BibTex RIS Cite

Investigation of myringosclerosis development in different grafting materials after myringo-/tympanoplasty

Year 2015, Volume: 25 Issue: 2, 65 - 69, 20.05.2015

Abstract

Objectives: This study aims to investigate the prevalence of myringosclerosis in tragal perichondrium TP and temporalis fascia TF grafts after myringo-/tympanoplasty. Patients and Methods: Thirty patients, who were diagnosed with non-suppurative chronic otitis media and administered myringo-/ tympanoplasty under general anesthesia using TP or TF as grafting material in our clinic between January 2012 and May 2013, were recruited in this retrospective case-control study. Patients were divided into two groups according to used graft material as group 1 TP 9 males, 6 females; median age 35.4 years; range 20 to 62 years and group 2 TF 7 males, 8 females; median age 39.8 years; range 19 to 63 years . Occurrence of myringosclerosis on the intact tympanic membrane grafts was evaluated postoperatively by the same surgeon under surgical microscope. Results: Postoperative myringosclerosis was detected in six patients 40% in TP group and 13 patients 86.7% in TF group. Conclusion: Prevalence of myringosclerosis on graft materials used in myringo-/tympanoplasty was lower in TP group compared to TF group. We believe that this may be due to different vascular structures of different graft tissues and that the low predisposition of perichondrium towards development of myringosclerosis can be considered as an advantage for this graft. We hope that this study adds a new dimension to etiopathogenesis of myringosclerosis and assists otologists in the prevention and treatment of this lesion.

References

  • Farr MR, De R, Irving RM. Cautery of the tympanic membrane: the lesser known history of myringoplasty. Otol. Neurotol 2012;33:270-6.
  • Preobrazhenskii YB. Experience with the use of a preserved dura mater flap in tympanoplasty. Vestn Otorinolaringol 1961;23:60-6.
  • Nickel AL. The use of homologous vein grafts in otolaryngology. Laryngoscope 1963;73:919-5.
  • Schrimpf WJ. Repair of tympanic membrane perforations with human amniotic membrane; report of fifty-three cases. Ann Otol Rhinol Laryngol 1954;63:101-5.
  • Forman FS. Corneal grafts in middle ear surgery. Laryngoscope 1960;70:1691-8.
  • Birch DA. Preliminary communication: msringoplasty performed with a peritoneum homograft. J Laryngol Otol 1961;75:922-3.
  • Cornish CB. Use of freeze-dried aortic valve homografts in aural surgery. Lancet 1965;1:943.
  • Dabholkar JP, Vora K, Sikdar A. Comparative study of underlay tympanoplasty with temporalis fascia and tragal perichondrium. Indian J Otolaryngol Head Neck Surg 2007;59:116-9.
  • Singh BJ, Sengupta A, Das SK, Ghosh D, Basak B. A comparative study of different graft materials used in myringoplasty. Indian J Otolaryngol Head Neck Surg 2009;61:131-4.
  • Chhapola S., Matta I. Cartilage-perichondrium: an ideal graft material? Indian J Otolaryngol Head Neck Surg 2012;64:208-3.
  • Bhaya MH, Schachern PA, Morizono T, Paparella MM. Pathogenesis of tympanosclerosis. Otolaryngol Head Neck Surg 1993;109:413-20.
  • Kinis V, Ozbay M, Alabalik U, Gul A, Yilmaz B, Ozkurt FE, et al. Effect of caffeic acid phenethyl ester on myringosclerosis development in the tympanic membrane of rat. Eur Arch Otorhinolaryngol 2015;272:29-34.
  • Mohamad SH, Khan I, Hussain SS. Is cartilage tympanoplasty more effective than fascia tympanoplasty? A systematic review. Otol Neurotol 2012;33:699-705.
  • Kim JY, Oh JH, Lee HH. Fascia versus cartilage graft in type I tympanoplasty: audiological outcome. J Craniofac Surg 2012;23:e605-8.
  • Onal K, Arslanoglu S, Oncel S, Songu M, Kopar A, Demiray U. Perichondrium/Cartilage island flap and temporalis muscle fascia in type I tympanoplasty. J Otolaryngol Head Neck Surg 2011;40:295-9.
  • Özbay C, Dündar R, Kulduk E, Soy KF, Aslan M, Katılmış H. A post-tympanoplasty evaluation of the factors affecting development of myringosclerosis in the graft: A Clinical Study. Int Adv Otol 2014;10:102-6.
  • Mattsson C, Magnuson K, Hellström S. Myringosclerosis caused by increased oxygen concentration in traumatized tympanic membranes. Experimental study. Ann Otol Rhinol Laryngol 1995;104:625-32.
  • Noh H, Lee DH. Vascularisation of myringo-/ tympanoplastic grafts in active and inactive chronic mucosal otitis media: a prospective cohort study. Clin Otolaryngol 2012;37:355-61.
  • Applebaum EL, Deutsch EC. An endoscopic method of tympanic membrane fluorescein angiography. Ann Otol Rhinol Laryngol 1986;95:439-43.

