perforation, an intact ossicular chain, a dry ear for at least one month and normal middle-ear mucosa, together with contralateral tympanic membrane perforation. Temporalis fascia tympanoplasty was undertaken in 41 patients, and cartilage tympanoplasty in 39 patients.Results:The graft success rate was 65.9 per cent for the fascia group and 92.3 per cent for the cartilage group. Post-operatively, the mean ± standard deviation air conduction threshold was 28.54 ± 14.20 dB for the fascia group and 22.97 ± 8.37 dB for the cartilage group, while the mean ± standard deviation bone conduction threshold was 11.71 ± 8.50 dB for the fascia group and 7.15 ± 5.56 dB for the cartilage group.Conclusion:In patients with bilateral chronic otitis media, cartilage tympanoplasty seems to provide better hearing results and graft success rates.

scholarly journals Palisade cartilage fascia tympanoplasty: our experience

2019 ◽  
Vol 5 (6) ◽  
pp. 1679
Author(s):  
Dheeraj Lambor ◽  
Govind Bhuskute ◽  
Ombretta Barreto
Keyword(s):  
Hearing Loss ◽  
Tympanic Membrane ◽  
Eustachian Tube ◽  
Tympanic Membrane Perforation ◽  
Eustachian Tube Dysfunction ◽  
Type I ◽  
Temporalis Fascia ◽  
Cartilage Tympanoplasty ◽  
Membrane Perforation ◽  
Tube Dysfunction

<p class="abstract"><strong>Background:</strong> Cartilage tympanoplasty is one of the procedures performed for treatment of tympanic membrane perforation, more so in those cases associated with eustachian tube dysfunction, or failed previous temporalis fascia type 1 tympanoplasty. Palisade cartilage tympanoplasty, initially described by Heerman utilizes strips of conchal cartilage to reconstruct the tympanic membrane.</p><p class="abstract"><strong>Methods:</strong> A retrospective study which was presented with 64 patients who underwent palisade cartilage- fascia type I tympanoplasty and compared their hearing outcome after three years of post-operative period. Indication to perform a cartilage-fascia tympanoplasty was either an atelectatic middle ear or large perforation of the drum or residual or recurrent perforation following previous temporalis fascia myringoplasty.  </p><p class="abstract"><strong>Results:</strong> Average pre-operative hearing loss was 37.38±15.04 dB, while post-operative hearing loss was 20.47±8.85 dB, giving an average gain of 17.03 dB. Of 64 patients, 93.7% patients had fully healed neotympanum.</p><p class="abstract"><strong>Conclusions:</strong> Palisade cartilage fascia tympanoplasty is an effective method to ensure graft uptake and at the same time achieve competitive hearing gain. The reliability of this technique lies in its use for recurrent and residual perforations of the tympanic membrane as well as in cases associated with eustachian tube dysfunction.</p>

The Management of Tympanic Membrane Perforation With Endoscopic Type I Tympanoplasty

2019 ◽  
pp. 1 ◽  
Author(s):  
Daniele Marchioni ◽  
Luca Gazzini ◽  
Stefano De Rossi ◽  
Flavia Di Maro ◽  
Luca Sacchetto ◽  
...  
Keyword(s):  
Tympanic Membrane ◽  
Tympanic Membrane Perforation ◽  
Type I ◽  
Membrane Perforation ◽  
Type I Tympanoplasty

Analysis of Type I Tympanoplasty Versus Simple Underlay Myringoplasty for Tympanic Membrane Perforation

2015 ◽  
Vol 108 (5) ◽  
pp. 339-345
Author(s):  
Ryo Suzuki ◽  
Shinichi Sato ◽  
Kazuyuki Ichimaru ◽  
Tomoyuki Haji ◽  
Juichi Ito
Keyword(s):  
Tympanic Membrane ◽  
Tympanic Membrane Perforation ◽  
Type I ◽  
Membrane Perforation ◽  
Type I Tympanoplasty

