Dr. Sapna Parab: Our Technique of Primary Cartilage Tympanoplasty

My Innovative technique of Primary Cartilage Tympanoplasty published in september 2011, American Journal of Otolaryngology
http://www.sciencedirect.com/science/article/pii/S0196070910001304

American Journal of Otolaryngology
Volume 32, Issue 5, September-October 2011, Pages 381-387

doi:10.1016/j.amjoto.2010.07.010 | How to Cite or Link Using DOI

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Original contribution

Primary cartilage tympanoplasty: our technique and results

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Mubarak M. Khan MBBS, DLO, DNB(ent)^,^a^,^, and Sapna R. Parab MS, DNB(ent)^a

^a Department of Otorhinolaryngology, MIMER Medical College, Pune, India

Received 18 April 2010.

Available online 15 September 2010.

Abstract

Cartilage has shown to be a promising graft material to close tympanic membrane perforations. However, due to its rigid quality, doubts are raised regarding its sound conduction properties. It has been suggested that acoustic benefit may be obtained by thinning the cartilage. We describe our innovative method for harvesting tragal cartilage from the same endaural incision and also describe preparation of the graft by slicing it. We present our 3-year experience of shield cartilage type 1 tympanoplasty using sliced tragal cartilage–perichondrium composite graft.

Aim

The aim of this study was to prove the success rate of our technique of shield cartilage tympanoplasty using sliced tragal cartilage graft in terms of functional and anatomic results.

Study design

Retrospective analysis of type 1 cartilage tympanoplasties using sliced tragal cartilage was carried out in MIMER Medical College and Sushrut ENT Hospital during May 2005 to January 2008 with a minimum follow-up of 2 years.

Method and materials

A total of 223 ears were operated by our technique.

Results

The overall success rate of our technique was 98.20% in terms of perforation closure and air bone gap closure within 7.06 ± 3.39 dB. The success rates in the various age group are as follows: 11 to 20 years, 97.67%; 21 to 40 years, 99.12%; and 41 to 60 years, 96.96%.

Conclusion

Our technique of type 1 cartilage tympanoplasty achieves good anatomic and functional results.

Article Outline

Introduction

Materials and methods: 2.1. Study population; 2.2. Anaesthesia; 2.3. Infiltration; 2.4. Procedure of sliced shield cartilage tympanoplasty; 2.5. Postoperative monitoring; 2.6. Follow-up protocol

Results

Discussion: 4.1. Age–sex distribution; 4.2. Anatomic closure of the perforations; 4.3. Air Bone Gap (ABG) closure

Conclusion

References

This study was not financially supported by external sources.

Corresponding author. Department of Otorhinolaryngology, MIMER Medical College, Pune 410507, India. Tel.: +91 98226 46207(Mobile); fax: +91 2114 223916.