Long-Term Results of Palisade Cartilage Tympanoplasty

• DOI: 10.1097/mao.0b013e3181e71479
• Publication Date: 2010-07-02T10:56:40Z
• Authors: Andreas Neumann; Kevin Kevenhoerster; Antoniu Oreste Go...
• Keywords: Adult; Male; Reoperation; Titanium; Tympanic Membrane; Adolescent; Ear, Middle; Otoscopy; Middle Aged; 3. Good health; Prosthesis Implantation; 03 medical and health sciences; Cartilage; Cochlear Implants; Treatment Outcome; 0302 clinical medicine; Audiometry, Pure-Tone; Humans; Female; Ear Diseases; Aged; Ear Ossicles; Follow-Up Studies

Evaluation of morphologic and functional long-term results palisade cartilage tympanoplasty (PCT) combined with titanium ossicular replacement prostheses.Retrospective review tympanoplasties.Tertiary referral center.Twenty-nine patients (12 women 17 men; mean age, 39 yr; range, 17-72 yr) operated on more than 9 years ago (mean follow up, 9.1 because cholesteatoma, adhesive otitis, chronic otitis media, subtotal tympanic membrane defects, fibrosis requiring tympanoplasty.Tympanoplasty, applying the PCT. For ossiculoplasty, total or partial prostheses were used.Questionnaire postoperative course, otoscopic findings, hearing using a 4-frequency pure-tone average air-bone gap.A recurrent defect was not observed. The graft take rate 100%. There one case prosthesis protrusion which required revision surgery insertion shorter prosthesis. A gap 0 to 10 dB seen preoperatively in 1 ear, 11 30 16 ears, 31 59 12 ears. Postoperatively, corresponding numbers 10, 15, 4 ears.The PCT is reliable surgical method manage difficult middle ear pathology (>9 basis. It offers satisfactory combination ossiculoplasty.