Research Article
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Year 2023, Volume: 5 Issue: 1, 43 - 6, 15.01.2023
https://doi.org/10.37990/medr.1149289

Abstract

References

  • 1. Khan MM, Parab SR. Endoscopic cartilage tympanoplasty: A two-handed technique using an endoscope holder. Laryngoscope. 2016;126:1893-8.
  • 2. Wullstein H. Functional operations in the middle ear with split-thickness skin graft. Arch Otorhinolaryngol. 1952;161:422–35.
  • 3. Zollner F. The principles of plastic surgery of the sound-conducting apparatus. J Laryngol Otol. 1955;69:637-52.
  • 4. Iacovou E, Vlastarakos PV, Papacharalampous G, et al. Is cartilage better than temporalis muscle fascia in type I tympanoplasty? Implications for current surgical practice. Eur Arch Otorhinolaryngol. 2013;270:2803-13.
  • 5. Freitas MR, Oliveira TC. The role of different types of grafts in tympanoplasty. Braz J Otorhinolaryngol. 2014;80:275-6.
  • 6. Velepic M, Starcevic R, Ticac R, et al. Cartilage palisade tympanoplasty in children and adults: long term results. Int J Pediatr Otorhinolaryngol. 2012;76:663-6.
  • 7. Yilmaz MS, Guven M, Kayabasoglu G, Varli AF. Comparison of the anatomic and hearing outcomes of cartilage type 1 tympanoplasty in pediatric and adult patients. Eur Arch Otorhinolaryngol. 2015;272:557-62.
  • 8. Dornhoffer JL. Hearing results with cartilage tympanoplasty. Laryngoscope. 1997;107:1094-9.
  • 9. Shelton C, Sheehy JL. Tympanoplasty: review of 400 staged cases. Laryngoscope. 1990;100:679-81.
  • 10. Gerber MJ, Mason JC, Lambert PR. Hearing results after primary cartilage tympanoplasty. Laryngoscope. 2000;110:1994-9.
  • 11. Levinson RM. Cartilage-perichondrial composite graft tympanoplasty in the treatment of posterior marginal and attic retraction pockets. Laryngoscope. 1987;97:1069-74.
  • 12. Yamamoto E, Iwanaga M, Fukumoto M. Histologic study of homograft cartilages implanted in the middle ear. Otolaryngol Head Neck Surg. 1988;98:546-51.
  • 13. Velepic M, Bonifacic M, Manestar D, et al. Cartilage palisade tympanoplasty and diving. Otol Neurotol. 2001;22:430-2.
  • 14. Dornhoffer J. Cartilage tympanoplasty: indications, techniques, and outcomes in a 1,000-patient series. Laryngoscope. 2003;113:1844-56.
  • 15. Yurttas V, Yakut F, Kutluhan A, Bozdemir K. Preparation and placement of cartilage island graft in tympanoplasty. Braz J Otorhinolaryngol. 2014;80:522-6.
  • 16. Abdelhameed W, Rezk I, Awad A. Impact of cartilage graft size on success of tympanoplasty. Braz J Otorhinolaryngol. 2017;83:507-11.
  • 17. Karaman E, Duman C, Isildak H, Enver O. Composite cartilage island grafts in type 1 tympanoplasty: audiological and otological outcomes. J Craniofac Surg. 2010;21:37-9.

Long-Term Results of Tragal Cartilage Type 1 Tympanoplasty

Year 2023, Volume: 5 Issue: 1, 43 - 6, 15.01.2023
https://doi.org/10.37990/medr.1149289

Abstract

Aim: Tympanoplasty is one of the most frequently performed operations by ear, nose, and throat specialists. Surgical treatment of tympanoplasty aims to obtain a healthy ear membrane and minimise hearing loss. The purpose of this study was to evaluate the success of the graft and functional hearing outcomes of patients applied with tragal cartilage type 1 tympanoplasty operation in our clinic.
Materials and Methods: This study included 43 patients who underwent tragal cartilage type 1 tympanoplasty operation between January 2016 and November 2020. A retrospective evaluation was made of the preoperative pure tone audiometry (PTA) values and the operative findings. In the follow-up examination, the graft status and PTA results were recorded. The graft success and improvements in hearing were evaluated in all the patients.
Results: A total of 43 patients were evaluated, comprising 24 males and 19 females with a mean age of 31.2 years (range, 13-58 years). The operation was performed on the right ear of 22 patients and the left ear of 21. The tympanoplasty operation was performed with an endaural approach in 6 cases and a postauricular approach in 37. The mean follow-up period was 20.8 months (range, 12-39 months). The rate of graft success of all the patients was 88.4%. The mean air conduction threshold, air-bone gap, and bone conduction threshold values at 500, 1000, 2000, and 4000 Hz were determined to have statistically significantly decreased postoperatively in comparison with the preoperative values (p<0.05).
Conclusion: In tragal cartilage type 1 tympanoplasty operations, high rates of graft success were obtained and a dramatic gain in hearing postoperatively. 

