A practical method in measurement of perforation size during cartilage tympanoplasty

Year 2020, Volume: 6 Issue: 1, 83 - 86, 04.01.2020

Kemal Keseroğlu , Sibel Alicura Tokgöz , Elif Kaya Çelik İstemihan Akın Ali Özdek

https://doi.org/10.18621/eurj.455130

Abstract

Cartilage has been used in otologic surgery for
ossicular reconstruction and grafting since 1960s. Due to low metabolic rate, stiffness and stability properties
with regard to fascia, it is thought to be more effective in tympanoplasty. With the help of this
measurement technique, redundant oversized harvesting of cartilage can be
prevented and overmanuplation during graft replacement especially after a
delicate ossiculoplasty procedure can be avoided. The
aim of this study was to demonstrate the preparation of optimal island
cartilage composite graft with a simple sterile suture package template for the
appropriate size of the tympanic membrane perforation, and to provide a
functional surgery with minimal donor site defect and minimal manipulation. With
this technique, 143 patients with chronic otitis have been operated in our
clinic. No complications with respect to this method, have been observed up to
date. Using an easily prepared  template
is a simple and effective method for measuring the perforation size. 

Keywords

Cartilage, tympanoplasty, perforation size measurement, endoscopic cartilage tympanoplasty, butterfly inlay myringoplasty

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