BibTex RIS Kaynak Göster

Outcomes of perichondrium and composite cartilage-perichondrium island grafts in type 1 tympanoplasty: A Randomized Controlled Trial

Yıl 2018, Cilt: 28 Sayı: 1, 15 - 20, 05.03.2018

Öz

Objectives: In this study we compared patient outcomes after placement of perichondrium and cartilage-perichondrium grafts and explored the advantages and disadvantages of the two graft materials in terms of graft viability and hearing improvement. Patients and Methods: Sixty patients with chronic otitis media undergoing type 1 tympanoplasty using the underlay technique were randomly divided into two groups, a perichondrium graft PER group n=30 and a cartilage graft CG group n=30 . We obtained audiograms; measured pre- and postoperative airway thresholds, air-bone gap gains and anatomical graft success rates, and recorded Middle Ear Risk Index MERI scores. Results: The success rates did not differ significantly between the two groups PER group [90%, n=27]; CG group [96.7%, n=29]; p>0.05 . We found no significant between-group differences in postoperative bone and airway changes, hearing gains, or mean MERI values all p>0.05 . Conclusion: The success rates of tympanoplasty does not differ between grafts containing perichondrium or island cartilage. Thus, island cartilage grafts should be placed not only in cases at risk but also in those undergoing standard tympanoplasty.

Kaynakça

  • Boedts D. Tympanic grafting materials. Acta Otorhinolaryngol Belg 1995;49:193-9.
  • Tos M. Cartilage tympanoplasty methods: proposal of a classification. Otolaryngol Head Neck Surg 2008;139:747-58.
  • Zhang ZG, Huang QH, Zheng YQ, Sun W, Chen YB, Si Y. Three autologous substitutes for myringoplasty: a comparative study. Otol Neurotol 2011;32:1234-8.
  • Onal K, Arslanoglu S, Songu M, Demiray U, Demirpehlivan IA. Functional results of temporalis fascia versus cartilage tympanoplasty in patients with bilateral chronic otitis media. J Laryngol Otol 2012;126:22-5.
  • Dalgic A. Kandoğan T. Hearing results in type 1 tympanoplasty using with tragal cartilage and temporalis muscle fascia. JAREM 2014;4:4-6
  • Yang T, Wu X, Peng X, Zhang Y, Xie S, Sun H. Comparison of cartilage graft and fascia in type 1 tympanoplasty: systematic review and meta-analysis. Acta Otolaryngol 2016;136:1085-90.
  • Becvarovski Z, Kartush JM. Smoking and tympanoplasty: implications for prognosis and the Middle Ear Risk Index (MERI). Laryngoscope 2001;111:1806-11.
  • Dornhoffer JL. Cartilage tympanoplasty. Otolaryngol Clin North Am 2006;39:1161-76.
  • Yung M. Cartilage tympanoplasty: literature review. J Laryngol Otol 2008;122:663-72.
  • Mohamad SH, Khan I, Hussain SS. Is cartilage tympanoplasty more effective than fascia tympanoplasty? A systematic review. Otol Neurotol 2012;33:699-705.
  • Shenoi PM. Management of chronic suppurative otitis media. In: Booth JB, Kerr AG, editors. Scott- Brown's Otolaryngology. 6th ed. Oxford: Butterworth- Heinemann International Editions; 1997. p. 215-37.
  • Sudhoff HH, Jahnke K. Principles of an Individualized Approach to Cholestetoma Surgery. In: Jahnke K, editor. Current Topics in Otolaryngoloy Head and Neck Surgery. Middle Ear Surgery. Recent Advances and Future Directions. Stuttgart: Thieme; 2004. p. 73-93.
  • Bennett M, Warren F, Haynes D. Indications and technique in mastoidectomy. Otolaryngol Clin North Am 2006;39:1095-113.
  • Yamamoto E, Iwanaga M, Fukumoto M. Histologic study of homograft cartilages implanted in the middle ear. Otolaryngol Head Neck Surg 1988;98:546-51.
  • Zahnert T, Hüttenbrink KB, Mürbe D, Bornitz M. Experimental investigations of the use of cartilage in tympanic membrane reconstruction. Am J Otol 2000;21:322-8.
  • Mürbe D, Zahnert T, Bornitz M, Hüttenbrink KB. Acoustic properties of different cartilage reconstruction techniques of the tympanic membrane. Laryngoscope 2002;112:1769-76.
  • Aarnisalo AA, Cheng JT, Ravicz ME, Furlong C. Motion of the tympanic membrane after cartilage tympanoplasty determined by stroboscopic holography. Hear Res 2010;263:78-84.
  • Albirmawy OA. Comparison between cartilage- perichondrium composite ‘ring’ graft and temporalis fascia in type one tympanoplasty in children. J Laryngol Otol 2010;124:967-74.
  • Demirpehlivan IA, Onal K, Arslanoglu S, Songu M, Ciger E, Can N. Comparison of different tympanic membrane reconstruction techniques in type I tympanoplasty. Eur Arch Otorhinolaryngol 2011;268:471-4.
  • Levinson RM. Cartilage-perichondrial composite graft tympanoplasty in the treatment of posterior marginal and attic retraction pockets. Laryngoscope 1987;97:1069-74.
  • Kirazli T, Bilgen C, Midilli R, Ogüt F. Hearing results after primary cartilage tympanoplasty with island technique. Otolaryngol Head Neck Surg 2005;132:933-7.
Yıl 2018, Cilt: 28 Sayı: 1, 15 - 20, 05.03.2018

