Document Detail

Cartilage graft or fascia in tympanoplasty in patients with low middle ear risk index (anatomical and audological results).
MedLine Citation:
PMID:  23266869     Owner:  NLM     Status:  MEDLINE    
The aim of this study was to compare anatomic and audiological results of cartilage graft with temporal fascia graft in type 1 tympanoplasty patients with low middle ear risk index (MERI). In this retrospective study, 63 patients that underwent type 1 tympanoplasty with chondroperichondrial island graft between July 2009 and November 2010 were compared with 45 patients in whom temporal muscle fascia was used. Patients in both groups had low MERI values varying between 1 and 3. Five and nine patients underwent masteidectomy in cartilage and fascia group, respectively. Mean duration of follow-up was 11.9 ± 3.7 (5-17) months. Mean value was calculated at pre-operative and post-operative hearing threshold 0.5, 1, 2, 4 kHz, and air bone gap (ABG) gain was compared in both cartilage and fascia groups. when pre-operative and post-operative ABG gain were compared, significant decrease was seen in ABG levels (p < 0.001). However, no significant difference was seen in ABG gain values (p = 0.608), which was 10.1 ± 7.00 dB in cartilage group and 10.8 ± 5.38 dB in fascia group. In both groups, age, sex, and the addition of mastoidectomy procedure had no significant effect on ABG gain and success. Cartilage is a graft material that may be preferred without concern about the effects on hearing results, especially, in patients with low MERI values. The addition of mastoidectomy had no impact on the outcome of operation and audiological results. However, further studies with larger case series may be carried out to further clarify the issue.
Elif Ersoy Callioglu; B Tijen Ceylan; Gokhan Kuran; Sule Demirci; Kamil Gokce Tulaci; Refik Caylan
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Publication Detail:
Type:  Comparative Study; Journal Article; Observational Study     Date:  2012-12-25
Journal Detail:
Title:  European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery     Volume:  270     ISSN:  1434-4726     ISO Abbreviation:  Eur Arch Otorhinolaryngol     Publication Date:  2013 Nov 
Date Detail:
Created Date:  2013-10-07     Completed Date:  2014-05-26     Revised Date:  2014-09-11    
Medline Journal Info:
Nlm Unique ID:  9002937     Medline TA:  Eur Arch Otorhinolaryngol     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  2833-7     Citation Subset:  IM    
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MeSH Terms
Audiometry, Pure-Tone
Auditory Threshold
Cartilage / transplantation*
Fascia / transplantation*
Mastoid / surgery
Middle Aged
Myringoplasty / methods*
Retrospective Studies
Temporal Muscle
Treatment Outcome
Tympanic Membrane Perforation / surgery*
Young Adult
Comment In:
Laryngorhinootologie. 2014 Aug;93(8):502-3

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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