Miringo-/timpanoplasti sonrası farklı greft materyalleri üzerinde miringoskleroz gelişiminin araştırılması

Year 2015, Volume: 25 Issue: 2, 65 - 69, 20.05.2015

Abstract

Amaç: Bu çalışmada miringo-/timpanoplasti sonrası tragal perikondrium TP ve temporal kas fasiya TF greftlerinde miringoskleroz prevalansı araştırıldı.Hastalar ve Yöntemler: Bu retrospektif olgu-kontrol çalışmasına Ocak 2012 - Mayıs 2013 tarihleri arasında kliniğimizde non-süpüratif kronik orta kulak iltihabı tanısı konularak genel anestezi altında miringo-/timpanoplasti uygulanan ve greft materyali olarak TP ya da TF kullanılan 30 hasta dahil edildi. Hastalar kullanılan greft materyaline göre grup 1 TP 9 erkek, 6 kadın; ort. yaş 35.4 yıl; dağılım 20-62 yıl ve grup 2 TF 7 erkek, 8 kadın; ort. yaş 39.8 yıl; dağılım 19-63 yıl olmak üzere iki gruba ayrıldı. İntakt timpanik zar greftleri üzerinde ameliyat sonrası miringoskleroz gelişimi aynı cerrah tarafından cerrahi mikroskop altında değerlendirildi.Bulgular: Ameliyat sonrası miringoskleroz TP grubunda altı hastada %40 , TF grubunda 13 hastada %86.7 saptandı.Sonuç: Miringo-/timpanoplastide kullanılan greft materyallerinde miringoskleroz prevalansı TP grubunda TF grubuna göre daha düşük idi. Bu durumun farklı greft dokularının farklı vasküler yapısından kaynaklandığına ve perikondriyumun miringoskleroz gelişimine düşük yatkınlığının bu greft için avantaj sayılabileceğine inanıyoruz. Bu çalışmanın miringoskleroz etyopatogenezine yeni bir boyut kazandırarak otolojistlere bu lezyonu önleme veya tedavi etmede yardımcı olacağını umut ediyoruz

References

  • Farr MR, De R, Irving RM. Cautery of the tympanic membrane: the lesser known history of myringoplasty. Otol. Neurotol 2012;33:270-6.
  • Preobrazhenskii YB. Experience with the use of a preserved dura mater flap in tympanoplasty. Vestn Otorinolaringol 1961;23:60-6.
  • Nickel AL. The use of homologous vein grafts in otolaryngology. Laryngoscope 1963;73:919-5.
  • Schrimpf WJ. Repair of tympanic membrane perforations with human amniotic membrane; report of fifty-three cases. Ann Otol Rhinol Laryngol 1954;63:101-5.
  • Forman FS. Corneal grafts in middle ear surgery. Laryngoscope 1960;70:1691-8.
  • Birch DA. Preliminary communication: msringoplasty performed with a peritoneum homograft. J Laryngol Otol 1961;75:922-3.
  • Cornish CB. Use of freeze-dried aortic valve homografts in aural surgery. Lancet 1965;1:943.
  • Dabholkar JP, Vora K, Sikdar A. Comparative study of underlay tympanoplasty with temporalis fascia and tragal perichondrium. Indian J Otolaryngol Head Neck Surg 2007;59:116-9.
  • Singh BJ, Sengupta A, Das SK, Ghosh D, Basak B. A comparative study of different graft materials used in myringoplasty. Indian J Otolaryngol Head Neck Surg 2009;61:131-4.
  • Chhapola S., Matta I. Cartilage-perichondrium: an ideal graft material? Indian J Otolaryngol Head Neck Surg 2012;64:208-3.
  • Bhaya MH, Schachern PA, Morizono T, Paparella MM. Pathogenesis of tympanosclerosis. Otolaryngol Head Neck Surg 1993;109:413-20.
  • Kinis V, Ozbay M, Alabalik U, Gul A, Yilmaz B, Ozkurt FE, et al. Effect of caffeic acid phenethyl ester on myringosclerosis development in the tympanic membrane of rat. Eur Arch Otorhinolaryngol 2015;272:29-34.
  • Mohamad SH, Khan I, Hussain SS. Is cartilage tympanoplasty more effective than fascia tympanoplasty? A systematic review. Otol Neurotol 2012;33:699-705.
  • Kim JY, Oh JH, Lee HH. Fascia versus cartilage graft in type I tympanoplasty: audiological outcome. J Craniofac Surg 2012;23:e605-8.
  • Onal K, Arslanoglu S, Oncel S, Songu M, Kopar A, Demiray U. Perichondrium/Cartilage island flap and temporalis muscle fascia in type I tympanoplasty. J Otolaryngol Head Neck Surg 2011;40:295-9.
  • Özbay C, Dündar R, Kulduk E, Soy KF, Aslan M, Katılmış H. A post-tympanoplasty evaluation of the factors affecting development of myringosclerosis in the graft: A Clinical Study. Int Adv Otol 2014;10:102-6.
  • Mattsson C, Magnuson K, Hellström S. Myringosclerosis caused by increased oxygen concentration in traumatized tympanic membranes. Experimental study. Ann Otol Rhinol Laryngol 1995;104:625-32.
  • Noh H, Lee DH. Vascularisation of myringo-/ tympanoplastic grafts in active and inactive chronic mucosal otitis media: a prospective cohort study. Clin Otolaryngol 2012;37:355-61.
  • Applebaum EL, Deutsch EC. An endoscopic method of tympanic membrane fluorescein angiography. Ann Otol Rhinol Laryngol 1986;95:439-43.
There are 19 citations in total.

