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Posterior meatal wall reconstruction in tympanoplasty

Published online by Cambridge University Press:  29 June 2007

P. Vase ,
B. I. Larsen  and
B. Walter
P. Vase*
Affiliation:
Odense, Denmark
B. I. Larsen*
Affiliation:
Odense, Denmark
B. Walter*
Affiliation:
Odense, Denmark
*
The ENT Department, Odense University Hospital, DK-5000 Odense C, Denmark
The ENT Department, Odense University Hospital, DK-5000 Odense C, Denmark
The ENT Department, Odense University Hospital, DK-5000 Odense C, Denmark
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Abstract

Summary

An operative method is described which has been employed in 41 cases of severe chronic otitis media. The posterior meatal wall was removed and reconstructed during the same operation, following cleansing of the middle-ear cavity and ossiculoplasty. Either autograft bone (previously removed from the meatal wall) or homograft cartilage was employed for the reconstruction. All the ears were found to be dry at the follow-up examination after an average or 28 months, but 18 per cent had reccurrence of the cholesteatoma. A SRT improvement of 5–30 db. was observed in 78 per cent, and in 21 per cent a deterioration of between 0 and 10 db. The method provides a good field of vision of the middle-ear cavity and in no cases was rejection of the re-implanted material observed.

Type
Research Article
Information
The Journal of Laryngology & Otology , Volume 95 , Issue 9 , September 1981 , pp. 893 - 898
Copyright
Copyright © JLO (1984) Limited 1981

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References

REFERENCES

Cody, D. T. R. and Taylor, W. F. (1977) Mastoidectomy for acquired cholesteatoma: long-term results. In Cholesteatoma. First International Conference. Iowa City, Iowa(ed. McCabe, B. F., Sade, J. and Abramson, M.), pp. 337–51, Aesculapius Publishing Company, Birmingham, Ala.Google Scholar
Feldmann, H. (1977) Osteoplastische Meato-Attiko-Antrotomie. Zeitschrift für Laryngologie, Rhinologie und Otologic, 56, 786.Google Scholar
Gibson, T. (1967) Cartilage grafts, In Transplantation von Organen und Geweben. (Ed. Seiffert, K. E. and Geissendörfer, R.), 203. Thieme, Stuttgart.Google Scholar
Palmgren, O. (1979) Long-term Results of Open Cavity and Tympanomastoid Surgery of the Chronic Ear. Acta Otolaryngology (Stockholm), 88, 343.CrossRefGoogle ScholarPubMed
Sadé, J. (1977) Postoperative cholesteatoma recurrence. In Cholesteatoma. First International Conference. Iowa City, Iowa (ed. McCabe, B. F., Sadé, J. and Abramson, M.), pp. 384–89. Aesculapius Publishing Company, Birmingham, Ala.Google Scholar
Smith, M. F. W. (1977) Reconstruction of the Open Mastoidectomy Ear. Otolaryngologic Clinics of North America, 10, 549.CrossRefGoogle ScholarPubMed
Smyth, G. D. L. (1977) Postoperative cholesteatoma. In Cholesteatoma. First International Conference. Iowa City, Iowa, (ed. McCabe, B. F., Sadé, J. and Abramson, M.), pp. 355–62. Aesculapius Publishing Company, Birmingham, Ala.Google Scholar
Strauss, P. and Wesierski, P. (1978) Der Wiederaufbau der hinteren Gehörgangswand. HNO, 26, 229–32.Google Scholar
Tos, M. (1978) Reconstruction of old radical cavities. Clinical Otolaryngology, 3, 255.CrossRefGoogle ScholarPubMed
Wullstein, H. (1960) Results of tympanoplasty. Archives of Otolaryngology, 71, 478.CrossRefGoogle ScholarPubMed