Underlay Versus Modified Circumferential Subannular Graft Technique in Endoscopic Tympanoplasty

Background and Objectives To describe and evaluate modified circumferential subannular tympanoplasty (MCST) via endoscopic approach, we compared the results of MCST to those of the underlay technique and the results of previous studies.Subjects and Method A retrospective comparative study was conducted of 31 patients who underwent endoscopic transcanal tympanoplasty. Patients were classified into the MCST group (n=11) and the underlay group (n=20) according to the graft technique. Demographic data, size and location of the perforation, pre- and postoperative hearing, operating time, complication rate, and graft success rate were analyzed in each group.Results No significant differences between the two groups were observed in the demographic data or the locations of the perforations. The sizes of the perforations were 31.4±14.3% and 25.0±18.1%, respectively. The average operating times were 68.6±16.5 min and 64.9±9.3 min, respectively, and canaloplasty was not required in any patient. The postoperative hearing improvement and air-bone gap were not significantly different. No postoperative complications were observed in either group.Conclusion MCST is a feasible and effective technique for endoscopic transcanal tympanoplasty. The postoperative results and operating times of MCST were comparable to those of other graft techniques. MCST showed more stable results in anterior perforation than in underlay graft.

Post penetrating keratoplasty infectious keratitis: Clinico-microbiological profile and predictors of outcome

Purpose To study the clinico-microbiological profile, outcomes and prognostic factors of post penetrating keratoplasty (PKP) infectious keratitis. Methods Retrospective review of medical records of 78 patients with post PKP infectious keratitis presenting between January 2014 and December 2018. Demographic, clinical and microbiological profile was documented and predictors of treatment and graft success were evaluated using univariate and subsequent multivariate logistic regression analysis. Results Mean age of patients was 52.17 ± 15.51 years and mean infiltrate size was 19.39 ± 19.68 mm2. Mean duration of presentation with infection post PKP was 11.66 ± 10.65 months. Culture positivity was seen in 64 eyes (82.05%). Bacterial growth was observed in 47 eyes (60.25%), fungal growth in 17 (21.79%) and no microbiological growth in 14 eyes (17.94%). At 3 months the visual acuity (VA) improved in 37 eyes (47.44%), did not change in 27 (34.62%) and deteriorated in 14 (17.95%). Graft failure was noted in 53 eyes (73.08%). Surgical intervention was needed in 47 (60.25%) eyes of which most common was therapeutic PKP in 32 eyes (41.02%). Treatment failure was noted with fungal infection ( p = 0.05), poorer vision at presentation ( p = 0.02), larger infiltrate area ( p = 0.002) and graft infection developing before 1 year ( p = 0.02). Graft failure was noted with associated endophthalmitis ( p = 0.02), poorer VA at presentation ( p = 0.01) and larger infiltrate area ( p = 0.02). Conclusion Post PKP infectious keratitis is a sight threatening ocular condition. It is associated with high incidence of graft failure and frequently requires surgical intervention. Fungal etiology, larger infiltrate size, poorer vision at presentation and associated endophthalmitis carries a poorer prognosis.

Effect of Grafting Dates on Success and Growth of Kumquat (Fortunella japonica Swingle) Sapling

An experiment was carried out to study the effect of grafting dates on the success and growth of kumquat sapling during 2017-18 at Banepa, Kavre to standardize suitable grafting time. The experiment was conducted in a single factor completely randomized design with five treatments and three replications. The treatments consisted of five grafting dates which viz., 25th November, 10th December, 25th December, 10th January and 25th January. Scion collected from the mother plant of kumquat was grafted onto two years old trifoliate orange rootstock by side veneer method at 15 days intervals under screen house. The data were recorded at every 30 days interval and found a significant effect of grafting dates on most of the economically important parameters such as graft success percent, the mortality of sprouted grafts, sapling height, number of leaves per sapling and leaf area. The result revealed that 100% graft success was observed on the grafts prepared in January. The highest mortality (13.68±0.58%) was reported on 25th November grafted sapling. The sapling height (39.68±3.68 cm), number of leaves per sapling (23.12±3.43) and leaf area (16.34±1.05 cm2) were found superior for 10th January grafted sapling while the number of primary and secondary branches per sapling were found non-significant for all grafting dates. Therefore, the study revealed that 10th January was the most suitable time for grafting of kumquat under Kavre, Nepal conditions.

Effect of Root Trainer on the Success of Grafting and the Survival Rate of Cashew Tree [Anacardium occidentale L.(Anacardiaceae)] in Field

Grafting is the most widespread vegetative propagation technique in cashew tree (Anacardium occidentale L.). Usually, cashew plant grafting are done on seedlings in plastic bags in nursery. In addition, to the low success rate, grafted plants have a low viability rate in field because main roots were broken during their transfer to the field. This study was carried out to evaluate the grafting success and survival rate of cashew seedlings planted in root trainer with different size (250 cc, 500 cc and 1000 cc). Each type of container was filled with two different growing substrates: coconut fiber and sawdust. Results showed that large size root trainers (1000 cc) have the highest percentage of graft success (96.67%). Rootstocks 45 days old presented the highest percentage of graft success in nursery (94.31%). The longest scions (12 cm) presented the minimum sprouting time (18.21 days). In the field, survival rate 100% of the grafted plants was recorded. In addition to the high survival rate ensured in field, root trainer is eco-friendly reusable and it light nature can prove a profitable technology for raising cashew elite plants regeneration.

