How we do it: free conchal cartilage revisited for primary reconstruction of attic defects in combined approach tympanoplasty.
Keypoints * There are concerns over the efficacy of free cartilage autografts in attic reconstruction (scutumplasty) for combined approach tympanoplasty (CAT). * Our operative technique uses free conchal cartilage autografts and an additional piece of conchal cartilage to buttress the reconstruction. * Of the 16 cases where this technique was used, there were two cases (13%) of failure of the attic reconstruction and a keratin pearl (residual disease) in one case (6%). This compares favourably with comparable series using a variety of reconstruction techniques.
Koury
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Faris
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Sharma
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Quinn
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D018424:Cholesteatoma, Middle Ear / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D012189:Retrospective Studies; D014182:Transplantation, Autologous; D014420:Turbinates / Q000637:transplantation*; D014433:Tympanoplasty / Q000379:methods*