Abstract
Background
The slicing method that is used for thinning the cartilage graft may cause forming complications in tympanoplasty. Besides, double-layered grafting techniques may be required when graft medialization is observed.
Method
This article presents a new and controlled graft cartilage thinning and the cubism graft-harvesting technique in tympanoplasty.
Conclusion
Thanks to this new technique, over-curling and undesirable fractures of the cartilage island graft can be prevented and the obtained cartilaginous dust can be mixed with platelet-rich fibrin to form the cubism graft. This combined cartilage thinning and cubism graft technique provided 100% graft success and an average air–bone gap gain of 16.3 ± 2.9 dB (10.7–22.3 dB) in our series of 22 patients. In conclusion, 100% graft success, successful tympanic membrane re-epithelialization and significant auditory improvement can be achieved with this method.
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Data availability
The data that support the outcomes of this study are available from the corresponding author upon request.
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This study was approved by the institutional ethics committee (Number: 20-11.1T/12).
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Kaya, İ., Şahin, F.F., Tanrıverdi O, H. et al. A novel graft-harvesting technique in tympanoplasty: the cubism graft. Eur Arch Otorhinolaryngol 278, 1289–1292 (2021). https://doi.org/10.1007/s00405-021-06646-3
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DOI: https://doi.org/10.1007/s00405-021-06646-3