Long-term results of palisade cartilage tympanoplasty.
OBJECTIVE
Evaluation of morphologic and functional long-term results of palisade cartilage tympanoplasty (PCT) combined with titanium ossicular replacement prostheses.


METHODS
Retrospective review of tympanoplasties.


METHODS
Tertiary referral center.


METHODS
Twenty-nine patients (12 women and 17 men; mean age, 39 yr; range, 17-72 yr) operated on more than 9 years ago (mean follow up, 9.1 yr) because of cholesteatoma, adhesive otitis, chronic otitis media, subtotal tympanic membrane defects, and tympanic fibrosis requiring tympanoplasty.


METHODS
Tympanoplasty, applying the PCT. For ossiculoplasty, total or partial titanium ossicular replacement prostheses were used.


METHODS
Questionnaire on postoperative course, otoscopic findings, and hearing results using a 4-frequency pure-tone average air-bone gap.


RESULTS
A recurrent defect was not observed. The graft take rate was 100%. There was one case of prosthesis protrusion which required revision surgery and insertion of a shorter prosthesis. A pure-tone average air-bone gap of 0 to 10 dB was seen preoperatively in 1 ear, 11 to 30 dB in 16 ears, and 31 to 59 dB in 12 ears. Postoperatively, the corresponding numbers were 10, 15, and 4 ears.


CONCLUSIONS
The PCT is a reliable surgical method to manage difficult middle ear pathology on a long-term (>9 yr) basis. It offers satisfactory morphologic and functional results in combination with titanium prosthesis ossiculoplasty.
Neumann
Andreas
A
Department of Otolaryngology, Staedt, Kliniken Neuss, Neuss, Germany. aneumann@lukasneuss.de
Kevenhoerster
Kevin
K
Gostian
Antoniu Oreste
AO
D000293:Adolescent; D000328:Adult; D000368:Aged; D001301:Audiometry, Pure-Tone; D002356:Cartilage / Q000601:surgery* / Q000637:transplantation; D003054:Cochlear Implants; D004427:Ear Diseases / Q000601:surgery; D004429:Ear Ossicles / Q000601:surgery; D004432:Ear, Middle / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D038781:Otoscopy; D019919:Prosthesis Implantation; D012086:Reoperation; D014025:Titanium; D016896:Treatment Outcome; D014432:Tympanic Membrane / Q000601:surgery; D014433:Tympanoplasty / Q000379:methods*; D055815:Young Adult
D014025:Titanium