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Functional results of temporalis fascia versus cartilage tympanoplasty in patients with bilateral chronic otitis media

Published online by Cambridge University Press:  28 October 2011

K Onal ,
S Arslanoglu ,
M Songu ,
U Demiray  and
I A Demirpehlivan
K Onal
Affiliation:
Clinic I, Department of Otorhinolaryngology, Izmir Ataturk Research and Training Hospital, Izmir, Turkey
S Arslanoglu
Affiliation:
Clinic I, Department of Otorhinolaryngology, Izmir Ataturk Research and Training Hospital, Izmir, Turkey
M Songu*
Affiliation:
Clinic I, Department of Otorhinolaryngology, Izmir Ataturk Research and Training Hospital, Izmir, Turkey
U Demiray
Affiliation:
Clinic I, Department of Otorhinolaryngology, Izmir Ataturk Research and Training Hospital, Izmir, Turkey
I A Demirpehlivan
Affiliation:
Clinic I, Department of Otorhinolaryngology, Izmir Ataturk Research and Training Hospital, Izmir, Turkey
*
Address for correspondence: Dr Murat Songu, Clinic I, Department of Otorhinolaryngology, Izmir Ataturk Research and Training Hospital, Izmir, Turkey Fax: 00902322431530 E-mail: [email protected]
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Abstract

Objectives:

To compare the functional results of type I tympanoplasty performed with either temporalis fascia or a perichondrium and cartilage island flap, in patients with bilateral chronic otitis media.

Method:

The study included primary tympanoplasty cases with a subtotal perforation, an intact ossicular chain, a dry ear for at least one month and normal middle-ear mucosa, together with contralateral tympanic membrane perforation. Temporalis fascia tympanoplasty was undertaken in 41 patients, and cartilage tympanoplasty in 39 patients.

Results:

The graft success rate was 65.9 per cent for the fascia group and 92.3 per cent for the cartilage group. Post-operatively, the mean ± standard deviation air conduction threshold was 28.54 ± 14.20 dB for the fascia group and 22.97 ± 8.37 dB for the cartilage group, while the mean ± standard deviation bone conduction threshold was 11.71 ± 8.50 dB for the fascia group and 7.15 ± 5.56 dB for the cartilage group.

Conclusion:

In patients with bilateral chronic otitis media, cartilage tympanoplasty seems to provide better hearing results and graft success rates.

Keywords

TympanoplastyGraftsCartilageFasciaChronic Otitis Media
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 126 , Issue 1 , January 2012 , pp. 22 - 25
Copyright
Copyright © JLO (1984) Limited 2011

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References

1Kazikdas, KC, Onal, K, Boyraz, I, Karabulut, E. Palisade cartilage tympanoplasty for management of subtotal perforations: a comparison with the temporalis fascia technique. Eur Arch Otorhinolaryngol 2007;264:985–9CrossRefGoogle ScholarPubMed
2Indorewala, S. Dimensional stability of free fascia grafts: clinical application. Laryngoscope 2005;115:278–82CrossRefGoogle ScholarPubMed
3Dornhoffer, JL. Surgical management of the atelectatic ear. Am J Otol 2000;21:315–21Google Scholar
4Songu, M, Aslan, A, Unlu, HH, Celik, O. Neural control of eustachian tube function. Laryngoscope 2009;119:1198–202Google Scholar
5Committee on Hearing and Equilibrium guidelines for the evaluation of results of treatment of conductive hearing loss. American Academy of Otolaryngology-Head and Neck Surgery Foundation, Inc. Otolaryngol Head Neck Surg 1995;113:186–7Google Scholar
6Onal, K, Uguz, MZ, Kazikdas, KC, Gursoy, ST, Gokce, H. A multivariate analysis of otological, surgical and patient related factors in determining success in myringoplasty. Clin Otolaryngol 2005;30:115–20CrossRefGoogle ScholarPubMed
7Pinar, E, Sadullahoglu, K, Calli, C, Oncel, S. Evaluation of prognostic factors and middle ear risk index in tympanoplasty. Otolaryngol Head Neck Surg 2008;139:386–90Google Scholar
8Gerber, MJ, Mason, JC, Lambert, PR. Hearing results after primary cartilage tympanoplasty. Laryngoscope 2000;110:1994–9CrossRefGoogle ScholarPubMed
9Roger, G, Bokowy, C, Coste, A, Moine, A, Monier, S, Florant, A et al. Tympanoplasty using chondro-perichondral graft. Indications, techniques and results. Apropos of a series of 127 cases [in French]. Ann Otolaryngol Chir Cervicofac 1994;111:29–34Google ScholarPubMed
10Harner, SG. Management of posterior tympanic membrane retraction. Laryngoscope 1995;105:326–8Google Scholar
11Chandrasekhar, SS, House, JW, Devgan, U. Pediatric tympanoplasty: a 10-year experience. Arch Otolaryngol Head Neck Surg 1995;121:873–8CrossRefGoogle Scholar
12Koch, WM, Friedman, EM, McGill, TJ, Healy, GB. Tympanoplasty in children: the Boston Children's Hospital experience. Arch Otolaryngol Head Neck Surg 1990;116:35–40CrossRefGoogle ScholarPubMed
13Gianoli, GJ, Worley, NK, Guarisco, JL. Pediatric tympanoplasty: the role of adenoidectomy. Otolaryngol Head Neck Surg 1995;113:380–6CrossRefGoogle ScholarPubMed
14Adkins, WY, White, B. Type I tympanoplasty: influencing factors. Laryngoscope 1984;94:916–18CrossRefGoogle ScholarPubMed
15Kessler, A, Potsic, WP, Marsh, RR. Type 1 tympanoplasty in children. Arch Otolaryngol Head Neck Surg 1994;120:487–90Google Scholar
16Caylan, R, Titiz, A, Falcioni, M, De Donato, G, Russo, A, Taibah, A et al. Myringoplasty in children: factors influencing surgical outcome. Otolaryngol Head Neck Surg 1998;118:709–13Google ScholarPubMed
17Collins, WO, Telischi, FF, Balkany, TJ, Buchman, CA. Pediatric tympanoplasty: effect of contralateral ear status on outcomes. Arch Otolaryngol Head Neck Surg 2003;129:646–51CrossRefGoogle ScholarPubMed
18Merenda, D, Koike, K, Shafiei, M, Ramadan, H. Tympanometric volume: a predictor of success of tympanoplasty in children. Otolaryngol Head Neck Surg 2007;136:189–92CrossRefGoogle ScholarPubMed