Palisade cartilage fascia tympanoplasty: our experience

Authors

  • Dheeraj Lambor Department of ENT, Goa Medical College, Bambolim, Goa
  • Govind Bhuskute Department of ENT, Goa Medical College, Bambolim, Goa
  • Ombretta Barreto Department of ENT, Goa Medical College, Bambolim, Goa

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20194949

Keywords:

Large central perforation, Neotympanum, Chronic otitis media, Eustachian tube dysfunction, Atelectasis, Myringoplasty, Cartilage fascia tympanoplasty

Abstract

Background: Cartilage tympanoplasty is one of the procedures performed for treatment of tympanic membrane perforation, more so in those cases associated with eustachian tube dysfunction, or failed previous temporalis fascia type 1 tympanoplasty. Palisade cartilage tympanoplasty, initially described by Heerman utilizes strips of conchal cartilage to reconstruct the tympanic membrane.

Methods: A retrospective study which was presented with 64 patients who underwent palisade cartilage- fascia type I tympanoplasty and compared their hearing outcome after three years of post-operative period. Indication to perform a cartilage-fascia tympanoplasty was either an atelectatic middle ear or large perforation of the drum or residual or recurrent perforation following previous temporalis fascia myringoplasty.  

Results: Average pre-operative hearing loss was 37.38±15.04 dB, while post-operative hearing loss was 20.47±8.85 dB, giving an average gain of 17.03 dB. Of 64 patients, 93.7% patients had fully healed neotympanum.

Conclusions: Palisade cartilage fascia tympanoplasty is an effective method to ensure graft uptake and at the same time achieve competitive hearing gain. The reliability of this technique lies in its use for recurrent and residual perforations of the tympanic membrane as well as in cases associated with eustachian tube dysfunction.

Author Biographies

Dheeraj Lambor, Department of ENT, Goa Medical College, Bambolim, Goa

 Lecturer and consultant ENT surgeon

 Department of ENT

Goa Medical College

Bambolim- Goa- India

Govind Bhuskute, Department of ENT, Goa Medical College, Bambolim, Goa

Junior Resident and Post Graduate Student, Department of ENT, Goa Medical College- Bambolim, Goa

Ombretta Barreto, Department of ENT, Goa Medical College, Bambolim, Goa

Junior Resident and Post Graduate Student, Department of ENT, Goa Medical College- Bambolim, Goa

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Published

2019-10-23

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Original Research Articles