References

  • 1. Khan MM, Parab SR. Endoscopic cartilage tympanoplasty: A two-handed technique using an endoscope holder. Laryngoscope. 2016;126:1893-8.
  • 2. Wullstein H. Functional operations in the middle ear with split-thickness skin graft. Arch Otorhinolaryngol. 1952;161:422–35.
  • 3. Zollner F. The principles of plastic surgery of the sound-conducting apparatus. J Laryngol Otol. 1955;69:637-52.
  • 4. Iacovou E, Vlastarakos PV, Papacharalampous G, et al. Is cartilage better than temporalis muscle fascia in type I tympanoplasty? Implications for current surgical practice. Eur Arch Otorhinolaryngol. 2013;270:2803-13.
  • 5. Freitas MR, Oliveira TC. The role of different types of grafts in tympanoplasty. Braz J Otorhinolaryngol. 2014;80:275-6.
  • 6. Velepic M, Starcevic R, Ticac R, et al. Cartilage palisade tympanoplasty in children and adults: long term results. Int J Pediatr Otorhinolaryngol. 2012;76:663-6.
  • 7. Yilmaz MS, Guven M, Kayabasoglu G, Varli AF. Comparison of the anatomic and hearing outcomes of cartilage type 1 tympanoplasty in pediatric and adult patients. Eur Arch Otorhinolaryngol. 2015;272:557-62.
  • 8. Dornhoffer JL. Hearing results with cartilage tympanoplasty. Laryngoscope. 1997;107:1094-9.
  • 9. Shelton C, Sheehy JL. Tympanoplasty: review of 400 staged cases. Laryngoscope. 1990;100:679-81.
  • 10. Gerber MJ, Mason JC, Lambert PR. Hearing results after primary cartilage tympanoplasty. Laryngoscope. 2000;110:1994-9.
  • 11. Levinson RM. Cartilage-perichondrial composite graft tympanoplasty in the treatment of posterior marginal and attic retraction pockets. Laryngoscope. 1987;97:1069-74.
  • 12. Yamamoto E, Iwanaga M, Fukumoto M. Histologic study of homograft cartilages implanted in the middle ear. Otolaryngol Head Neck Surg. 1988;98:546-51.
  • 13. Velepic M, Bonifacic M, Manestar D, et al. Cartilage palisade tympanoplasty and diving. Otol Neurotol. 2001;22:430-2.
  • 14. Dornhoffer J. Cartilage tympanoplasty: indications, techniques, and outcomes in a 1,000-patient series. Laryngoscope. 2003;113:1844-56.
  • 15. Yurttas V, Yakut F, Kutluhan A, Bozdemir K. Preparation and placement of cartilage island graft in tympanoplasty. Braz J Otorhinolaryngol. 2014;80:522-6.
  • 16. Abdelhameed W, Rezk I, Awad A. Impact of cartilage graft size on success of tympanoplasty. Braz J Otorhinolaryngol. 2017;83:507-11.
  • 17. Karaman E, Duman C, Isildak H, Enver O. Composite cartilage island grafts in type 1 tympanoplasty: audiological and otological outcomes. J Craniofac Surg. 2010;21:37-9.
There are 17 citations in total.

Details

Primary Language English
Subjects Surgery
Journal Section Original Articles
Authors

Fatih Yücedağ 0000-0002-0658-978X

Ergün Sevil 0000-0003-4740-7214

İsmail Çevik 0000-0003-1270-3144

Early Pub Date January 15, 2023
Publication Date January 15, 2023
Acceptance Date August 24, 2022
Published in Issue Year 2023 Volume: 5 Issue: 1

Cite

AMA Yücedağ F, Sevil E, Çevik İ. Long-Term Results of Tragal Cartilage Type 1 Tympanoplasty. Med Records. January 2023;5(1):43-6. doi:10.37990/medr.1149289

17741

Chief Editors

Assoc. Prof. Zülal Öner
Address: İzmir Bakırçay University, Department of Anatomy, İzmir, Türkiye

Assoc. Prof. Deniz Şenol
Address: Düzce University, Department of Anatomy, Düzce, Türkiye

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