Role of Tragal Cartilage And Perichondrium in Middle Ear Reconstruction
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 10
Abstract
Objective: The objective of study was to assess the efficacy of tragal perichondrium and cartilage, the functional capacity in restoring hearing acuity, it's mechanical survival, it's extrusion rate and it's functional integrity in tympanomastoid reconstruction. Materials and methods: The present study was a prospective study of tympanomastoid surgeries performed on 50 patients. The main outcome measures were both anatomical and functional in form of graft incorporation and postoperative hearing function, over 3 months of follow-up. Results and conclusion: There were 50 patients (mean age 27.8±10.8 years). Preoperatively, 23 patients had near-total perforation, 29 had Cholesteatoma, 8 had postero-superior retraction pocket, and 9 had a marginal perforation. There were no immediate postoperative or long term complications of surgery except for 5 cases in which there was a failure of graft uptake. There was a 7.6-decibel (dB) improvement in mean air conduction threshold post-operatively. There were no cases of retraction, adhesion, or lateralization. Conclusion: tragal cartilage and perichondrium in middle ear reconstruction has excellent surgical results and minimal complications, even in patients with poor prognostic factors, and should thus be considered in those patients.
Authors and Affiliations
Dr. Sikandar Singh, Dr. Digvijay Singh Rawat, Dr. Vipul Chaudhary, Dr. Manish Kumar Tailor, Dr. Yogesh Aseri, Dr. P. C Verma
Keywords
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- EP ID EP243712
- DOI 10.9790/0853-1610066366
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