A practical method in measurement of perforation size during cartilage tympanoplasty

Yıl 2020, Cilt: 6 Sayı: 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

Öz

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. 

Anahtar Kelimeler

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

Kaynakça

• 1. Tos M. Cartilage tympanoplasty methods: proposal of a classification. Otolaryngol Head Neck Surg 2008;139:747-58.
• 2. Yung M. Cartilage tympanoplasty: literature review. J Laryngol Otol 2008;122:663-72.
• 3. Cavaliere M, Panetti M, Iemma M. Tragal cartilage shield tympanoplasty: our technique and results in 612 cases. Acta Otolaryngol 2014;134:890-7.
• 4. Ghanem MA, Monroy A, Alizade FS, Nicolau Y, Eavey RD. Butterfly cartilage graft inlay tympanoplasty for large perforations. Laryngoscope 2006;116:1813-6.
• 5. Jalali MM, Motasaddi M, Kouhi A, Dabiri S, Soleimani R. Comparison of cartilage with temporalis fascia tympanoplasty: A meta‐analysis of comparative studies. Laryngoscope 2017;127:2139-48.
• 6. De Seta E, Covelli E, De Seta D, Mancini P, Filipo R. Cartilage tympanoplasty: how to reduce surgery time. J Laryngol Otol 2010;124:784-5.
• 7. Eren SB, Tugrul S, Ozucer B, Dogan R, Ozturan O. A randomized prospective trial of a novel device for measuring perforation size during inlay 'butterfly' myringoplasty. Am J Otolaryngol 2014;35:305-8.