Preparation and placement of cartilage island graft in tympanoplasty
Yükleniyor...
Dosyalar
Tarih
2014
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Assoc Brasileira Otorrinolaringologia & Cirurgia Cervicofacial
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Introduction: Cartilage graft tympanoplasty has a better success rate in the treatment of chronic otitis media if regularly prepared and placed. Objective: To prepare cartilage island material and evaluate its effect on the success rate of tympanoplasty. Methods: The medical records of 87 patients (48 males and 39 females; mean age, 27.3 +/- 11.2 years; range, 14-43 years) with chronic otitis media without cholesteatoma who underwent intact canal-wall-up tympanoplasty and revision surgery between December of 2007 and October of 2011 were retrospectively evaluated. Surgery was performed under general anesthesia via a retroauricular approach. Results: The overall success rate of this technique was 93% in terms of perforation closure. No graft lateralization or displacement into the middle ear occurred. The overall average preoperative air bone gap was 37.27 +/- 12.35 dB, and the postoperative air bone gap was 27.58 +/- 9.84 dB. The mean postoperative follow-up period was 15.3 months (range: 7-21 months). Conclusion: If cartilage graft is properly prepared and placed, cartilage graft tympanoplasty appears to provide better success rates and hearing results. (C) 2014 Associacdo Brasileira de Otorrinolaringologia e Cirurgia Cervico-Facial. Published by Elsevier Editora Ltda. All rights reserved.
Açıklama
Anahtar Kelimeler
Ear Cartilage, Otorhinolaryngologic Surgical Procedures, Tympanic Membrane, Perforation
Kaynak
Brazilian Journal Of Otorhinolaryngology
WoS Q Değeri
Q4
Scopus Q Değeri
Q2
Cilt
80
Sayı
6
