Cartilaginous bending spring for preventing tympanic membrane graft medialisation in anterior or subtotal tympanic membrane perforations—how I do it

BACKGROUND: The reconstruction of anterior or subtotal tympanic membrane perforations is critical due to the risk of anterior graft medialisation and retraction or recurrent perforation. METHOD: After reconstruction of the tympanic membrane by means of grafting, a rectangular cartilage strut (length...

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Autores principales: Mantsopoulos, Konstantinos, Iro, Heinrich, Hornung, Joachim
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2021
Materias:
How I do it
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8165053/
https://www.ncbi.nlm.nih.gov/pubmed/33884500
http://dx.doi.org/10.1007/s00405-021-06814-5
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author Mantsopoulos, Konstantinos
Iro, Heinrich
Hornung, Joachim
author_facet Mantsopoulos, Konstantinos
Iro, Heinrich
Hornung, Joachim
author_sort Mantsopoulos, Konstantinos
collection PubMed
description BACKGROUND: The reconstruction of anterior or subtotal tympanic membrane perforations is critical due to the risk of anterior graft medialisation and retraction or recurrent perforation. METHOD: After reconstruction of the tympanic membrane by means of grafting, a rectangular cartilage strut (length 6 mm, breadth 2 mm, thickness 0.1 mm) is prepared using a cartilage knife and scalpel. This strut graft is placed between the cartilage graft and the promontory in the anterior inferior part of the middle ear cavity. CONCLUSION: Our experience shows that using a U-shaped cartilage strut to sustain the tympanic reconstruction effectively prevents the medialisation of the graft and recurrent perforations. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00405-021-06814-5.
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spelling pubmed-81650532021-06-17 Cartilaginous bending spring for preventing tympanic membrane graft medialisation in anterior or subtotal tympanic membrane perforations—how I do it Mantsopoulos, Konstantinos Iro, Heinrich Hornung, Joachim Eur Arch Otorhinolaryngol How I do it BACKGROUND: The reconstruction of anterior or subtotal tympanic membrane perforations is critical due to the risk of anterior graft medialisation and retraction or recurrent perforation. METHOD: After reconstruction of the tympanic membrane by means of grafting, a rectangular cartilage strut (length 6 mm, breadth 2 mm, thickness 0.1 mm) is prepared using a cartilage knife and scalpel. This strut graft is placed between the cartilage graft and the promontory in the anterior inferior part of the middle ear cavity. CONCLUSION: Our experience shows that using a U-shaped cartilage strut to sustain the tympanic reconstruction effectively prevents the medialisation of the graft and recurrent perforations. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00405-021-06814-5. Springer Berlin Heidelberg 2021-04-21 2021 /pmc/articles/PMC8165053/ /pubmed/33884500 http://dx.doi.org/10.1007/s00405-021-06814-5 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle How I do it
Mantsopoulos, Konstantinos
Iro, Heinrich
Hornung, Joachim
Cartilaginous bending spring for preventing tympanic membrane graft medialisation in anterior or subtotal tympanic membrane perforations—how I do it
title Cartilaginous bending spring for preventing tympanic membrane graft medialisation in anterior or subtotal tympanic membrane perforations—how I do it
title_full Cartilaginous bending spring for preventing tympanic membrane graft medialisation in anterior or subtotal tympanic membrane perforations—how I do it
title_fullStr Cartilaginous bending spring for preventing tympanic membrane graft medialisation in anterior or subtotal tympanic membrane perforations—how I do it
title_full_unstemmed Cartilaginous bending spring for preventing tympanic membrane graft medialisation in anterior or subtotal tympanic membrane perforations—how I do it
title_short Cartilaginous bending spring for preventing tympanic membrane graft medialisation in anterior or subtotal tympanic membrane perforations—how I do it
title_sort cartilaginous bending spring for preventing tympanic membrane graft medialisation in anterior or subtotal tympanic membrane perforations—how i do it
topic How I do it
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8165053/
https://www.ncbi.nlm.nih.gov/pubmed/33884500
http://dx.doi.org/10.1007/s00405-021-06814-5
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