Öz

Kaynakça

  • Boedts D. Tympanic grafting materials. Acta Otorhinolaryngol Belg 1995;49:193-9.
  • Tos M. Cartilage tympanoplasty methods: proposal of a classification. Otolaryngol Head Neck Surg 2008;139:747-58.
  • Zhang ZG, Huang QH, Zheng YQ, Sun W, Chen YB, Si Y. Three autologous substitutes for myringoplasty: a comparative study. Otol Neurotol 2011;32:1234-8.
  • Onal K, Arslanoglu S, Songu M, Demiray U, Demirpehlivan IA. Functional results of temporalis fascia versus cartilage tympanoplasty in patients with bilateral chronic otitis media. J Laryngol Otol 2012;126:22-5.
  • Dalgic A. Kandoğan T. Hearing results in type 1 tympanoplasty using with tragal cartilage and temporalis muscle fascia. JAREM 2014;4:4-6
  • Yang T, Wu X, Peng X, Zhang Y, Xie S, Sun H. Comparison of cartilage graft and fascia in type 1 tympanoplasty: systematic review and meta-analysis. Acta Otolaryngol 2016;136:1085-90.
  • Becvarovski Z, Kartush JM. Smoking and tympanoplasty: implications for prognosis and the Middle Ear Risk Index (MERI). Laryngoscope 2001;111:1806-11.
  • Dornhoffer JL. Cartilage tympanoplasty. Otolaryngol Clin North Am 2006;39:1161-76.
  • Yung M. Cartilage tympanoplasty: literature review. J Laryngol Otol 2008;122:663-72.
  • Mohamad SH, Khan I, Hussain SS. Is cartilage tympanoplasty more effective than fascia tympanoplasty? A systematic review. Otol Neurotol 2012;33:699-705.
  • Shenoi PM. Management of chronic suppurative otitis media. In: Booth JB, Kerr AG, editors. Scott- Brown's Otolaryngology. 6th ed. Oxford: Butterworth- Heinemann International Editions; 1997. p. 215-37.
  • Sudhoff HH, Jahnke K. Principles of an Individualized Approach to Cholestetoma Surgery. In: Jahnke K, editor. Current Topics in Otolaryngoloy Head and Neck Surgery. Middle Ear Surgery. Recent Advances and Future Directions. Stuttgart: Thieme; 2004. p. 73-93.
  • Bennett M, Warren F, Haynes D. Indications and technique in mastoidectomy. Otolaryngol Clin North Am 2006;39:1095-113.
  • Yamamoto E, Iwanaga M, Fukumoto M. Histologic study of homograft cartilages implanted in the middle ear. Otolaryngol Head Neck Surg 1988;98:546-51.
  • Zahnert T, Hüttenbrink KB, Mürbe D, Bornitz M. Experimental investigations of the use of cartilage in tympanic membrane reconstruction. Am J Otol 2000;21:322-8.
  • Mürbe D, Zahnert T, Bornitz M, Hüttenbrink KB. Acoustic properties of different cartilage reconstruction techniques of the tympanic membrane. Laryngoscope 2002;112:1769-76.
  • Aarnisalo AA, Cheng JT, Ravicz ME, Furlong C. Motion of the tympanic membrane after cartilage tympanoplasty determined by stroboscopic holography. Hear Res 2010;263:78-84.
  • Albirmawy OA. Comparison between cartilage- perichondrium composite ‘ring’ graft and temporalis fascia in type one tympanoplasty in children. J Laryngol Otol 2010;124:967-74.
  • Demirpehlivan IA, Onal K, Arslanoglu S, Songu M, Ciger E, Can N. Comparison of different tympanic membrane reconstruction techniques in type I tympanoplasty. Eur Arch Otorhinolaryngol 2011;268:471-4.
  • Levinson RM. Cartilage-perichondrial composite graft tympanoplasty in the treatment of posterior marginal and attic retraction pockets. Laryngoscope 1987;97:1069-74.
  • Kirazli T, Bilgen C, Midilli R, Ogüt F. Hearing results after primary cartilage tympanoplasty with island technique. Otolaryngol Head Neck Surg 2005;132:933-7.
Toplam 21 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Bölüm Araştırma Makalesi
Yazarlar

