دورية أكاديمية
أعرض في EDS

Additional cartilage reinforcement of the annulus in myringoplasty for subtotal perforation.

التفاصيل البيبلوغرافية
العنوان: Additional cartilage reinforcement of the annulus in myringoplasty for subtotal perforation.
المؤلفون: Lou Z; Department of Otorhinolaryngology, Yiwu Central Hospital, 699 Jiangdong Road, Yiwu city 322000, Zhejiang province, China. Electronic address: louzhengcai@163.com., Lou Z; Department of Otolaryngology-Head and Neck Surgery, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200233, China; Department of Otolaryngology Head and Neck Surgery & Center of Sleep Medicine, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Yishan Road 600, 200233 Shanghai, China; Otolaryngological Institute of Shanghai Jiao Tong University, Yishan Road 600, 200233 Shanghai, China; Shanghai Key Lab Sleep Disordered Breathing, Yishan Road 600, 200233 Shanghai, China., Lv T; Department of Otorhinolaryngology, Yiwu Central Hospital, 699 Jiangdong Road, Yiwu city 322000, Zhejiang province, China., Chen Z; Department of Otolaryngology-Head and Neck Surgery, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200233, China; Department of Otolaryngology Head and Neck Surgery & Center of Sleep Medicine, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Yishan Road 600, 200233 Shanghai, China; Otolaryngological Institute of Shanghai Jiao Tong University, Yishan Road 600, 200233 Shanghai, China; Shanghai Key Lab Sleep Disordered Breathing, Yishan Road 600, 200233 Shanghai, China. Electronic address: jassey@126.com.
المصدر: American journal of otolaryngology [Am J Otolaryngol] 2024 May-Jun; Vol. 45 (3), pp. 104232. Date of Electronic Publication: 2024 Feb 25.
نوع المنشور: Journal Article; Randomized Controlled Trial; Comparative Study
اللغة: English
بيانات الدورية: Publisher: Saunders Country of Publication: United States NLM ID: 8000029 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-818X (Electronic) Linking ISSN: 01960709 NLM ISO Abbreviation: Am J Otolaryngol Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Cherry Hill, N. J., Saunders.
مواضيع طبية MeSH: Tympanic Membrane Perforation*/surgery , Myringoplasty*/methods, Humans ; Male ; Female ; Adult ; Treatment Outcome ; Middle Aged ; Prospective Studies ; Hearing ; Cartilage/transplantation ; Young Adult ; Operative Time ; Follow-Up Studies
مستخلص: Objective: In this study, graft success, hearing outcome, and complications were compared following the repair of subtotal perforation using a cartilage reinforcement underlay technique (CRUT) versus the traditional cartilage underlay technique (TCUT).
Study Design: Randomized controlled trial.
Materials and Methods: Seventy-six patients with subtotal perforations were prospectively randomized to the CRUT (n = 38) or TCUT (n = 38) group. The graft success rate, hearing outcome, and complications were compared at 12 months.
Results: The mean operation time was 32.9 ± 4.2 (range: 26-47) min in the CRUT group and 51.8 ± 6.3 (range: 48-73) min in the TCUT group (P < 0.001). At 12 months postoperatively, no residual perforation was seen in either group. The graft success rate was 94.7 % (36/38) in the CRUT group and 92.1 % (35/38) in the TCUT group; the difference was not significant (P = 0.643). The postoperative air bone gap (ABG) was significantly improved compared to the preoperative value in both groups, without significant between-group differences in either the preoperative (P = 0.741) or postoperative (P = 0.865) ABG or the mean ABG gain (P = 0.812). Additionally, there were no significant between-group differences in the preoperative (P = 0.887) or postoperative (P = 0.753) mean bone-conduction pure tone average. In the TCUT group, seven (18.4 %) patients developed temporary hypogeusia and two (5.3 %) had external auditory canal scarring. Graft cholesteatoma was not observed in either group.
Conclusion: In the treatment of subtotal perforations, lateral reinforcement of the annulus with additional cartilage is simpler than traditional cartilage underlay for achieving graft and hearing success. The technique also does not involve raising the tympanomeatal flap or removing perforation margins.
Competing Interests: Declaration of competing interest None.
(Copyright © 2024 Elsevier Inc. All rights reserved.)
فهرسة مساهمة: Keywords: Cartilage reinforcement; Graft success; Myringoplasty; Underlay technique
تواريخ الأحداث: Date Created: 20240228 Date Completed: 20240505 Latest Revision: 20240520
رمز التحديث: 20240521
DOI: 10.1016/j.amjoto.2024.104232
PMID: 38417260
قاعدة البيانات: MEDLINE
الوصف
تدمد:1532-818X
DOI:10.1016/j.amjoto.2024.104232