PMID- 19727785
OWN - NLM
STAT- MEDLINE
DCOM- 20100520
LR  - 20220318
IS  - 1434-4726 (Electronic)
IS  - 0937-4477 (Linking)
VI  - 267
IP  - 4
DP  - 2010 Apr
TI  - Long-term anatomic and functional results of cartilage tympanoplasty in 
      atelectatic ears.
PG  - 507-13
LID - 10.1007/s00405-009-1084-7 [doi]
AB  - The purpose of this study was to analyze the anatomic and functional results of 
      cartilage tympanoplasty performed on atelectatic ears using the palisade 
      technique and to assess the long-term efficacy of cartilage palisades in 
      preventing recurrent retractions. The records of 54 patients (56 ears) who 
      underwent surgery for atelectasis with or without mastoidectomy from January 2000 
      to August 2005 were retrospectively evaluated. A successful outcome was defined 
      as complete and intact healing of the graft without perforation, retraction, or 
      lateralization for at least 36 months after the operation, in addition to 
      improvement of hearing indicated by a pure-tone average air-bone gap (PTA-ABG) of 
      less than 20 dB. The mean follow-up period was 44.5 +/- 8.0 months (range, 36-68 
      months). Closure of the tympanic membrane was achieved in 91% of ears. 
      Otomicroscopic evaluation revealed nine (16%) mild and five (8%) moderate 
      retractions, but none of the retractions was deep enough to necessitate tube 
      placement. Postoperative PTA-ABG was less than 20 dB in 71% of ears. The average 
      preoperative and postoperative ABG values, including all types of tympanoplasty 
      operations (Type I, II and III), were 28.4 +/- 5.8 and 16.9 +/- 6.7 dB, 
      respectively (p < 0.001). No significant difference in the change in PTA-ABG was 
      found between the groups with or without mastoidectomy (p > 0.05). Palisade 
      cartilage tympanoplasty is an effective technique for tympanic membrane closure 
      and hearing improvement in atelectatic ears. Mastoidectomy does not change the 
      anatomic or audiologic findings in these types of ears. We recommend this 
      technique to other otologic surgeons.
FAU - Ozbek, Cem
AU  - Ozbek C
AD  - Department of Otorhinolaryngology, Ankara Numune Research and Education Hospital, 
      Ankara, Turkey. mcemozbek@yahoo.com
FAU - Ciftci, Onur
AU  - Ciftci O
FAU - Ozdem, Cafer
AU  - Ozdem C
LA  - eng
PT  - Journal Article
DEP - 20090902
PL  - Germany
TA  - Eur Arch Otorhinolaryngol
JT  - European archives of oto-rhino-laryngology : official journal of the European 
      Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the 
      German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
JID - 9002937
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Audiometry, Pure-Tone
MH  - Cartilage/*pathology/*surgery
MH  - Child
MH  - Endoscopy/methods
MH  - Fascia/transplantation
MH  - Female
MH  - Follow-Up Studies
MH  - Hearing Disorders/diagnosis/epidemiology
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Otitis Media/epidemiology/*pathology/*surgery
MH  - Retrospective Studies
MH  - Severity of Illness Index
MH  - Temporal Muscle/transplantation
MH  - Time Factors
MH  - Treatment Outcome
MH  - Tympanoplasty/*methods
MH  - Young Adult
EDAT- 2009/09/04 06:00
MHDA- 2010/05/21 06:00
CRDT- 2009/09/04 06:00
PHST- 2009/02/28 00:00 [received]
PHST- 2009/08/21 00:00 [accepted]
PHST- 2009/09/04 06:00 [entrez]
PHST- 2009/09/04 06:00 [pubmed]
PHST- 2010/05/21 06:00 [medline]
AID - 10.1007/s00405-009-1084-7 [doi]
PST - ppublish
SO  - Eur Arch Otorhinolaryngol. 2010 Apr;267(4):507-13. doi: 
      10.1007/s00405-009-1084-7. Epub 2009 Sep 2.