scholarly journals All Cartilage No Stitch Type 1 Tympanoplasty – A Prospective Study

2018 ◽  
Vol 26 (3) ◽  
pp. 183-189
Author(s):  
Debdulal Chakraborty ◽  
Chiranjib Das ◽  
Pritam Chatterjee ◽  
Rajesh Hansda
Keyword(s):  
Prospective Study ◽  
Tympanic Membrane ◽  
Eustachian Tube ◽  
Operative Time ◽  
Acoustic Properties ◽  
Graft Material ◽  
Type 1 Tympanoplasty ◽  
Tube Dysfunction ◽  
A Prospective Study

Introduction Although temporalis fascia is the commonly used graft material for tympanoplasty, cartilage has become the material of choice in cases with eustachian tube dysfunction, bilateral disease, total or anterior perforation of tympanic membrane, tympanosclerosis etc. Cartilage slices < 0.5 mm thick are similar to the tympanic membrane in their acoustic properties. The present study is aimed to describe stitch-less type 1 tympanoplasty with sliced tragal cartilage-perichondrium and evaluate anatomical, audiological and cosmetic outcomes. Materials and Methods A prospective study was conducted from March 2014 to August 2016, in ENT department of a Government Medical College and Hospital, West Bengal, India. Primary tympanoplasty cases irrespective of age, size and site of perforation, laterality and eustachian tube function were included in the study. History of previous tympanoplasty or mastoid surgery and cases requiring ossicular reconstruction or mastoidectomy were excluded from the study. Sliced tragal cartilage-perichondrium graft of 0.2 mm thickness was placed in underlay fashion through trans-canal or end-aural route. Results Among 95 cases 38 were male, 57 were female with age range between 7 to 68 years. Average operative time was 30 minutes. Graft take was successful in 97.89% of cases. Average Air Bone Gap 12 months after operation was 13.03dB. Conclusion Sliced cartilage-perichondrium graft gives good balance between sufficient stability and adequate acoustic sensitivity. Moreover, no stitch technique reduces operative time and increases cosmesis.

“EFFECT OF ANTERIOR NASAL PACKING ON MIDDLE EAR FUNCTION AND HEARING: A PROSPECTIVE STUDY”

2020 ◽  
Vol VOLUME 8 (ISSUE 1) ◽  
pp. 9-14
Author(s):  
Sachin Jain
Keyword(s):  
Prospective Study ◽  
Key Words ◽  
Tympanic Membrane ◽  
Eustachian Tube ◽  
Middle Ear ◽  
Hearing Threshold ◽  
Nasal Packing ◽  
Middle Ear Pressure ◽  
A Prospective Study

Introduction- The Eustachian tube provides an anatomic communication between the middle ear and nasopharynx, and maintains pressure equality across the tympanic membrane. Objective- To see the effect of anterior nasal packing on Otological symptoms, middle ear pressure and hearing Materials and method- This prospective study was carried out during period of September 2018 till August 2019. 100 ears were taken in the study. Middle ear pressure and hearing threshold were evaluated by Tympanometry and Audiometry respectively. Results- Postoperatively two days after anterior nasal packing, there was increase in no. of patient ears with ear fullness, ear ache, tinnitus, hearing threshold and abnormal negative middle ear pressure. After removal of nasal packing up to twelve weeks, improvement in middle ear pressure and hearing threshold was seen. Conclusion- Anterior nasal packing causes decrease in middle ear pressure and increase in hearing threshold. Key words- Eustachian tube, Middle ear pressure, Hearing threshold

scholarly journals Boomerang-Shaped vs. Shield-Shaped Chondroperichondrial Cartilage Grafts for Type 1 Tympanoplasty in Children: A Study of 121 Patients

2017 ◽  
Vol 96 (10-11) ◽  
pp. 419-432 ◽  
Author(s):  
Can Özbay ◽  
Fatih Kemal Soy ◽  
Erkan Kulduk ◽  
Riza Dundar ◽  
Ahmet Yükkaldiran ◽  
...  
Keyword(s):  
Tympanic Membrane ◽  
Graft Material ◽  
Success Rates ◽  
Cartilage Grafts ◽  
Type 1 Tympanoplasty ◽  
Grafting Technique ◽  
Study Population ◽  
Graft Success ◽  
The Impact

