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Cartilage tympanoplasty: literature review

Published online by Cambridge University Press:  08 March 2017

M Yung
M Yung*
Affiliation:
Department of Otolaryngology, The Ipswich Hospital NHS Trust, UK
*
Address for correspondence: Mr Matthew Yung, Department of Otolaryngology, The Ipswich Hospital NHS Trust, Heath Road, Ipswich IP5 4PD, UK. Fax: 01473 793576, E-mail: [email protected]
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Abstract

There has been renewed interest in the use of cartilage for middle-ear reconstructions. The aim of the present review is to examine the indications, techniques and surgical outcomes of cartilage tympanoplasties reported in the literature. There have been concerns regarding weakening of cartilage struts, from histological studies involving explants; as a result, cartilage struts for ossiculoplasty have not gained popularity. On the other hand, cartilage tympanoplasty is now an established procedure for tympanic membrane and attic reconstruction. The commonest techniques involve cartilage palisades and composite cartilage–perichondrial island grafts. There are many variations on the shape, size and thickness of the cartilage grafts. The perceived benefit of cartilage tympanoplasty is to prevent retraction pockets at the grafted site, even though many otologists accept that this technique may not deal with the causal factors involved in the retraction process. Concerns that the stiffness and mass of cartilage grafts may adversely affect hearing have not been substantiated in clinical reports thus far.

Keywords

Cartilage TympanoplastyOssiculoplastyCanal Wall ReconstructionMyringoplasty
Type
Review Article
Information
The Journal of Laryngology & Otology , Volume 122 , Issue 7 , July 2008 , pp. 663 - 672
Copyright
Copyright © JLO (1984) Limited 2008

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