Evaluation and comparison of type I tympanoplasty efficacy and histopathological changes to the tympanic membrane in dry and wet ear: a prospective study

2015 ◽  
Vol 129 (10) ◽  
pp. 945-949 ◽  
Author(s):  
R Shankar ◽  
R S Virk ◽  
K Gupta ◽  
A K Gupta ◽  
A Bal ◽  
...  
Keyword(s):  
Prospective Study ◽  
Success Rate ◽  
Tympanic Membrane ◽  
Histopathological Examination ◽  
Chronic Otitis Media ◽  
Type I ◽  
Significant Difference ◽  
Type I Tympanoplasty ◽  
One Year ◽  
A Prospective Study

AbstractObjective:This study aimed to compare the success rate of type I tympanoplasty in active (wet) and inactive (dry) mucosal chronic otitis media.Methods:A prospective study was performed of 35 patients each with dry ear and wet ear undergoing type I tympanoplasty in the Otolaryngology Department, Postgraduate Institute of Medical Education and Research, India. All patients underwent type I tympanoplasty between January 2010 and June 2011 by the post-auricular approach. Samples of the remnant tympanic membrane were sent for histopathological examination.Results:After a minimum follow up of one year, the success rate was 88.6 per cent for dry ears and 80 per cent for wet ears. Neither the type (p = 0.526) nor the presence (p = 0.324) of discharge influenced the success rate. Histopathological examination of the tympanic membrane margins was performed for 46 patients: of these, 19 showed evidence of vascularity and 27 did not. There was no significant difference in success rate between groups (p = 0.115).Conclusion:The success rate was not influenced by the presence of ear discharge at the time of surgery, and tympanic membrane vascularity did not influence graft uptake.

scholarly journals Reinforced temporalis fascia with conchal cartilage versus exclusive temporalis fascia grafting in type 1 tympanoplasty: a comparative study

2020 ◽  
Vol 6 (7) ◽  
pp. 1268
Author(s):  
Rahul S. Gosavi ◽  
Shishir D. Gosavi ◽  
Digwijay A. Bandgar ◽  
Akash D. Gupta ◽  
Pradny S. Naik ◽  
...  
Keyword(s):  
Chronic Otitis Media ◽  
Tympanic Membrane Perforation ◽  
Temporalis Fascia ◽  
Conchal Cartilage ◽  
Type 1 Tympanoplasty ◽  
Fascia Graft ◽  
Membrane Perforation ◽  
A Prospective Study ◽  
Grafting Materials

<p class="abstract"><strong>Background:</strong> Various grafting materials have been used for the repair of a tympanic membrane perforation over the years, with temporalis fascia and conchal cartilage being the most widely used. Our study is an attempt to compare and analyse the use of exclusive temporalis fascia as grafting material against a reinforced graft consisting of temporalis fascia and conchal cartilage.</p><p class="abstract"><strong>Methods:</strong> This is a prospective study of 100 patients having inactive mucosal chronic otitis media with a dry central perforation with moderate conductive hearing loss, undergoing type 1 tympanoplasty using underlay technique. 50% of the subjects were grafted with temporalis fascia alone while a reinforced temporalis fascia graft along with conchal cartilage was used in the remaining 50% of the cases. The results were evaluated at an interval of 24 weeks after surgery on the basis of graft uptake and hearing restoration (closure of air-bone gap &lt;10 dB).  </p><p class="abstract"><strong>Results:</strong> Graft uptake in exclusive temporalis fascia grafting was 86% while it was 94% when a reinforced graft was used; the hearing restoration rates in both the groups were 82% and 80% respectively.   </p><p class="abstract"><strong>Conclusions:</strong> Reinforced temporalis fascia grafting along with conchal cartilage gives better results than grafting with temporalis fascia alone as regards to graft uptake, while the audiometric results are comparable in both the groups.   </p>

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