Details

Primary Language English
Journal Section Research Article
Authors

Tolgahan Çatlı This is me

Çağrı Çelik This is me

Emine Demir This is me

Harun Gür This is me

Taşkın Tokat This is me

Levent Olgun This is me

Publication Date May 20, 2015
Published in Issue Year 2015 Volume: 25 Issue: 2

Cite

APA Çatlı, T., Çelik, Ç., Demir, E., Gür, H., et al. (2015). Investigation of myringosclerosis development in different grafting materials after myringo-/tympanoplasty. The Turkish Journal of Ear Nose and Throat, 25(2), 65-69.
AMA Çatlı T, Çelik Ç, Demir E, Gür H, Tokat T, Olgun L. Investigation of myringosclerosis development in different grafting materials after myringo-/tympanoplasty. Tr-ENT. May 2015;25(2):65-69.
Chicago Çatlı, Tolgahan, Çağrı Çelik, Emine Demir, Harun Gür, Taşkın Tokat, and Levent Olgun. “Investigation of Myringosclerosis Development in Different Grafting Materials After Myringo-/Tympanoplasty”. The Turkish Journal of Ear Nose and Throat 25, no. 2 (May 2015): 65-69.
EndNote Çatlı T, Çelik Ç, Demir E, Gür H, Tokat T, Olgun L (May 1, 2015) Investigation of myringosclerosis development in different grafting materials after myringo-/tympanoplasty. The Turkish Journal of Ear Nose and Throat 25 2 65–69.
IEEE T. Çatlı, Ç. Çelik, E. Demir, H. Gür, T. Tokat, and L. Olgun, “Investigation of myringosclerosis development in different grafting materials after myringo-/tympanoplasty”, Tr-ENT, vol. 25, no. 2, pp. 65–69, 2015.
ISNAD Çatlı, Tolgahan et al. “Investigation of Myringosclerosis Development in Different Grafting Materials After Myringo-/Tympanoplasty”. The Turkish Journal of Ear Nose and Throat 25/2 (May 2015), 65-69.
JAMA Çatlı T, Çelik Ç, Demir E, Gür H, Tokat T, Olgun L. Investigation of myringosclerosis development in different grafting materials after myringo-/tympanoplasty. Tr-ENT. 2015;25:65–69.
MLA Çatlı, Tolgahan et al. “Investigation of Myringosclerosis Development in Different Grafting Materials After Myringo-/Tympanoplasty”. The Turkish Journal of Ear Nose and Throat, vol. 25, no. 2, 2015, pp. 65-69.
Vancouver Çatlı T, Çelik Ç, Demir E, Gür H, Tokat T, Olgun L. Investigation of myringosclerosis development in different grafting materials after myringo-/tympanoplasty. Tr-ENT. 2015;25(2):65-9.