Factors Affecting Success and Results of Cartilage-Perichondrium Island Graft in Revision Tympanoplasty
| Autor: | Leyla Sahan, Murat Sahan, Mehmet Deveer, Neşat Çullu, Serhan Derin, Omer Saglam |
|---|---|
| Přispěvatelé: | MÜ |
| Rok vydání: | 2014 |
| Předmět: |
medicine.medical_specialty
Air conduction Absolute threshold of hearing business.industry Cartilage medicine.medical_treatment Graft Survival Perforation (oil well) Mastoidectomy General Medicine Tympanoplasty Surgery medicine.anatomical_structure Otorhinolaryngology medicine Perichondrium In patient business |
| Zdroj: | The Journal of International Advanced Otology. 10:64-67 |
| ISSN: | 2148-3817 1308-7649 |
| DOI: | 10.5152/iao.2014.014 |
| Popis: | WOS: 000338056400014 OBJECTIVE: The chance of complete postoperative healing of the tympanic membrane is relatively low due to poor blood supply of the graft in patients who undergo revision tympanoplasty. The aim of this study is to assess postoperative healing and the factors affecting closure of the tympanic membrane and hearing gain after revision tympanoplasty with cartilage-perichondrium island graft. MATERIALS and METHODS: This study was conducted as a retrospective review of charts of patients who underwent revision tympanoplasty with composite cartilage-perichondrium island graft at our clinic. Patients who underwent radical or modified radical mastoidectomy for the treatment of cholesteatoma and who had stapes fixation were excluded. All grafts were placed using over-under technique. Ossiculoplasty and mastoidectomy were performed as needed. Closure of the tympanic membrane and hearing thresholds were evaluated at the end of postoperative year 1. RESULTS: Thirty-three cases, 14 females and 19 males with mean age 37.5 +/- 12.7, were included in the study. Ossiculoplasty was performed in 8 cases, and mastoidectomy was added to tympanoplasty in 12 cases. Tympanic membrane was intact in 29 cases (87.4%) in the 12th postoperative month. Large perforation, adhesive tympanic membrane, and especially hypertrophic middle ear mucosa were found to have negative impact on success of graft (p |
| Databáze: | OpenAIRE |
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