The audiological and take results of perichondrium attached cartilage island graft in tympanoplasty: PACIT
Yükleniyor...
Dosyalar
Tarih
2016
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Pacini Editore
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Cartilage is one of the most preferable grafts for tympanoplasty (TPL). The anatomical and audiological results and take rates of perichondrium attached cartilage island graft in tympanoplasty (PACIT) are presented herein. One hundred ninety four ears of 191 patients (108 male, 83 female) were evaluated retrospectively in terms of the type of surgery, graft take rate and hearing results. Type I, II, and III TPL were performed in 127 (65.46%), 45 (23.20%), and 22 (11.34%) ears, respectively. The overall mean preoperative pure tone average-air bone gaps (PTA-ABGs) for TPL types were 33.74 +/- 9.60, 52.58 +/- 9.07, and 56.58 +/- 10.27 dB HL, respectively; postoperative mean values for TPL groups were 18.55 +/- 9.25, 31.21 +/- 4.36, and 44.84 +/- 12.45 dB HL. Postoperative hearing results showed an improvement (>= 10 dB) in 76.81% of ears with a mean gain of 20 dB HL (range 10-40 dB). However, 19.07% of ears showed no change (< 10, >= 0 dB) in hearing, and hearing worsened in 4.12% of ears (< 0 dB) postoperatively. Overall, graft take was 91.24% at least 13 months (mean 68.64) after surgery with a graft failure rate of 8.76%. Graft take was successful in TPL groups. Postoperative PTA-ABG results demonstrated significant improvement. The long-term eligibility of perichondrium attached cartilage island graft in TPL is emphasised with this study.
Açıklama
WOS: 000392919600004
PubMed: 27734979
PubMed: 27734979
Anahtar Kelimeler
Chronic otitis media, Cartilage tympanoplasty, Cholesteatoma, Mastoidectomy, Graft take rate, Pure tone audiogram, Air bone gap, PACIT
Kaynak
Acta Otorhinolaryngologica Italica
WoS Q Değeri
Q2
Scopus Q Değeri
Q2
Cilt
36
Sayı
4
