- 作者：Xabier Altuna ; xaltuna@osakidetza.net ; Juan José ; Navarro ; Zuriñ ; e Martí ; nez ; Rocí ; o Lobato ; Jesú ; s Algaba
- 关键词：Miringoplastia ; Timpanoplastia ; Cartí ; lago ; Otitis media
- 刊名：Acta Otorrinolaringol贸gica Espa帽ola
- 出版年：2010
- 期刊代码：pca34_00016519
- 类别：med
- 出版时间：March鈥揂pril 2010
- 卷：61
- 期：2
- 页码：100-105
- 文件大小：238 K
Introduction and objectives
In certain situations (鈥渉igh risk perforations鈥? such as large perforations, revision cases, middle ear pathology, eustachian tube dysfunction and atelectatic ears, the failure rate of myringoplasty is high. Some authors have suggested that the materials most frequently used for myringoplasty (fascia and perichondrium) may have a role in this failure rate. Cartilage myringoplasty, however, achieves good results in these 鈥渉igh risk鈥?cases. The purpose of this study is to analyze our results and describe the technique.
Methods
A retrospective study of all consecutive patient charts for cartilage myringoplasties performed in a 5-year period (2002鈥?007) was carried out.
Results
During the study period, cartilage was used in 99 patients (122 cases). More than 66%of the cases were large perforations and 26%of the cases were revision cases. Successful closure was achieved in 92%of the cases and the functional results show an improvement in the air-bone gap average with statistical significance for type I tympanoplasties.
Discussion
The reconstruction of tympanic membrane perforations with cartilage is recommended in certain cases (鈥渉igh risk鈥?perforations). The results described here show that the anatomical and functional results are good and we consider the technique easy to learn.
Conclusions
We consider cartilage myringoplasty a technique that could be used in 鈥渉igh risk鈥?perforations where a technique using fascia or perichondrium may have a higher risk of failure.