Cartilage Tympanoplasty with Island Technique: A Comparison with the Temporalis Muscle Fascia Technique

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dc.authorwosidKALCIOGLU, Mahmut Tayyar/I-5884-2013
dc.authorwosidKalcioglu, M. Tayyar/JAC-1515-2023
dc.contributor.authorKalcioglu, M. Tayyar
dc.contributor.authorFirat, Yezdan
dc.contributor.authorSelimoglu, Erol
dc.date.accessioned2024-08-04T20:57:20Z
dc.date.available2024-08-04T20:57:20Z
dc.date.issued2009
dc.departmentİnönü Üniversitesien_US
dc.description.abstractObjective; To evaluate hearing results and failures of tympanoplasty techniques with either island cartilage or temporalis muscle fascia. Materials & Methods; Retrospective evaluation of selected cases operated by the same surgery team between 2000 and 2008. A total of 307 patients with a tympanic membrane perforation or retraction due to chronic otitis media were treated surgically with tympanoplasty with or without mastoidectomy. From these 96 cases who had primary repair of tympanic membrane perforation or retraction with intact ossicular chain and normal middle ear were included into the study. Tympanic membrane perforation was reconstructed by using fascia in 36 while cartilage island graft was used in 60 patients. Temporalis muscle fascia was preferred for simple perforations while cartilage was used in more difficult cases such as retractions or total or subtotal perforations. Preoperative and postoperative pure-tone average air-bone gaps were compared at 250, 500, 1000, 2000 and 4000 Hz frequencies. Postoperative failures were compared. Results; Main outcomes of both techniques were similar for hearing results and prevalence of failures. Closure of air-bone gaps after surgery were 14.98, 12.5, 9.67, 8.67, and 7.01 dB for cartilage group and 15.42, 11.67, 8.34, 7.36, and 8.61 dB for fascia group respectively. The differences were not statistically significant. Graft survival rates were 86.1% in the fascia group and 95% in the cartilage group. Conclusion; Both techniques show similar functional and hearing results. Cartilage tympanoplasty with island technique may be chosen according to patient's condition like atelectatic ear, adhesive otitis and retraction pockets, totally or sub totally perforation of tympanic membrane or revision tympanoplasty.en_US
dc.identifier.endpage50en_US
dc.identifier.issn1308-7649
dc.identifier.issn2148-3817
dc.identifier.issue1en_US
dc.identifier.startpage45en_US
dc.identifier.urihttps://hdl.handle.net/11616/102541
dc.identifier.volume5en_US
dc.identifier.wosWOS:000265050900010en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.language.isoenen_US
dc.publisherAvesen_US
dc.relation.ispartofJournal of International Advanced Otologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectMiddle-Earen_US
dc.subjectMyringoplastyen_US
dc.subjectChildrenen_US
dc.titleCartilage Tympanoplasty with Island Technique: A Comparison with the Temporalis Muscle Fascia Techniqueen_US
dc.typeArticleen_US

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