PMID- 24851631
OWN - NLM
STAT- MEDLINE
DCOM- 20140612
LR  - 20140523
IS  - 0350-6134 (Print)
IS  - 0350-6134 (Linking)
VI  - 38
IP  - 1
DP  - 2014 Mar
TI  - Full thickness cartilage palisade tympanoplasty with malleus interposition: a 
      study of the long term results.
PG  - 283-7
AB  - The aim of this retrospective study is to review long term results of 
      full-thickness cartilage palisade tympanoplasty (FTCPT) with malleus head 
      interposition performed on 51 patients (56 ears); 36 women and 15 men (7-73 
      years, 44 years average). The pathology of ears which encourages this technique 
      of tympanoplasty is presented. On average 12 years after surgery we have 
      elaborated anatomic and functional results. Anatomic results were categorized 
      based on empiric evaluation of the new tympanic membrane status: 40 (71%) 
      tympanic membranes without anatomic irregularities, 14 (25%) with irregularities 
      and 2 (4%) with secondary perforation. Functional results (tonal audiogram) are 
      based on pure tone average air-bone gap (PTA-ABG) at 4 frequencies. Main 
      functional results of 51 ears (51 audiograms performed): pre- and post-operative 
      average PTA-ABGs were 27.07 +/- 9.98 and 10.77 +/- 7.85 dB (t = 10.36; p < 
      0.001). In the group of ears with a tympanic membrane with no anatomic 
      irregularities, pre- and post-operative average PTA-ABGs were 27.30 +/- 10.56 and 
      10.82 +/- 8.33 dB (t = 8.09; p < 0.001). In the group of ears with cartilage 
      resorption, pre- and post-operative PTA-ABGs were 24.92 +/- 8.19 and 9.33 +/- 
      6.58 dB (t = 6.21; p < 0.001). The differences between the two groups are 
      irrelevant. Postoperative PTA-ABG values of ears after first surgery (N = 34) and 
      revision surgery (N = 17) was significantly different (8.75 +/- 5.75 and 15.16 
      +/- 9.62 dB) (t = 2.60; p = 0.016). In spite of the thickness of the new tympanal 
      membrane, FTCPT is a successful technique for solving advanced ear pathology.
FAU - Velepic, Marko M
AU  - Velepic MM
FAU - Manestar, Dubravko
AU  - Manestar D
FAU - Starcevic, Radan
AU  - Starcevic R
FAU - Velepic, Barbara Cesnik
AU  - Velepic BC
FAU - Velepic, Sanja Zubovic
AU  - Velepic SZ
FAU - Linsak, Zeljko
AU  - Linsak Z
LA  - eng
PT  - Journal Article
PL  - Croatia
TA  - Coll Antropol
JT  - Collegium antropologicum
JID - 8003354
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Cartilage/*surgery
MH  - Child
MH  - Chronic Disease
MH  - Female
MH  - Humans
MH  - Male
MH  - Malleus/*surgery
MH  - Middle Aged
MH  - Otitis Media/*surgery
MH  - Retrospective Studies
MH  - Treatment Outcome
MH  - Tympanoplasty/*methods
MH  - Young Adult
EDAT- 2014/05/24 06:00
MHDA- 2014/06/13 06:00
CRDT- 2014/05/24 06:00
PHST- 2014/05/24 06:00 [entrez]
PHST- 2014/05/24 06:00 [pubmed]
PHST- 2014/06/13 06:00 [medline]
PST - ppublish
SO  - Coll Antropol. 2014 Mar;38(1):283-7.