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Impact of cartilage graft size on success of tympanoplasty()

INTRODUCTION: In the last decade, there has been an increasing use of cartilage grafts in the primary repair of tympanic membrane perforations. The major advantages of cartilage are its stiffness and its very low metabolic requirements, which make it particularly suitable for difficult conditions, s...

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Detalles Bibliográficos
Autores principales: Abdelhameed, Waleed, Rezk, Ibrahim, Awad, Alhussein
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9444739/
https://www.ncbi.nlm.nih.gov/pubmed/27502166
http://dx.doi.org/10.1016/j.bjorl.2016.06.005
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author Abdelhameed, Waleed
Rezk, Ibrahim
Awad, Alhussein
author_facet Abdelhameed, Waleed
Rezk, Ibrahim
Awad, Alhussein
author_sort Abdelhameed, Waleed
collection PubMed
description INTRODUCTION: In the last decade, there has been an increasing use of cartilage grafts in the primary repair of tympanic membrane perforations. The major advantages of cartilage are its stiffness and its very low metabolic requirements, which make it particularly suitable for difficult conditions, such as subtotal perforations, adhesive otitis and reoperation. OBJECTIVE: To analyze the impact of different perforation sizes requiring different sizes of cartilage on the anatomical and functional outcome after tympanoplasty. METHODS: Through this prospective non-controlled, non-randomized study, 50 patients underwent cartilage type 1 tympanoplasty (20 females and 30 males), with a mean age of 19.3 ± 9.8 years. According to size of perforation, patients were subdivided into three groups, Group I had perforation >50% of tympanic membrane area, in Group II patients the perforations were 25–50% of tympanic membrane area, and in Group III the perforations were ≤25% of tympanic membrane. All patients had pre and postoperative Pure Tone Average and Air Bone Gap frequencies (0.5, 1, 2, 4 kHz). All patients were followed up at least 12 months after operation. RESULTS: The anatomical success rate among all patients was 92%, all groups showed statistical significant improvement between pre and postoperative air bone gap, no significant correlation between size of cartilage graft and degree of air bone gap improvement was noticed among the three groups. CONCLUSION: Size of a cartilage graft has no impact on degree of hearing improvement or anatomical success rate after tympanoplasty.
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spelling pubmed-94447392022-09-09 Impact of cartilage graft size on success of tympanoplasty() Abdelhameed, Waleed Rezk, Ibrahim Awad, Alhussein Braz J Otorhinolaryngol Original Article INTRODUCTION: In the last decade, there has been an increasing use of cartilage grafts in the primary repair of tympanic membrane perforations. The major advantages of cartilage are its stiffness and its very low metabolic requirements, which make it particularly suitable for difficult conditions, such as subtotal perforations, adhesive otitis and reoperation. OBJECTIVE: To analyze the impact of different perforation sizes requiring different sizes of cartilage on the anatomical and functional outcome after tympanoplasty. METHODS: Through this prospective non-controlled, non-randomized study, 50 patients underwent cartilage type 1 tympanoplasty (20 females and 30 males), with a mean age of 19.3 ± 9.8 years. According to size of perforation, patients were subdivided into three groups, Group I had perforation >50% of tympanic membrane area, in Group II patients the perforations were 25–50% of tympanic membrane area, and in Group III the perforations were ≤25% of tympanic membrane. All patients had pre and postoperative Pure Tone Average and Air Bone Gap frequencies (0.5, 1, 2, 4 kHz). All patients were followed up at least 12 months after operation. RESULTS: The anatomical success rate among all patients was 92%, all groups showed statistical significant improvement between pre and postoperative air bone gap, no significant correlation between size of cartilage graft and degree of air bone gap improvement was noticed among the three groups. CONCLUSION: Size of a cartilage graft has no impact on degree of hearing improvement or anatomical success rate after tympanoplasty. Elsevier 2016-07-12 /pmc/articles/PMC9444739/ /pubmed/27502166 http://dx.doi.org/10.1016/j.bjorl.2016.06.005 Text en © 2016 Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial. Published by Elsevier Editora Ltda. https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Original Article
Abdelhameed, Waleed
Rezk, Ibrahim
Awad, Alhussein
Impact of cartilage graft size on success of tympanoplasty()
title Impact of cartilage graft size on success of tympanoplasty()
title_full Impact of cartilage graft size on success of tympanoplasty()
title_fullStr Impact of cartilage graft size on success of tympanoplasty()
title_full_unstemmed Impact of cartilage graft size on success of tympanoplasty()
title_short Impact of cartilage graft size on success of tympanoplasty()
title_sort impact of cartilage graft size on success of tympanoplasty()
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9444739/
https://www.ncbi.nlm.nih.gov/pubmed/27502166
http://dx.doi.org/10.1016/j.bjorl.2016.06.005
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