Thursday, September 1, 2011

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

Original contribution

Primary cartilage tympanoplasty: our technique and resultsstar, open
Mubarak M. Khan MBBS, DLO, DNB(ent)low asterisk, a, E-mail The Corresponding Author, E-mail The Corresponding Author 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

1.
Introduction
2.
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
3.
Results
4.
Discussion
4.1. Age–sex distribution
4.2. Anatomic closure of the perforations
4.3. Air Bone Gap (ABG) closure
5.
Conclusion
References














star, openThis study was not financially supported by external sources.

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



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


Sunday, June 26, 2011

Review of my book by Dr .V.Anand

The Authors have collected large number of cases and have photographed the normal and pathological conditions of middle ear.

There are excellent endoscopic illustration of very rare conditions as well as common. But some photos are not clear
            
This books covers majority of topics to give wider dimension of ear pathologies.
            
The colour photographs are self explanatory, realistic and brilliant.

The footnotes are explanatory and crisp. This book will help budding otologists to learn from these illustrations. This work will help students of otology to diagnose middle ear pathology and to formulate proper management for the patients. This book also serves to emphasize on the importance of documentation.
          
 
Dr .V.Anand
MCV MEMORIAL ENT TRUST HOSPITAL, 115, PALGHAT ROAD, POLLACHI- 642001 .

Review of my book by Dr. R. S. Mudhol

This monogram Endoscopic Color Atlas of Ear Diseases, is a wonderful work done by both of you. I congratulate and compliment both the young otologists a very bright future. The atlas is well documented monogram which will help resident post graduate and young otologists. The colour photographs are excellent and self explanatory which will help the undergraduates, post graduates and even the general practitioners.
I hope and wish that this book will be appreciated by all the doctors.
I wish both of you best of luck to further continue the same work, so that you can bring  a bigger version of this atlas.

Dr. R. S. Mudhol
Professor and head
Department of ENT and HNS
KLE University’s
JN medical College
Belgaum, Karnataka

review of my book by Dr. Sachin Gandhi

All of us who are into ENT practice for long time now know the vast variations with which a patient with ear disease can present and this book fulfills a much needed demand of an atlas in this subject.
Authors Mubarak Khan and Sapna Parab have taken painstaking effort to collect photographs of most of Ear problems. The clarity of the pictures and lucid description along with will definitely be immense help to young ENT surgeons. This atlas will help the undergraduates to understand and create an interest in this subject. Some pictures really suggest the extreme minute details that the authors have went into in depiction majority of diseases. The presentation of the book is also in an excellent format. An additional commendable point for the author is that lengthy theoretical discussion has been avoided to keep the interest of the reader for the atlas.

Dr. Sachin S Gandhi
Director,Dept. Of laryngology,
Consultant Otolaryngologist,
Deenanath Mangeshkar Hospital,
Pune, India
email: voiceclinic@gmail.com

Review of my book by Prof. Dr. G. N. Sial

It gives me immense pleasure to write the Review of the book, “Endoscopic Color Atlas of Ear Diseases” by Dr. Mubarak Muhamed Khan and Dr. Sapna Ramkrishna Parab. The authors are young enthusiastic teachers and the assets of my department and college.  Both of them are extremely academically oriented and take keen interest in teaching. The book is result of their painstaking efforts and the constant desire to train the students in the best possible way. The book contains beautiful photographs of various ear conditions along with a descriptive foot note. The initial chapter on the anatomy of the tympanic membrane forms the basis for understanding the pathology of the middle and external ear in the best possible. The book is easy to read and has lucid presentation with nice formatting .This Atlas will be boon to MBBS students, ENT post graduates, students in Audiology, Speech & Hearing sciences as well as practicing doctors & ENT specialists. I congratulate both of them for their stupendous effort. I also congratulate the Jaypee Medical Publishers for promoting these enthusiastic teachers and also for quality and perfection in preparation of the book. I am sure that Dr. Mubarak and Dr. Sapna will continue with their good work and I exhort them to produce even better illustrate books in other spheres of ENT.
I strongly recommend that this book should be included in the reference books of  ENT for undergraduate and post graduate students by the MUHS and MCI. 
Prof. Dr. G. N. Sial
M.S.(ENT), DLO, DORL
Head Of Department of ENT

REVIEW OF OUR BOOK BY DR.Suresh Ghaisas

It gives me immense pleasure to pen a Foreword for this book “Endoscopic Color Atlas of Ear Diseases”
The book contains endoscopic photographs of all the diseases of external ear and middle ear.
It covers majority of the topics to give a wider dimension of the ear pathologies. The number of endoscopic color photographs—271 is quite a large. The authors, Dr Mubarak Muhamed Khan and Dr Sapna Ramkrishna Parab have done a wonderful job. Both of them are on teaching faculties of MIMER Medical College, Talegaon-D, Pune and take keen interest in teaching methodology. This book will be useful as a reference book for all the undergraduate and postgraduate medical students, consulting ENT surgeons and general practitioners.
With the aid of this book, even general practitioners and pediatricians will be able to diagnose ear  diseases with the help of otoscope. The authors deserve all the praise and congratulations for introducing this book in a novel method of teaching methodology.
I am sure everybody will appreciate this book and use it for practice.


Suresh Ghaisas
MS ENT, Bom, DORL
Medical Director
MIMER Medical College, Pune

review of my book by Dr.Nilesh.N.Madkikar

'Endoscopic Color Atlas of Ear Diseases 'written by Dr Mubarak M. Khan and Dr Sapna R. Parab(published by Jaypee Brothers) represents An excellent clinical compilation of various Otological disorders that is seldom is seen in one book.
Dr. Mubarak Khan has always been a teacher with that extra edge that helps make students understand a subject better, and I have been just one of the thousands that have benefited.  This color atlas published by him and Dr. Sapna Parab is a medium which has given the opportunity for all students / general practitioners'  to gain the most that one book can offer in clinical otology.
I have always believed in the sense of vision that can leave an everlasting imprint on the minds of all. This book is a beautiful picturesque assembly of almost all the clinical disorders that an ENT surgeon is bound to encounter in day to day practice, some of which are not so easy to diagnose, and some rarely seen. Dr Mubarak Khan's 16 years of dedication and passion towards otology is clearly visible in each page of the 163 page atlas which contains 271 high quality clinical pictures making this an excellent otologic atlas for all to own.
It's with great pleasure and confidence that I recommend 'Endoscopic Color Atlas of Ear Diseases ' to all my colleagues and juniors.
Secretary Association of Otolaryngologists of India, Pune branch
Dr. Nilesh.N.Madkikar