PMID- 25012055
OWN - NLM
STAT- MEDLINE
DCOM- 20150714
LR  - 20140815
IS  - 1651-2251 (Electronic)
IS  - 0001-6489 (Linking)
VI  - 134
IP  - 9
DP  - 2014 Sep
TI  - Tragal cartilage shield tympanoplasty: our technique and results in 612 cases.
PG  - 890-7
LID - 10.3109/00016489.2014.899710 [doi]
AB  - CONCLUSION: This study reveals that tragal cartilage tympanoplasty is a reliable 
      technique, it has a high degree of graft take, and the tympanic re-aeration and 
      hearing results are satisfactory. OBJECTIVE: Cartilage is the grafting material 
      of choice in advanced pathologies of the middle ear while the indications for its 
      routine use remain controversial. The purpose of this study was to report our 
      long-term experience with the 'tragal cartilage shield' tympanoplasty. METHODS: 
      This was a retrospective case series. The study was conducted on 612 adult 
      patients from January 2003 until January 2012. We evaluated graft take, pure-tone 
      average air-bone gap (PTA-ABG), postoperative aeration, and complications. The 
      mean postoperative follow-up was 68 months. RESULTS: Sex, age, and tobacco smoke 
      did not have any impact on postoperative results. Graft take was achieved in 
      99.35% of patients; there were no immediate postoperative complications. The 
      overall average preoperative PTA-ABG was 44.95 +/- 7.77 dB, whereas 1 year after 
      surgery it was 10.66 +/- 5.41 dB (p < 0.0001). Statistically significant 
      improvement was observed up to 10 years after surgery. Moreover, we obtained a 
      good tympanic ventilation (1 year after surgery, the average aeration score was 
      9.09 +/- 1.93), which was stable up to 10 years.
FAU - Cavaliere, Matteo
AU  - Cavaliere M
AD  - Department of Otorhinolaryngology, University Hospital "San Giovanni di Dio e 
      Ruggi d'Aragona" , Salerno.
FAU - Panetti, Maria
AU  - Panetti M
FAU - Iemma, Maurizio
AU  - Iemma M
LA  - eng
PT  - Journal Article
DEP - 20140711
PL  - England
TA  - Acta Otolaryngol
JT  - Acta oto-laryngologica
JID - 0370354
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Audiometry, Pure-Tone
MH  - Cartilage/*transplantation
MH  - Cholesteatoma, Middle Ear/*surgery
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Otitis Media, Suppurative/*surgery
MH  - Recurrence
MH  - Retrospective Studies
MH  - Tympanoplasty/*methods
MH  - Young Adult
OTO - NOTNLM
OT  - Cartilage tympanoplasty
OT  - aeration
OT  - graft take
OT  - titanium prosthesis
OT  - tympanic ventilation
EDAT- 2014/07/12 06:00
MHDA- 2015/07/15 06:00
CRDT- 2014/07/12 06:00
PHST- 2014/07/12 06:00 [entrez]
PHST- 2014/07/12 06:00 [pubmed]
PHST- 2015/07/15 06:00 [medline]
AID - 10.3109/00016489.2014.899710 [doi]
PST - ppublish
SO  - Acta Otolaryngol. 2014 Sep;134(9):890-7. doi: 10.3109/00016489.2014.899710. Epub 
      2014 Jul 11.