scholarly journals Pediatric Type 1 Cartilage Tympanoplasty: Comparison between Graft Success Rates and Hearing Results in Adults

2016 ◽  
Vol 12 (3) ◽  
pp. 257-260 ◽  
Author(s):  
Gultekin Ovet ◽  
Necat Alatas ◽  
Mehmet Senturk ◽  
Fatih Guzelkara
Keyword(s):  
Success Rates ◽  
Hearing Results ◽  
Cartilage Tympanoplasty ◽  
Graft Success

scholarly journals Is Allergic Rhinitis a Factor That Affects Success of Tympanoplasty?

2016 ◽  
Vol 59 (1) ◽  
pp. 10-13
Author(s):  
Elif Ersoy Callioglu ◽  
A. Sami Bercin ◽  
Hayati Kale ◽  
Togay Muderris ◽  
Sule Demirci ◽  
...  
Keyword(s):  
Allergic Rhinitis ◽  
Success Rate ◽  
Middle Ear ◽  
Success Rates ◽  
Type 1 Tympanoplasty ◽  
Significant Difference ◽  
Patient Groups ◽  
The Difference ◽  
Graft Success

Objective: The aim of the present study was to investigate the effect of allergic rhinitis on the success of the operation in chronic otitis surgery by using score for allergic rhinitis (SFAR). Materials and Methods: In the present study; 121 patients, who underwent type 1 tympanoplasty were examined retrospectively. SFAR of all patients were recorded. The graft success rates of 26 patients with allergic rhinitis (AR) and 95 patients with no allergic rhinitis group (NAR) were compared. Results: While the graft success rate in NAR group was 89.5%, this rate was 80.8% in the AR group. However, the difference between groups was not statistically significant (p = 0.311). Conclusion: These findings suggest that allergic rhinitis decreases the graft success rate of the pathologies occurring in eustachian tube, middle ear and mastoid although statistically significant difference wasn’t found. Prospective studies with larger patient groups are required in order to evaluate this pathology.

Comparison of endoscopic butterfly-inlay versus endoscopic push-through myringoplasty in repairing anterior perforations of the tympanic membrane

2020 ◽  
Vol 134 (2) ◽  
pp. 128-134 ◽  
Author(s):  
S Gülşen ◽  
B Erden
Keyword(s):  
Tympanic Membrane ◽  
Operative Time ◽  
Operating Time ◽  
Functional Results ◽  
Success Rates ◽  
Open Label ◽  
Hearing Results ◽  
Reasonable Approach ◽  
Average Operative Time ◽  
Graft Success

AbstractObjectiveThe aim of the present study was to evaluate the surgical and functional results of endoscopic butterfly-inlay cartilage myringoplasty and endoscopic push-through myringoplasty in the treatment of anterior perforation of the tympanic membrane.MethodThis open-label randomised clinical study was conducted on 71 patients with small- and medium-sized anterior perforations of the tympanic membrane. Graft success rate, hearing results, operative time and complications were analysed.ResultsGraft success rates for endoscopic butterfly-inlay cartilage myringoplasty and endoscopic push-through myringoplasty were 94.1 and 91.8 per cent, respectively (p > 0.05). Post-operative air–bone gap values significantly improved in both the endoscopic butterfly-inlay cartilage myringoplasty and endoscopic push-through myringoplasty groups. The average operative time was significantly shorter in the endoscopic butterfly-inlay cartilage myringoplasty group (31.5 minutes) compared to the endoscopic push-through myringoplasty group (41.7 minutes; p < 0.05).ConclusionWhen compared with the endoscopic push-through myringoplasty, the endoscopic butterfly-inlay cartilage myringoplasty technique, which is technically easier to perform, does not require packing and has a shorter operating time. It is a reasonable approach for repair of anterior perforations of the tympanic membrane.

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.

Double-Layered (Cartilage Island + Extra Perichondrium) Graft for Type 1 Tympanoplasty

2020 ◽  
Vol 163 (4) ◽  
pp. 806-813
Author(s):  
Onur Ismi ◽  
Kemal Gorur ◽  
Harun Gur ◽  
Cengiz Ozcan ◽  
Yusuf Vayisoglu
Keyword(s):  
Risk Index ◽  
Retrospective Chart Review ◽  
Layered Composite ◽  
Success Rates ◽  
Mild Disease ◽  
Type 1 Tympanoplasty ◽  
Tertiary Center ◽  
Risk Patients ◽  
Graft Success

Objective To compare the graft success rates and hearing results of single-layered (composite island) grafting (SLG) vs double-layered (composite plus second layer of perichondrium) grafting (DLG) for over-under type 1 tympanoplasty techniques. Study Design Retrospective chart review. Settings Tertiary center otorhinolaryngology clinic. Subjects and Methods Medical charts of the patients who underwent type 1 tympanoplasty via the microscopic technique by a single surgeon between 2015 and 2019 were analyzed. Results A total of 48 patients were included. The DLG (n = 26) group had higher graft take rates as compared to the SLG group (n = 22) for all patients ( P = .038) and for moderate- to high-risk patients according to Middle Ear Risk Index (MERI) scores ( P = .029) but not for patients with mild disease ( P = .429) or myringosclerotic patients ( P = .242). The DLG group exhibited higher air-bone gap closure (C-ABG) values as compared to the SLG group for all patients ( P = .018). However, there was no noticeable difference in C-ABG values within the patients with successful grafting ( P = .217). Only graft success status had a significant effect on C-ABG values when the multivariate linear regression was performed. ( P = .016). Higher MERI scores and presence of myringosclerosis were related to the unsuccessful grafting ( P < .01). Conclusion DLG tympanoplasty is encouraged, especially for patients with higher MERI scores, to increase the graft success rates. Better hearing outcomes of DLG tympanoplasty were related to the higher graft success status of this technique; DLG had no additional hearing effect for patients with successful grafting. Higher MERI scores and presence of myringosclerosis were related to graft failure.

