Hostname: page-component-586b7cd67f-r5fsc Total loading time: 0 Render date: 2024-11-22T17:37:47.836Z Has data issue: false hasContentIssue false
  • English
  • Français

Chondroperichondrial clip myringoplasty: a new technique for closure of tympanic membrane perforations

Published online by Cambridge University Press:  15 April 2013

S Ahmed ,
N Raza ,
S Ullah  and
A Shabbir
S Ahmed*
Affiliation:
Department of ENT Head and Neck Surgery, Combined Military Hospital, Rawalpindi, Pakistan
N Raza
Affiliation:
ENT Department, Combined Military Hospital, Quetta, Pakistan
S Ullah
Affiliation:
ENT Department, Combined Military Hospital, Sargodha, Pakistan
A Shabbir
Affiliation:
ENT Department, Combined Military Hospital, Sargodha, Pakistan
*
Address for correspondence: Dr S Ahmed, FCPS, FRCS, Consultant, Department of ENT Head and Neck Surgery, Combined Military Hospital, Rawalpindi, Pakistan. Fax: 0092 515 789 056 E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

This study aimed to evaluate the feasibility and efficacy of the recently described chondroperichondrial clip myringoplasty technique, and make comparisons with conventional myringoplasty techniques.

Methods:

The study comprised a select group of patients with chronic otitis media (mucosal disease only), with central tympanic membrane perforations affecting less than 50 per cent of the pars tensa, and an air–bone gap below 35 dB. A modified custom-made cartilage perichondrial graft was placed using the recently described ‘clip’ technique.

Results:

The graft success rate was 91.3 per cent. Post-operatively, the air–bone gap was within 10 dB in 52 per cent of cases and within 10–20 dB in 48 per cent of cases. There were few minor complications.

Conclusion:

Chondroperichondrial clip myringoplasty can be considered as an alternative minimally invasive technique for the repair of select cases of tympanic membrane perforations. This technique, which showed impressive results, was associated with minimum morbidity and reduced operative time.

Keywords

MyringoplastyGraftsCartilageOtitis MediaMinimally Invasive Surgical Procedures
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 127 , Issue 6 , June 2013 , pp. 562 - 567
Copyright
Copyright © JLO (1984) Limited 2013 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1Merchant, SN. Ossiculoplasty and tympanoplasty in chronic otitis media. In: Nadol, JB, McKenna, MJ, eds. Surgery of the Middle Ear and Temporal Bone. Philadelphia: Lippincott Williams and Wilkins, 2005;305–24Google Scholar
2Sperkelsen, MS. Cartilage palisade tympanoplasty. In: Hildmann, H, Sudhoff, H, eds. Middle Ear Surgery. Berlin: Springer-Verlag 2006;44–8CrossRefGoogle Scholar
3Ozgursoy, OB, Youralmaz, I. Fat graft myringoplasty: a cost effective but underused procedure. J Laryngol Otol 2005;119:277–9CrossRefGoogle ScholarPubMed
4Fernandes, SV. Composite chondroperichondrial clip tympanoplasty: the triple C technique. Otolaryngol Head Neck Surg 2003;128:267–72Google ScholarPubMed
5Farrior, JB. Risks and complications of tympanoplasty. In: Wiet, RJ, ed. Ear and Temporal Bone Surgery. Minimizing Risks and Complications. New York: Thieme 2006;58–70Google Scholar
6Wehrs, RE. Grafting techniques. Otolaryngol Clin North Am 1992;32:443–55CrossRefGoogle Scholar
7Bajaj, Y, Bais, AS, Mukherjee, B. Tympanoplasty in children–a prospective study. J Laryngol Otol 1998;112:1147–9CrossRefGoogle ScholarPubMed
8Manolidis, S. Closure of tympanic membrane perforations. In: Glasscock, ME, Gulya, AJ, eds. Surgery of the Ear, 5th edn. Ontario: BC Decker, 2004;400–21Google Scholar
9Mousel, EM, Nguyen, TQ. Underlay tympanoplasty. In: Haberman, RS, ed. Middle Ear and Mastoid Surgery. New York: Thieme, 2004;14–21Google Scholar
10Dornhoffer, JL. Cartilage tympanoplasty. Otolaryngol Clin North Am 2006;39:1161–76CrossRefGoogle ScholarPubMed
11Committee on hearing and equilibrium guidelines for the evaluation of results of treatment of conductive hearing loss. American Academy of Otolaryngology-Head and Neck Surgery Foundation, Inc. Otolaryngol Head Neck Surg 1995;113:186–7Google Scholar