gms | German Medical Science

81. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

12.05. - 16.05.2010, Wiesbaden

Long term results of type I and type III palisade cartilage tympanoplasty

Meeting Abstract

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German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. 81st Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. Wiesbaden, 12.-16.05.2010. Düsseldorf: German Medical Science GMS Publishing House; 2010. Doc10hno050

DOI: 10.3205/10hno050, URN: urn:nbn:de:0183-10hno0507

Veröffentlicht: 6. Juli 2010

© 2010 Gostian et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielfältigt, verbreitet und öffentlich zugänglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Objective: Evaluation of morphological and functional long term results of palisade cartilage tympanoplasty (PCT) Type I and in combination with titanium ossicular reconstruction prostheses in type III tympanoplasty.

Study design: Retrospective review of tympanoplasties.

Setting: Tertiary referral center.

Patients: 22 patients (8 women and 14 men, mean age 41 years, range 8 to 69 years) operated on more than 10 years ago (mean follow up 9,1 years) due to cholesteatoma, adhesive otitis, chronic otitis media, subtotal tympanic membrane defects and tympanofibrosis requiring tympanoplasty( 8 PCT type I, 14 PCT type III).

Interventions: Tympanoplasty, applying the PCT. When ossiculoplasty was applied, Total or Partial Titanium Ossicular Reconstruction Prostheses (TORP and PORP) were used.

Main Outcome Measures: Questionnaire on postoperative cours, otoscopic findings and hearing results using a four-frequency pure-tone average air-bone gap (PTA-ABG).

Results: A recurrent defect was not observed (0%). The graft take rate was 100%. There was one extrusion of prostheses which required revision surgery and insertion of a shorter prosthesis. In the PCT type I group, preoperatively a PTA-ABG of 0–10 dB was seen in 0 ear, 11–30 dB in 7 and 31–59 dB in another 1ear. Postoperatively the corresponding numbers were 4, 4 and 0 ears. In cases applying the PCT type III the corresponding preoperative PTA-ABG were seen in 1,6 and 5 ears. Postoperatively, 7 ears revealed a PTA-ABG of up to 10 dB. In another 4 ears the PTA-ABG was 10–30 dB whereas only one ear had a PTA-ABG of more than 30 dB.

Conclusions: The PCT is a reliable surgical method also on a long term (>9 years) base to manage difficult middle ear conditions. It offers satisfactory morphological and functional results performed either as a type I tympanoplasty or in combination with titanium prosthesis ossiculoplasty.


References

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Heermann J Jr et al. Fascia and cartilage palisade tympanoplasty. Nine years' experience. Arch Otolaryngol. 1970;91(3):228-41.