Many techniques and graft materials have been used for the reconstruction of the tympanic membrane. We conducted a retrospective study to compare anatomic and functional outcomes of type 1 tympanoplasty that we performed with boomerang-shaped chondroperichondrial cartilage grafts (BSGs) and shield-shaped chondroperichondrial cartilage grafts (SSGs) in pediatric patients. Our study population was made up 121 patients—61 boys and 60 girls, aged 7 to 16 years (mean: 12.4)—who had undergone a type 1 tympanoplasty. Patients were divided into two groups according to the grafting technique used; there were 59 patients in the BSG group and 62 patients in the SSG group. Ear examinations were performed at postoperative months 3, 6, 12, and 24, and pure-tone average (PTA) for air-conduction threshold values and air-bone gaps (ABGs) were evaluated at 0.5, 1.0, 2.0, and 4.0 kHz at the same visits. We also investigated the impact of the graft material on functional graft success and intergroup differences (if any) in surgical success. Mean postoperative follow-up periods were 30.5 and 30.2 months in the BSG and SSG groups, respectively. We found that the success rates for tympanic membrane reconstruction were not significantly different in the two groups (91.5 and 88.7%). Postoperatively, the mean PTA and ABG values in both groups at 3, 6, 12, and 24 months were significantly lower than the preoperative values (p < 0.05). There were no significant differences in mean PTA values between the two groups at 3, 6, 12, and 24 months. However, the extent of the decrease in PTA values in the BSG group at 3 months was significantly greater than that of the SSG group (p < 0.05). There were no significant differences in mean ABG values between the two groups at 3, 6, and 12 months, but at 24 months, the value was significantly higher in the BSG group (p < 0.05). Finally, the extent of the decrease in ABG in the BSG group at both 3 and 6 months was significantly greater than that of the SSG group (p < 0.05). We conclude that the BSG procedure is a reliable and safe method of performing pediatric tympanoplasty.

scholarly journals ROLE OF MASTOIDECTOMY IN TYPE 1 TYMPANOPLASTY OF SAFE TYPE CHRONIC SUPPURATIVE OTITIS MEDIA- A PROSPECTIVE STUDY

2016 ◽  
Vol 3 (102) ◽  
pp. 5645-5649
Author(s):  
Sami Ullah ◽  
Faiz S. M ◽  
Mohd Shakeel ◽  
Saurabh Srivastav ◽  
Satveer Singh Jassal ◽  
...  
Keyword(s):  
Prospective Study ◽  
Otitis Media ◽  
Chronic Suppurative Otitis Media ◽  
Suppurative Otitis Media ◽  
Type 1 Tympanoplasty ◽  
A Prospective Study

Island cartilage vs temporalis fascia in type 1 tympanoplasty: A prospective study

2018 ◽  
Vol 69 (6) ◽  
pp. 311-317
Author(s):  
Avani Jain ◽  
Sunil Samdani ◽  
Man Prakash Sharma ◽  
Vinod Meena
Keyword(s):  
Prospective Study ◽  
Temporalis Fascia ◽  
Type 1 Tympanoplasty ◽  
A Prospective Study

scholarly journals Outcome of Interlay Type 1 Tympanoplasty for Large Central Perforation

2021 ◽  
Vol 27 (1) ◽  
pp. 86-91
Author(s):  
Md Mahmudul Huq ◽  
SM Mostofa Qaiyoum ◽  
Md Saifullah Ibne Mannan ◽  
Md Kamruzzaman
Keyword(s):  
Prospective Study ◽  
Uptake Rate ◽  
Chronic Otitis Media ◽  
Hearing Improvement ◽  
Effective Technique ◽  
Medical College ◽  
Type 1 Tympanoplasty ◽  
Central Perforation ◽  
A Prospective Study

Background: Perforation of the tympanic membrane may occur from various reasons. Most of these perforations heal spontaneously, whereas the remaining long-standing perforations that lead to recurrent ear discharge need tympanoplasty. Interlay Type 1 Tympanoplasty,a newer technique has shown promising results with higher success ratein terms of hearing gain and graft uptake. Objective: To analyze the results of interlay Type 1 Tympanoplasty in terms of graft uptake and hearing improvement in cases of inactive mucosal chronic otitis media (COM) with large central perforation. Methods: This is a prospective study of 24 months (January 2018 to December 2019) duration conducted in department of E.N.T, Khulna medical college, Khulna and data was collected from the 60 patients admitted for tympanoplasty. Results were calculated in terms of graft accepted or rejected and decrease in air bone gap. Result: The graft uptake rate in the present study was found to be 91.67% and the patients reported an improvement in terms of hearing. Pre operatively mean air bone gap was 26.5dBand post operatively after 12 weeks mean air bone gap improved to 17.58dB. Conclusion: Interlay Type 1 Tympanoplasty is an effective technique over conventional methods in terms of both graft uptake as well as hearing improvement in large central perforation. Bangladesh J Otorhinolaryngol; April 2021; 27(1): 86-91

Island cartilage vs temporalis fascia in type 1 tympanoplasty: A prospective study

2018 ◽  
Vol 69 (6) ◽  
pp. 311-317 ◽  
Author(s):  
Avani Jain ◽  
Sunil Samdani ◽  
Man Prakash Sharma ◽  
Vinod Meena
Keyword(s):  
Prospective Study ◽  
Temporalis Fascia ◽  
Type 1 Tympanoplasty ◽  
A Prospective Study
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