Ruhi Aydın Bu kişi benim

Mehmet Emrah Ceylan Bu kişi benim

Abdullah Dalgıç Bu kişi benim

Ufuk Düzenli Bu kişi benim

Çağrı Çelik Bu kişi benim

Levent Olgun Bu kişi benim

Yayımlanma Tarihi 5 Mart 2018
Yayımlandığı Sayı Yıl 2018 Cilt: 28 Sayı: 1

Kaynak Göster

APA Aydın, R., Ceylan, M. E., Dalgıç, A., Düzenli, U., vd. (2018). Outcomes of perichondrium and composite cartilage-perichondrium island grafts in type 1 tympanoplasty: A Randomized Controlled Trial. The Turkish Journal of Ear Nose and Throat, 28(1), 15-20.
AMA Aydın R, Ceylan ME, Dalgıç A, Düzenli U, Çelik Ç, Olgun L. Outcomes of perichondrium and composite cartilage-perichondrium island grafts in type 1 tympanoplasty: A Randomized Controlled Trial. Tr-ENT. Mart 2018;28(1):15-20.
Chicago Aydın, Ruhi, Mehmet Emrah Ceylan, Abdullah Dalgıç, Ufuk Düzenli, Çağrı Çelik, ve Levent Olgun. “Outcomes of Perichondrium and Composite Cartilage-Perichondrium Island Grafts in Type 1 Tympanoplasty: A Randomized Controlled Trial”. The Turkish Journal of Ear Nose and Throat 28, sy. 1 (Mart 2018): 15-20.
EndNote Aydın R, Ceylan ME, Dalgıç A, Düzenli U, Çelik Ç, Olgun L (01 Mart 2018) Outcomes of perichondrium and composite cartilage-perichondrium island grafts in type 1 tympanoplasty: A Randomized Controlled Trial. The Turkish Journal of Ear Nose and Throat 28 1 15–20.
IEEE R. Aydın, M. E. Ceylan, A. Dalgıç, U. Düzenli, Ç. Çelik, ve L. Olgun, “Outcomes of perichondrium and composite cartilage-perichondrium island grafts in type 1 tympanoplasty: A Randomized Controlled Trial”, Tr-ENT, c. 28, sy. 1, ss. 15–20, 2018.
ISNAD Aydın, Ruhi vd. “Outcomes of Perichondrium and Composite Cartilage-Perichondrium Island Grafts in Type 1 Tympanoplasty: A Randomized Controlled Trial”. The Turkish Journal of Ear Nose and Throat 28/1 (Mart 2018), 15-20.
JAMA Aydın R, Ceylan ME, Dalgıç A, Düzenli U, Çelik Ç, Olgun L. Outcomes of perichondrium and composite cartilage-perichondrium island grafts in type 1 tympanoplasty: A Randomized Controlled Trial. Tr-ENT. 2018;28:15–20.
MLA Aydın, Ruhi vd. “Outcomes of Perichondrium and Composite Cartilage-Perichondrium Island Grafts in Type 1 Tympanoplasty: A Randomized Controlled Trial”. The Turkish Journal of Ear Nose and Throat, c. 28, sy. 1, 2018, ss. 15-20.
Vancouver Aydın R, Ceylan ME, Dalgıç A, Düzenli U, Çelik Ç, Olgun L. Outcomes of perichondrium and composite cartilage-perichondrium island grafts in type 1 tympanoplasty: A Randomized Controlled Trial. Tr-ENT. 2018;28(1):15-20.