Does concurrent adenoidectomy or tonsillectomy affect the graft success rate of cartilage myringoplasty in adults?

Background The objective of this study was to evaluate the graft success and hearing outcomes of concurrent adenoidectomy or tonsillectomy and myringoplasty. Methods Medical case notes were reviewed for all adult patients with dry perforations who had undergone myringoplasty, with or without concurrent throat surgery, from December 2015 to February 2018. The study population was divided into concurrent myringoplasty and throat surgery (Group A) and single myringoplasty (Group B) groups. The air–bone gap (ABG) and graft success rate were evaluated in both groups. Results A total of 131 ears of 131 patients were included in this study. In total, 33 ears of 33 patients were assigned to Group A and 98 to Group B. Of the 33 patients in Group A, adenoid residue was detected in 3, chronic tonsillitis in 21, and tonsil hypertrophy in 9. The graft success rate was 96.9 % in Group A and 96.9 % in Group B at 6 months postoperatively (p = 0.993). In addition, the graft success rate was 87.9 % in Group A and 92.8 % in Group B at 24 months postoperatively (p = 0.372). Reperforation occurred in three patients in Group A and four in Group B; the difference was not significant. No significant group differences were observed in preoperative (p = 0.654) or postoperative (p = 0.791) ABG values or mean ABG gain (p = 0.439). No patient in either group developed cholesteatoma of the middle ear. Conclusions Simultaneous adenoidectomy or tonsillectomy and myringoplasty is feasible but does not improve the graft success rate or hearing outcome.

EFFICIENCY OF VEGETATIVE PROPAGATION OF CAJÁ-DE-JABUTI UNDER CONCENTRATIONS OF INDOLEBUTYRIC ACID AND GRAFTING METHODS

ABSTRACT The objectives of the tests were to evaluate concentrations of indolebutyric acid (IBA) combined with different types of cuttings and grafting methods on the vegetative propagation of cajazeira-dejabuti (S. testudinis). The experiment with stem cuttings was conducted in a greenhouse with an intermittent misting system. The experimental design was completely randomized in a 5 x 6 factorial arrangement consisting of five cutting types: apical, medial, basal, stratified, and tanchan, and six IBA concentrations: 0, 1,000, 2,000, 3,000, 4,000, and 5,000 mg kg-1, with four replications of ten cuttings. The experiment with the root cuttings followed a randomized block design composed of six IBA concentrations (0, 1,000, 2,000, 3,000, 4,000, and 5,000 mg kg-1) with four replications, evaluating after 120 days the percentages of live, sprouted, rooted, and calloused cuttings, and the number and dry mass of roots and sprouts. Five grafting methods (chip budding, shield budding, cleft grafting, wedge grafting, and splice grafting) were tested by evaluating the graft success and sprouting percentages at 30 and 60 days after grafting, respectively. Statistical analyses were performed using the Kruskal-Wallis non-parametric test. The IBA concentrations of 0, 2,000, 3,000, and 5,000 mg kg-1 increased the number of sprouts in tanchan cuttings. The tanchan cuttings showed the highest survival and percentage of sprouts regardless of the IBA concentration. The IBA concentration of 2,200 mg kg-1 promotes higher rooting rates in root cuttings. Splice grafting provides higher graft success and sprouting rates.

Combining Ability and Heterosis for Root Structure and Graft-Related Traits of Interspecific Cucurbita Rootstocks

Interspecific hybrid Cucurbita rootstocks (Cucurbita maxima × Cucurbita moschata) are the most widely used rootstocks for Cucurbitaceous vegetables in the world. In recent years, scientists have focused on understanding and exploiting root architectures as new opportunities for crop improvement. Selection of parents and hybrids based on combining ability test is an effective approach in interspecific hybrid variety breeding. However, very little information is available on the combining ability tests for the rooting and graft-related traits in these rootstocks. Ondokuz Mayis University and Black Sea Agricultural Research Institute are conducting a program to breed Cucurbita rootstocks of Turkey for fifteen years. In this study, seven C. maxima (BC5F1 generation) lines as female parents and three C. moschata (S6 generation) lines as male parents were used to obtain 21 crosses. Interspecific hybrids and their parent rootstocks grafted onto watermelon were analyzed in terms of general combining ability (GCA), specific combining ability (SCA), heritability, and heterosis for roots and graft-related traits including root volume (cm3), root length (m), root dry weight (g), hairy root rate (%), average root diameter (mm), shoot dry weight (g), graft success rate (%), and hypocotyl thickness ratio (%) by using line × tester mating design. The quotient of GCA/SCA effects for all root and hypocotyl traits were higher than 1, suggesting the preponderance of additive over non-additive gene action in the expression of these traits, whereas graft success was controlled by additive and non-additive gene effects. It was determined that average root diameter had high heritability (63.85%) and the other traits had intermediate heritability ranging from 40.59% to 58.98%. Combining ability analyses indicated that FTS5, GH12, and GRD17 lines were promising parents with greater general combining ability. Three crosses, GRD17 × FTS5, B12 × FTS5, and BH5 × CHI2 showed superior mid-parent heterosis and significant SCA for most characters. Present findings will provide significant contributions in understanding of inheritance and then achieving desirable improved rootstocks in C. maxima × C. moschata.