Transkanal kelebek kartilaj timpanoplasti

Yıl 2006, Cilt: 16 Sayı: 4, 160 - 163, 27.08.2006

Engin Acıoğlu Barış Karakullukçu Muhammet Pamukçu

Öz

Amaç: Transkanal kelebek kartilaj timpanoplasti tekniğiyle ameliyat edilen erişkin hastaların uzun dönem sonuçları değerlendirildi.Hastalar ve Yöntemler: Kronik otitis media nedeniyle 11 erişkin hastaya lokal veya genel anestezi altındatranskanal kelebek kartilaj timpanoplasti ameliyatıuygulandı. Hastalardaki perforasyonun çapı 2-6 mmarasında değişmekteydi. Ortalama takip süresi 9.5ay idi.Bulgular: Takip süresi sonunda perforasyonun 10hastada %90.9 kapandığı gözlendi. Bir hastadaikinci ayda yapılan kontrolde yeniden perforasyongörüldü. On hastada ameliyat öncesi ve sonrası yapılan odyolojik değerlendirmede ortalama hava-kemik yolu açıklığı sırasıyla 18 dB ve 6.5 dB bulundu.Sonuç: Minimal işitme kaybıyla beraber olansantral küçük perforasyonların tamirinde kelebekkartilaj timpanoplasti tekniğinin çok etkili olduğugörüldü

Anahtar Kelimeler

Eriflkin, k›k›rdak/transplantasyon, kulak/cerrahi, timpanik membran perforasyonu/cerrahi, timpanoplasti/cerrahi.

Transcanal butterfly cartilage tympanoplasty

Öz

Objectives: This study evaluated the long-term results of transcanal butterfly cartilage tympanoplasty technique in adult patients.Patients and Methods: Transcanal butterfly carti­ lage tympanoplasty was performed in 11 adult patients 7 males, 4 females; mean age 30 years; range 21 to 45 years with chronic otitis media. The operations were performed under general or local anesthesia. Perforation diameters ranged from 2 to 6 mm. The mean follow-up period was 9.5 months.Results: At the end of the follow-up period, perfora- tions closed in 10 patients 90.9% . İn one patient, reperforation occurred in the second month. The mean preoperative and postoperative air-bone gaps obtained in 10 patients were 18 dB and 6.5 dB, respectively.Conclusion: Butterfly cartilage tympanoplasty tech- nique was very effective to close Central, small tym- panic membrane perforations associated with mini­ mal hearing loss.

Anahtar Kelimeler

Adult, cartilage/transplantation, ear/surgery, tympanic membrane perforation/surgery, tympanoplasty/methods

Kaynakça

• Zollner F. The principles of plastic surgery of the sound-conducting apparatus. J Laryngol Otol 1955;69:637-52.
• Wullstein HL. Funkionelle Operationen im Mittelohr mit Hilfe des Frein Spaltlappentransplantates. Arch Otorhinolaryngol 1952;161:422-35.
• Dornhoffer JL. Hearing results with cartilage tym- panoplasty. Laryngoscope 1997;107:1094-9.
• Gross CW, Bassila M, Lazar RH, Long TE, Stagner S. Adipose plug myringoplasty: an alternative to formal myringoplasty techniques in children. Otolaryngol Head Neck Surg 1989;101:617-20.
• Eavey RD. Inlay tympanoplasty: cartilage butterfly technique. Laryngoscope 1998;108:657-61.
• Lubianca-Neto JF. Inlay butterfly cartilage tym- panoplasty (Eavey technique) modified for adults. Otolaryngol Head Neck Surg 2000;123:492-4.
• Mauri M, Lubianca Neto JF, Fuchs SC. Evaluation of inlay butterfly cartilage tympanoplasty: a randomized clinical trial. Laryngoscope 2001;111:1479-85.