Preparation and placement of cartilage island graft in tympanoplasty

Revista Brasileira de Otorrinolaringologia

Yurttas, Veysel¹  Kutluhan, Ahmet²  Yakut, Fatih³ 

[1] Abant izzet Baysal University, Bolu, Turkey;Ankara Atatürk Teaching and Research Hospital, Ankara, Turkey;Kapadokya Private Hospital, Nevehir, Turkey

关键词: Ear cartilage;    Otorhinolaryngologic surgical procedures;    Tympanic membrane perforation.;   

DOI  :  10.1016/j.bjorl.2014.08.007

学科分类：医学（综合）

来源: Associacao Brasileira de Otorrinolaringologia e Cirurgia Cervicofacial

【 摘 要 】

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.

【 授权许可】

CC BY