Endoscopic cartilage tympanoplasty in chronic otitis media

2015 ◽  
Vol 129 (11) ◽  
pp. 1073-1077 ◽  
Author(s):  
A Özgür ◽  
E Dursun ◽  
Ö Ç Erdivanli ◽  
Z Ö Coşkun ◽  
S Terzi ◽  
...  
Keyword(s):  
Otitis Media ◽  
Chronic Otitis Media ◽  
Type I ◽  
Success Rates ◽  
Hearing Improvement ◽  
Endoscopic Techniques ◽  
Cartilage Tympanoplasty ◽  
Graft Success ◽  
Endoscopic Cartilage Tympanoplasty ◽  
Endoscopic Tympanoplasty

AbstractObjectives:The use of endoscopic techniques is becoming more widespread in otological and neuro-otological surgery. One such procedure, endoscopic tympanoplasty, is used in chronic otitis media treatment. This study aimed to analyse the results of endoscopic transcanal cartilage tympanoplasty.Methods:Data of tubotympanic chronic otitis media patients who underwent transcanal endoscopic type I cartilage tympanoplasty between June 2012 and May 2013 were analysed. The main outcome measures were graft success and hearing improvement.Results:Graft success rates were 94.3 per cent and 92.5 per cent at post-operative months one and six, respectively. Post-operative air–bone gap values were significantly improved over pre-operative values (p < 0.01).Conclusion:Transcanal endoscopic type I cartilage tympanoplasty is a minimally invasive, effective and reliable surgical treatment option for chronic otitis media.

scholarly journals The effect of perforation size and site on graft success and hearing in Type 1 Cartilage Tympanoplasty

2020 ◽  
Author(s):  
Mehmet Fatih KARAKUŞ ◽  
Süleyman Emre KARAKURT ◽  
Mustafa ÇOLAK ◽  
Haci Hüseyin DERE
Keyword(s):  
Cartilage Tympanoplasty ◽  
Graft Success

Pediatric type 1 cartilage tympanoplasty outcomes: A comparison of short and long term hearing results

2018 ◽  
Vol 45 (4) ◽  
pp. 722-727 ◽  
Author(s):  
Isa Kaya ◽  
Murat Benzer ◽  
Sercan Gode ◽  
Furkan Sahin ◽  
Cem Bilgen ◽  
...  
Keyword(s):  
Hearing Results ◽  
Cartilage Tympanoplasty ◽  
Short And Long Term

Short-term Subjective and Objective Outcomes of Patients Receiving Endoscopic Transcanal Myringoplasty for Repairing Tympanic Perforations

2017 ◽  
Vol 158 (2) ◽  
pp. 337-342 ◽  
Author(s):  
Chih-Chieh Tseng ◽  
Ming-Tang Lai ◽  
Chia-Che Wu ◽  
Sheng-Po Yuan ◽  
Yi-Fang Ding
Keyword(s):  
Tertiary Care ◽  
Routine Activities ◽  
University Hospital ◽  
Secondary Outcome ◽  
Success Rates ◽  
Short Term ◽  
Hearing Results ◽  
The Mean ◽  
Graft Success ◽  
Objective Outcomes

Objective Endoscopic transcanal myringoplasty (ETM) has been an emerging technique for repairing tympanic perforations since the late 1990s. Objective outcomes (ie, graft success rates and hearing results) of patients who received ETM are well documented; however, subjective outcomes of these patients have rarely been reported. Hence, this study evaluated subjective and objective outcomes of patients who received ETM for repairing tympanic perforations. Study Design Prospective study. Setting Tertiary care university hospital. Patients and Methods Patients who underwent ETM for perforations of the tympanic membrane were included. We evaluated subjective variables of patients receiving ETM as the primary outcome and objective variables as the secondary outcome. Results In total, 91 ears that underwent ETM were included. The mean pain scale score was 0.1 (range, 0-2) on postoperative day 3. The mean duration of pain medication was 2.0 (range, 0-3) days. The mean number of days required to resume routine activities was 1.0 (range, 1-2) days. The overall graft success was determined postoperatively at 3 months in 80 of 91 ears (87.9%). Closure of the air-bone gap to within 20 dB was achieved in 79 (86.8%) ears. Conclusion In this study, patients who received ETM had mild postoperative pain and resumed routine activities early. These patients also exhibited favorable graft success rates and hearing results at 3 months postoperatively. On the basis of our results, we conclude that patients who receive ETM for the repair of tympanic perforations have favorable short-term subjective and objective outcomes.

1548: Racial Disparities in Kidney-Transplant Graft Outcomes, with a Proposal to Improve Graft Success Rates

2005 ◽  
Vol 173 (4S) ◽  
pp. 419-419
Author(s):  
Constance Marks ◽  
Carlumandarlo E.B. Zaramo ◽  
Joan M. Alster ◽  
Charles Modlin
Keyword(s):  
Racial Disparities ◽  
Kidney Transplant ◽  
Success Rates ◽  
Graft Success
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