The treatment of the ears with advanced pathology using a composite graft of perichondrium and cartilage.
In ears with advanced pathology the functional and anatomical results of a surgical procedure depend on factors such as total perforation, tympanosclerosis. Atelectasis. Suppuration or possibility a previous operation. A Perichondrium-Cartilage Composite Graft (PCCG) was used to repair the tympanic membrane by a total of 350 cases over a five-year period in total, 157 type I tympanoplasty procedures (15% with previous surgery) and 193 type III procedures (52% with previous surgery) were carried out. The graft was obtained from the tragus and/or the conceal cartilage. Two slightly different surgical techniques were used. Closure of the perforation in the tympanic membrane was successful in 94% of the procedures. An < or = 30 dB in 79% of the type III procedures. In conclusion, the PCCG is a reliable graft in cases of advances middle ear damage
Bogris
Konstantinos
K
ENT--Head and Neck Surgeons,Nikaia General Hospital Saint Panteleimon Greece. bogrisk@ath.forthnet.gr
Sylligardakis
Nikolaos
N
Stavropoulos
Nikolaos
N
Condilis
Nicolas
N
Kalogridaki
Irini
I
D001299:Audiometry; D001844:Bone Conduction; D002356:Cartilage / Q000637:transplantation*; D018424:Cholesteatoma, Middle Ear / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008416:Mastoid / Q000601:surgery; D018579:Patient Selection; D013997:Time Factors; D016896:Treatment Outcome; D018058:Tympanic Membrane Perforation / Q000601:surgery*; D014433:Tympanoplasty / Q000145:classification / Q000379:methods*