Revision Myringoplasty Using Thin-Sliced Cartilage for Postoperative Reperforation in Patients with Chronic Otitis Media
| Autor: | Hideaki Suzuki, Koichi Hashida, Takahisa Tabata, Hiroki Koizumi, Takuro Kitamura, Yasuhiro Kise |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent medicine.medical_treatment Perforation (oil well) Temporal fascia 03 medical and health sciences Myringoplasty Young Adult 0302 clinical medicine Recurrence otorhinolaryngologic diseases medicine Perichondrium Humans 030223 otorhinolaryngology Fibrin glue Tympanic Membrane Perforation Aged Aged 80 and over business.industry Public Health Environmental and Occupational Health General Medicine Tympanoplasty Middle Aged Plastic Surgery Procedures Surgery Otitis Media medicine.anatomical_structure Cartilage Hearing level 030220 oncology & carcinogenesis Chronic Disease Female business |
| Zdroj: | Journal of UOEH. 38(3) |
| ISSN: | 0387-821X |
| Popis: | Myringoplasty is one of the basic procedures in otologic surgery, and is important to achieve good hearing outcome. The temporal fascia is most widely used and considered to be a stable graft in this procedure, although 10-20% of patients develop reperforation after surgery, which is often hard to repair, even by revision surgery. We herein conducted revision myringoplasty using a cartilage graft to repair postoperative reperforation in 7 patients (8 ears) with chronic otitis media. The patients were 3 males and 4 females, aged 13-80 years with an average of 53.9 years. A cartilage graft was harvested from the tragus, sliced in 0.3 mm thickness with perichondrium attached on one side, and trimmed into an appropriate shape and size. The graft was then underlaid beneath the perforation and fixed with fibrin glue. The operation was Wullstein type I tympanoplasty in 5 ears and myringoplasty in 3 ears, using the temporal fascia in 7 ears and subcutaneous tissue in 1 ear. The postoperative follow-up period ranged from 16 to 44 months with an average of 30.0 months. Perforation of the tympanic membrane was successfully closed in 7 ears (87.5%). Hearing outcome was judged successful in 5 ears (62.5%) according to the criteria of the Otological Society of Japan (postoperative hearing level30 dB, hearing gain15 dB, or postoperative air-bone gap15 dB). These results indicate that cartilage is a stable and reliable graft material for revision myringoplasty to repair postoperative reperforation in patients with chronic otitis media. |
| Databáze: | OpenAIRE |
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