Unlabelled: Cartilage perichondrium composite grafts (CPCG) have been used in tympanoplasty for many years. Reperforations can be seen because of various problems. The aim of our study is to describe a graft technique to minimise the complications and to evaluate the success of the graft. The ears which underwent type 1 tympanoplasty using CPCG were included in the study. Over-underlay graft technique was used in all operations. They were performed by microscopic transcanal approach and by the same surgeon. Fifty-four ear operations of 48 patients were included in the study. While the preoperative average pure tone- average (PTA) of the ears was 45 (21-75) dB, the postoperative average PTA was 28 (11-58) dB. While the preoperative air bone gap (ABG) of the ears was 23.3 (10-43.3) dB, the postoperative ABG was 11.6 (0-28.3) dB. A significant improvement was achieved in both ABG and PTA values after the operation ( < 0.001). The graft success rate was 94.4%. The cartilage graft modifications such as block cartilage, palisade, cartilage island and butterfly have been applied successfully. We aimed to reduce the risk of reperforation, maximise audiological gain and facilitate the follow-up of postoperative middle ear pathologies by thinning the cartilage island and extending the perichondrium to the external auditory canal in the modification of CPCG. The graft success rate and the audiological success rate are high enough to be compared with the literature. The described CPCG can be used safely in all types of perforations, especially in high-risk perforations.
Supplementary Information: The online version contains supplementary material available at 10.1007/s12070-024-04965-5.
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http://dx.doi.org/10.1007/s12070-024-04965-5 | DOI Listing |
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December 2024
Human Anatomy Resource Centre, Education Directorate, University of Liverpool, Liverpool, UK.
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Center for Advanced Orthopaedic Studies, Beth Israel Deaconess Medical Center, Boston, MA, 02215, United States.
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Department of Pathology and Lab Medicine, All India Institute of Medical Sciences Jodhpur, Rajasthan, India.
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Ege University Faculty of Medicine, Department of Otorhinolaryngology, Izmir, Turkey.
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Investigador, Instituto de Investigación Sanitaria Gregorio Marañón, Madrid, España; Investigador, Departamento de Farmacología y Toxicología, Facultad de Medicina, Universidad Complutense de Madrid, España.
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