gms | German Medical Science

77th Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

24.05. - 28.05.2006, Mannheim

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Tympanoplasty type I in total defects of tympanic membrane

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Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. 77. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e.V.. Mannheim, 24.-28.05.2006. Düsseldorf, Köln: German Medical Science; 2006. Doc06hnod265

The electronic version of this article is the complete one and can be found online at: http://www.egms.de/en/meetings/hnod2006/06hnod265.shtml

Published: April 24, 2006

© 2006 Karchev.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

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Trough videofilm are demonstrated the main steps of surgical method for recovery the integrity of tympanic membrane, applicable in total and subtotal tympanic defects, associated with chronic otitis media – mesotympanitis.

The method has been used in the ORL Department in Medical University – Sofia, over the last 30 years with very good morphological and functional results. So far, 900 patients have been operated using this technique.

As a rule, the surgical procedure is performed under local anesthesia. Through endaural incision a composed graft of cartilage and overlaying perichondrium is harvested from tragus.

Preparation of a vascular bed, modeling and adapting the graft over the skeletonized malleus handle - promptly fixed into the tympanic annulus with the perichondrial end, is subsequently carried out.

Graft surface is covered with a silastic protector, followed by packaging of the ear canal with gelfoam. After 2 weeks, the ear packaging is removed.

The late results show that in over 90% of cases has been established recovery of the tympanic membrane and hearing normalization.