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VOLUME 7 , ISSUE 3 ( September-December, 2015 ) > List of Articles

RESEARCH ARTICLE

Cartilage Shield Tympanoplasty: A Retrospective Chart Review of 69 Cases

Simple Patadia, Amitkumar Keshri, Saurin Shah

Keywords : Air-bone gap,Cartilage shield tympanoplasty,Graft uptake

Citation Information : Patadia S, Keshri A, Shah S. Cartilage Shield Tympanoplasty: A Retrospective Chart Review of 69 Cases. Int J Otorhinolaryngol Clin 2015; 7 (3):105-108.

DOI: 10.5005/jp-journals-10003-1203

Published Online: 01-04-2016

Copyright Statement:  Copyright © 2015; The Author(s).


Abstract

Objective

Cartilage shield tympanoplasty (CST) is an acknowledged procedure to repair total tympanic membrane perforations. The main objective of this study was to share our experience of CST, in form of its technique, graft uptake and hearing outcomes.

Study design

Retrospective chart review.

Setting

Tertiary care hospital, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.

Patients

A total of 69 cases of type 1 CST, from January 2013 to March 2014. We followed all patients for a minimum period of 6 months.

Intervention

Therapeutic.

Main outcome measures

Graft uptake rate, along with preand postoperative pure tone audiogram air bone gap (ABG) and postoperative complications, was evaluated. We compared ABG using Student's t-test.

Results

Graft uptake was seen in 68 cases (98.5%). The mean pre- and postoperative pure tone audiometry (PTA)-ABG was 37.58 ± 6.43 dB and 20.19 ± 8.14 dB, respectively. Hearing improvement was maximum at 2 kHz with mean postoperative value of 17.73 dB, and the least improvement was seen at 8 kHz with value of 30 dB in postoperative period.

Conclusion

The graft uptake rate was excellent, and hearing results were satisfactory. Cartilage shield tympanoplasty should be a recommended procedure for total perforation, subtotal perforation and revision cases. However, long-term results are still awaited.

How to cite this article

Patadia S, Keshri A, Shah S. Cartilage Shield Tympanoplasty: A Retrospective Chart Review of 69 Cases. Int J Otorhinolaryngol Clin 2015;7(3):105-108.


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  1. Cartilage ‘shield‘ tympanoplasty: an effective and practical technique. Europ Arch Otorhinolaryngol 2014;271(7):1903–1908.
  2. Tragal cartilage in tympanoplasty: anatomic and functional results in 306 cases. Acta Otorhinolaryngol Ital 2009;29(1):27–32.
  3. Tympanic membrane grafting with temporalis fascia. Arch Otolaryngol 1967;86(4):391–402.
  4. Cartilage-perichondrial composite graft tympanoplasty in the treatment of posterior marginal and attic retraction pockets. Laryngoscope 1987;97(9):1069–1074.
  5. Tragal perichondrium and cartilage in tympanoplasty. Arch Otolaryngol 1967;85(5):480–491.
  6. Composite autograft ‘shield‘ reconstruction of remnant tympanic membranes. Otology Neurotol 1995;16(1):21–26.
  7. Fascia and cartilage palisade tympanoplasty: nine years‘ experience. Arch Otolaryngol 1970;91(3):228–241.
  8. Cartilage shield tympanoplasty: a reliable technique. Otology Neurotol 2005;26(5):838–841.
  9. Cartilage tympanoplasty: indications, techniques, and outcomes in a 1,000-patient series. Laryngoscope 2003;113(11):1844–1856.
  10. Acoustic properties of different cartilage reconstruction techniques of the tympanic membrane. Laryngoscope 2002;112(10):1769–1776.
  11. Success of cartilage grafting in revision tympanoplasty without mastoidectomy. Otology Neurotol 2004;25(5):678–681.
  12. Causes of failure in tympanoplasty. J Natl Med Assoc 1964;56(2):136–138.
  13. Hearing results with cartilage tympanoplasty. Laryngoscope 1997;107(8):1094–1099.
  14. Hearing results after primary cartilage tympanoplasty. Laryngoscope 2000;110(12):1994–1999.
  15. Cartilage support for fascia graft in type I tympanoplasty. Ind J Otolaryngol Head Neck Surg 2014;66(3):291–296.
  16. Cartilage tympanoplasty: a reliable technique for smokers. Europ Arch Otorhinolaryngol 2014;271(2):255–260.
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