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Friday, August 26, 2011

My Innovative technique of Primary Cartilage Tympanoplasty

My Innovative technique of Primary Cartilage Tympanoplasty published in september 2011, American Journal of Otolaryngology
http://www.sciencedirect.com/science/article/pii/S0196070910001304

 

American Journal of Otolaryngology
Volume 32, Issue 5, September-October 2011, Pages 381-387

Original contribution

Primary cartilage tympanoplasty: our technique and resultsstar, open
Mubarak M. Khan MBBS, DLO, DNB(ent)low asterisk, a, E-mail The Corresponding Author, E-mail The Corresponding Author and Sapna R. Parab MS, DNB(ent)a
a Department of Otorhinolaryngology, MIMER Medical College, Pune, India
Received 18 April 2010.
Available online 15 September 2010.

Abstract

Cartilage has shown to be a promising graft material to close tympanic membrane perforations. However, due to its rigid quality, doubts are raised regarding its sound conduction properties. It has been suggested that acoustic benefit may be obtained by thinning the cartilage. We describe our innovative method for harvesting tragal cartilage from the same endaural incision and also describe preparation of the graft by slicing it. We present our 3-year experience of shield cartilage type 1 tympanoplasty using sliced tragal cartilage–perichondrium composite graft.

Aim

The aim of this study was to prove the success rate of our technique of shield cartilage tympanoplasty using sliced tragal cartilage graft in terms of functional and anatomic results.

Study design

Retrospective analysis of type 1 cartilage tympanoplasties using sliced tragal cartilage was carried out in MIMER Medical College and Sushrut ENT Hospital during May 2005 to January 2008 with a minimum follow-up of 2 years.

Method and materials

A total of 223 ears were operated by our technique.

Results

The overall success rate of our technique was 98.20% in terms of perforation closure and air bone gap closure within 7.06 ± 3.39 dB. The success rates in the various age group are as follows: 11 to 20 years, 97.67%; 21 to 40 years, 99.12%; and 41 to 60 years, 96.96%.

Conclusion

Our technique of type 1 cartilage tympanoplasty achieves good anatomic and functional results.

Article Outline

1.
Introduction
2.
Materials and methods
2.1. Study population
2.2. Anaesthesia
2.3. Infiltration
2.4. Procedure of sliced shield cartilage tympanoplasty
2.5. Postoperative monitoring
2.6. Follow-up protocol
3.
Results
4.
Discussion
4.1. Age–sex distribution
4.2. Anatomic closure of the perforations
4.3. Air Bone Gap (ABG) closure
5.
Conclusion
References














star, openThis study was not financially supported by external sources.

Corresponding Author Contact InformationCorresponding author. Department of Otorhinolaryngology, MIMER Medical College, Pune 410507, India. Tel.: +91 98226 46207(Mobile); fax: +91 2114 223916.



American Journal of Otolaryngology
Volume 32, Issue 5, September-October 2011, Pages 381-387


Dr. Mubarak Muhamed Khan dlo,dnb(ent)

# AUTHOR OF ENDOSCOPIC COLOR ATLAS OF EAR DISEASES
# ASS0CIATE PROFESSOR
  MIMER MEDICAL COLLEGE, TALEGAON-D, PUNE, INDIA

Mobile     : +91 98226 46207

Email       : drmubarakkhan@yahoo.co.in                    ent.khan@gmail.com

Web          : http://facebook.com/drmubarakkhan


 

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