PMID- 21453647
OWN - NLM
STAT- MEDLINE
DCOM- 20110809
LR  - 20130410
IS  - 1916-0216 (Electronic)
IS  - 1916-0208 (Linking)
VI  - 40
IP  - 2
DP  - 2011 Apr
TI  - Combined intact bridge mastoidectomy with ring graft tympanoplasty.
PG  - 122-30
AB  - OBJECTIVE: To assess the anatomic and audiologic results of tympanoplasty types 
      I, II, and III using a ring graft in conjunction with intact bridge mastoidectomy 
      for management of chronic otitis media, mucosal type. DESIGN: Retrospective 
      clinical study. SETTING: Department of Otolaryngology-Head and Neck Surgery, 
      Tanta University Hospital, Egypt. METHODS: The records of 97 patients with 
      chronic otitis media (mucosal type) who underwent intact bridge mastoidectomy and 
      ring graft tympanoplasty were evaluated. Of those, 54, 26, and 17 ears were 
      included in tympanoplasty type I, II, and III groups, respectively. MAIN OUTCOME 
      MEASURES: The postoperative graft success rate, including tympanic membrane 
      healing without perforation, retraction, lateralization, or blunting and hearing 
      acuity, including pure-tone average air-bone gap (PTA-ABG) and speech reception 
      threshold (SRT), were evaluated. RESULTS: The graft success rate was achieved in 
      96%, 96%, and 94% of tympanoplasty type I, II, and III groups, respectively, with 
      a highly significant difference within each group. However, the graft success 
      rate did not achieve a significant difference between the surgical groups. 
      PTA-ABG and SRT levels improved significantly with surgery in all groups. 
      However, comparison of audiometric results between the study groups did not 
      reveal any statistically significant difference. CONCLUSIONS: Performing 
      tympanoplasty type I, II, and III using a ring graft for management of mucosal 
      type chronic otitis media in conjunction with intact bridge mastoidectomy yielded 
      good anatomic and audiologic results. This combined technique allowed good 
      surgical exposure, adequate aeration of the middle ear space, and good healing of 
      the tympanic membrane over a transparent central perichondrium.
FAU - Amin Albirmawy, Osama
AU  - Amin Albirmawy O
AD  - Department of Otolaryngology-Head and Neck Surgery, Tanta University Hospital, 
      Gharbeya, Egypt. albirmawy@hotmail.com
FAU - Aly Erfan, Fat-he
AU  - Aly Erfan FH
LA  - eng
PT  - Journal Article
PL  - England
TA  - J Otolaryngol Head Neck Surg
JT  - Journal of otolaryngology - head & neck surgery = Le Journal 
      d'oto-rhino-laryngologie et de chirurgie cervico-faciale
JID - 101479544
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Cartilage/*transplantation
MH  - Child
MH  - Chronic Disease
MH  - Female
MH  - Humans
MH  - Male
MH  - Mastoid/*surgery
MH  - Middle Aged
MH  - Otitis Media/pathology/*surgery
MH  - Tympanoplasty/*methods
MH  - Young Adult
EDAT- 2011/04/02 06:00
MHDA- 2011/08/10 06:00
CRDT- 2011/04/02 06:00
PHST- 2011/04/02 06:00 [entrez]
PHST- 2011/04/02 06:00 [pubmed]
PHST- 2011/08/10 06:00 [medline]
PST - ppublish
SO  - J Otolaryngol Head Neck Surg. 2011 Apr;40(2):122-30.