Homologous dura use in problem pocket repair.
Recently the author has noted that the use of dura results in a neo-drum, seemingly more resistant to posterior-superior quadrant retraction than autologous temporalis fascia. This presentation, 25 ears representing 22 patients with follow-up between 26 and 41 months, reflects the particular use now assigned to homologous dura in drum and adjacent area repair; namely, the posterior-superior quadrant and attic. The present use follows disappointment with previous drum repair attempts which in time seemed to be fruitless because progressive retraction with adhesions redeveloped. In a substantial way the use of dura as discussed in this paper is very similar to the use of autologous cartilage as reported by Glasscock with regard to recurrent retraction tendencies.
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D004388:Dura Mater / Q000637:transplantation*; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D014432:Tympanic Membrane / Q000601:surgery*; D014433:Tympanoplasty / Q000379:methods*