medigraphic.com
Anales de Otorrinolaringología Mexicana

2014, Number 4

<< Back Next >>

Otorrinolaringología 2014; 59 (4)

Tragal cartilage as first choice in tympanoplasty at Hospital Juarez de Mexico

Zúñiga-Morales CE, Juárez-Nieto OJ

Language: Spanish
References: 10
Page: 226-231
PDF size: 342.15 Kb.


ABSTRACT

Objective: To determine de effectiveness of tragal cartilage graft for the reconstruction of the tympanic membrane and the effects on sound transmission.
Material and method: A prospective study was done including all the patients with tympanic perforation attended at the department of Otolaryngology from November 2010 to June 2012 that needed tympanoplasty as unique or complementary procedure.
Results: The study included 52 patients, 25 women; 98% of patients achieved total integrity of the graft. In the basal audiogram we found a prevalence of medium hearing loss; after the study the average gain were 40dB in the audiogram.
Conclusions: Tragal cartilage graft is an effective material for the reconstruction of the tympanic membrane with good audiological results.


REFERENCES

  1. Rizer FM. Overlay versus underlay tympanoplasty. Part I: historical review of the literature. Laryngoscope 1997;107:1-25.

  2. Rizer FM. Overlay versus underlay tympanoplasty. Part II: the study. Laryngoscope 1997;107:26-36.

  3. Zahnert T, Huttenbrink KB, Murbe D, et al Experimental investigations of the use of cartilage in tympanic membrane reconstruction. Am J Otol 2000;21:322-328.

  4. Gerber MJ, Mason JC, Lambert PR. Hearing results after primary cartilage tympanoplasty. Laryngoscope 2000;110:1994-1999.

  5. Amedee RG, Mann WJ, Riechelmann H. Cartilage palisade tympanoplasty. Am J Otol 1989;10:447-450.

  6. Milewski C. Composite graft tympanoplasty in the treatment of ears with advanced middle ear pathology. Laryngoscope 1993;103:1352-1356.

  7. Hüttenbrink KB. Biomechanical aspects of middle era reconstruction. In: Jahnke K, editor. Middle Ear Surgery. Stuttgart, New York: Thieme, 2004;1-51.

  8. Amorós-Sebastiá LI y col. Timpanoplastia con cartílago. Tres años de experiencia. Acta Otorrinolaringol Esp 2002;53:578-582.

  9. Altuna X, et al. Miringoplastia con cartílago en Isla. Resultados anatómicos y funcionales de 122 casos. Acta Otorrinolaringol Esp 2009;51:100-105.

  10. Dornhoffer JL. Cartilage tympanoplasty: indications, techniques and outcomes in a 1000 patient series. Laryngoscope 2003;113:1844-1856.




2020     |     www.medigraphic.com