Success rates for various graft materials in tympanoplasty -A review
Ali Bayram1
Nuray Bayar Muluk2
Cemal Cingi3
Sameer Ali Bafaqeeh4
1.Kayseri Training and Research Hospital, Department of Otorhinolaryngology, Kayseri, Turkey2.Kirikkale University, Medical Faculty, Department of Otorhinolaryngology, Kirikkale, Turkey3.Eskisehir Osmangazi University, Medical Faculty, Department of Otorhinolaryngology, Eskisehir, Turkey4.King Saud University, Department of Otorhinolaryngology, Riyadh, Saudi Arabia
摘要：Objectives: The aim of this paper is to review how successful each type of grafts is in tympanoplasty. Methods: Pubmed, Google and the Proquest Central Database at K?r?kkale University were queried using the keywords"graft","success""tympanoplasty","success rate"with the search limited to the period 1955 to 2017.Results: Various types of graft materials including temporalis fascia, cartilage, perichondrium, perios-teum, vein, fat or skin have been used in the reconstruction of tympanic membrane (TM) perforation. Although temporalis fascia ensures good hearing is restored, there are significant concerns that its dimensional stability characteristics may lead to residual perforation, especially where large TM perfo-rations are involved. The"palisade cartilage"and"cartilage island"techniques have been stated to in-crease the strength and stability of a tympanic graft, but they may result in a less functional outcome in terms of restoring hearing. Smoking habits, the size and site of a perforation, the expertise level of the operating surgeon, age, gender, the status of the middle ear mucosa and the presence of myringosclerosis or tympanosclerosis are all important in determining how successful a graft is. Conclusion: Although temporal fascia is the most commonly used graft material for tympanoplasty, poor graft stability may cause failure. This failure is due to the inclusion of connective fibrous tissue containing irregular elastic fibers present in the grafted fascia. Cartilage grafts offer better ability to resist infection, pressure, and cope with insufficient vascular supply. This means that cartilage grafts are suitable for use in revision cases.
机标关键词：
论文发表日期：2020-09-30
在线出版日期：2025-08-15（本平台首次上网日期，不代表文献的发表时间）
页数：5( 107-111 )
英文信息