Cartilage palisade tympanoplasty.
Recurrent tympanic membrane perforations are usually caused by underlying conditions such as an adhesive process with a poorly aerated middle ear space, a thermal perforation, infection, or technical error at the time of graft placement. Despite surgical treatment these reperforations pose a significant otologic problem that may lead to the development of chronic otitis media and cholesteatoma. The purpose of this study is to detail the use of a new cartilage palisade tympanoplasty technique that has yielded a 100% tympanic membrane closure rate without recurrent perforations in 52 operated ears over a 2-year period. The acoustic properties of the rebuilt tympanic membrane were analyzed for types I, II, and III tympanoplasty and revealed a significant improvement in the postoperative air bone gap.
Amedee
R G
RG
Department of Otolaryngology, University of Freiburg Medical School, Federal Repulic of Germany.
Mann
W J
WJ
Riechelmann
H
H
D000293:Adolescent; D000328:Adult; D000368:Aged; D002356:Cartilage / Q000637:transplantation*; D002648:Child; D004427:Ear Diseases / Q000503:physiopathology / Q000601:surgery*; D005069:Evaluation Studies as Topic; D005260:Female; D006085:Graft Survival; D006309:Hearing; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012008:Recurrence; D012422:Rupture, Spontaneous; D014432:Tympanic Membrane; D014433:Tympanoplasty / Q000379:methods*