[Use of dehydrated temporal fascia in chronic otitis media surgery and tympanoplasty].
OBJECTIVE
We evaluated the use of homograft dehydrated temporal fascia (Tutoplast) in repair of tympanic membrane perforations secondary to chronic otitis media.


METHODS
Dehydrated temporal fascia was used during tympanoplasty in 17 patients (10 females, 7 males; mean age 34 years; range 15 to 53 years) with chronic otitis media. Operations were type 1 tympanoplasty in six patients, tympanoplasty and mastoidectomy in three patients, and revision tympanoplasty and/or mastoidectomy in the remaining patients. The patients were followed-up for at least two years.


RESULTS
Complete wound healing was achieved without complications, and the material used was well tolerated in all the patients. Only one patient had a small perforation. The tympanic membranes were anatomically intact in 16 patients (94%).


CONCLUSIONS
The use of dehydrated temporal fascia provides maximum microsurgical comfort due to its soft, flexible feature and maintenance of its delicacy even in contact with blood. Thus, dehydrated temporal fascia should be considered for selected cases for its ease of use and anatomical success.
Aslan
Sündüs
S
Department of Otolaryngology, Medicine Faculty of Gazi University, Ankara, Turkey. drsundus@gmail.com
Uslu
Sabri
S
Köybaşioğlu
Ahmet
A
Oz
Ovgü
O
Ileri
Fikret
F
Ozbilen
Suat
S
D000293:Adolescent; D000328:Adult; D002908:Chronic Disease; D003890:Desiccation; D005205:Fascia / Q000637:transplantation*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008416:Mastoid / Q000601:surgery; D008875:Middle Aged; D009225:Myringoplasty / Q000379:methods*; D010033:Otitis Media / Q000150:complications*; D013703:Temporal Muscle; D016896:Treatment Outcome; D018058:Tympanic Membrane Perforation / Q000209:etiology / Q000601:surgery*; D014945:Wound Healing / Q000502:physiology; D055815:Young Adult