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Rates of success in hearing and grafting in the perichondrium-preserved palisade island graft technique / Taxas de sucesso na audição e em timpanoplastias com a técnica de enxerto de cartilagem em ilha e paliçada preservado em pericôndrio
Genç, Selahattin; Özel, Halil Erdem; Altıparmak, Erdem; Başer, Serdar; Eyisaraç, Şaban; Bayakır, Ferit; Özdoğan, Fatih.
  • Genç, Selahattin; Health Sciences University. Kocaeli Derince Education and Research Hospital. Department of Otorhinolaryngology. TR
  • Özel, Halil Erdem; Health Sciences University. Kocaeli Derince Education and Research Hospital. Department of Otorhinolaryngology. TR
  • Altıparmak, Erdem; Health Sciences University. Kocaeli Derince Education and Research Hospital. Department of Otorhinolaryngology. TR
  • Başer, Serdar; Health Sciences University. Kocaeli Derince Education and Research Hospital. Department of Otorhinolaryngology. TR
  • Eyisaraç, Şaban; Health Sciences University. Kocaeli Derince Education and Research Hospital. Department of Otorhinolaryngology. TR
  • Bayakır, Ferit; Health Sciences University. Kocaeli Derince Education and Research Hospital. Department of Otorhinolaryngology. TR
  • Özdoğan, Fatih; Health Sciences University. Kocaeli Derince Education and Research Hospital. Department of Otorhinolaryngology. TR
Braz. j. otorhinolaryngol. (Impr.) ; 87(3): 305-309, May-Jun. 2021. tab, graf
Article in English, Portuguese | LILACS | ID: biblio-1285679
ABSTRACT
Abstract Introduction Various graft materials have been used in the tympanoplasty technique. Cartilage grafts are being used increasingly in recent years. Objective The aim of this study was to present the comparative outcomes of the perichondrium-preserved palisade island graft technique previously defined by ourselves. Methods We retrospectively compared the hearing and graft success rates in 108 patients with chronic otitis media, who had undergone cartilage tympanoplasty, where both island and perichondrium-preserved palisade graft techniques were used. Results The success rates among the study and the control groups with regard to graft take were 97% and 93%, respectively. No significant difference was observed between the groups with regard to the postoperative mean pure tone values, improvement in air-bone gaps and reduction in air-bone gaps to under 20 dB. However, better results were observed in the study group. Conclusion The perichondrium-preserved palisade island graft technique is an easy method with high graft success rates and hearing outcomes.
RESUMO
Resumo Introdução Vários materiais de enxerto têm sido usados na realização de timpanoplastias. Nos últimos anos, os enxertos de cartilagem têm sido cada vez mais usados. Objetivo Apresentar os resultados comparativos da técnica de enxerto de cartilagem em ilha associada e paliçada preservado em pericôndrio previamente descrita pelos autores. Método Foram comparadas retrospectivamente as taxas de sucesso auditivo e na "pega" do enxerto em 108 pacientes com otite média crônica, submetidos a timpanoplastia com cartilagem, na qual foram usadas ambas as técnicas, de enxerto em ilha e paliçada preservado em pericôndrio. Resultados As taxas de sucesso entre os grupos de estudo e controle em relação à "pega" do enxerto foram de 97% e 93%, respectivamente. Não foi observada diferença significante entre os grupos em relação aos valores médios dos tons puros, melhoria do gap ou redução do aéreo-ósseo para menos de 20 dB no pós-operatório. No entanto, melhores resultados foram observados no grupo de estudo. Conclusão A técnica de enxerto em ilha associada e paliçada preservado em pericôndrio é um métodofácil, com altas taxas de sucesso tanto do enxerto quanto dos resultados auditivos.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Tympanoplasty / Tympanic Membrane Perforation Type of study: Observational study Limits: Humans Language: English / Portuguese Journal: Braz. j. otorhinolaryngol. (Impr.) Journal subject: Otolaryngology Year: 2021 Type: Article Affiliation country: Turkey Institution/Affiliation country: Health Sciences University/TR

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Full text: Available Index: LILACS (Americas) Main subject: Tympanoplasty / Tympanic Membrane Perforation Type of study: Observational study Limits: Humans Language: English / Portuguese Journal: Braz. j. otorhinolaryngol. (Impr.) Journal subject: Otolaryngology Year: 2021 Type: Article Affiliation country: Turkey Institution/Affiliation country: Health Sciences University/TR