Abstract
We report our experience with island cartilage tympanoplasty in revision cases and assess the anatomical and functional outcomes. We conducted a retrospective chart review at a tertiary referral center for patients who underwent revision tympanoplasty using cartilage with the island technique without mastoidectomy between January 2002 and December 2008. 60 cases were included in the study and successful closure without reperforation was obtained in 52 of 60 patients (87%). Three failed cases underwent a subsequent procedure endaurally with a positive result (92% accumulated success rate). Average postoperative pure-tone audiometry air-bone gap was 13 ± 7 dB compared with 21 ± 11 dB preoperatively (p = 0.004). An overall postoperative air-bone gap of 20 dB or less was achieved in 46 of the 60 patients (76.7%). Tympanoplasty with island cartilage grafting is a reliable procedure for revision cases with excellent anatomic results as well as significant improvement of hearing.
Similar content being viewed by others
References
Sheehy JL, Glasscock ME (1967) Tympanic membrane grafting with temporalis fascia. Arch Otolaryngol 86:391–402
Dornhoffer JL (2003) Cartilage tympanoplasty: indications, techniques, and outcomes in a 1,000 patient series. Laryngoscope 113:1844–1856
Westerberg J, Harder H, Magnuson B, Westerberg L, Hydén D (2011) Ten year myringoplasty series: does the cause of perforation affect the success rate? J Laryngol Otol 125(2):126–132
Altuna X, Navarro JJ, Martínez Z, Lobato R, Algaba J (2010) Miringoplastia con cartílago en isla. Resultados anatómicos y funcionales de 122 casos. Acta Otorrinolaringol Esp 61(2):100–105
Booth JB (1974) Myringoplasty: the lessons of failure. J Laryngol Otol 88:1223–1235
Indorewala S (2002) Dimensional stability of the free fascia grafts: an animal experiment. Laryngoscope 112:727–730
Buckhingam RA (1992) Fascia and perichondrium atrophy in tympanoplasty and recurrent middle ear atectasis. Ann Otol Rhinol Laryngol 101:755–758
Utech H (1959) Ueber diagnostische und therapeutische Moeglich-keiten der Tympanotomie bei Schalleitungsstoerungen. Laryngol Rhinol 38:212–221
Heerman J (1992) Autograft tragal and conchal palisade cartilage and perichondrium in tympanomastoid reconstruction. Ear Nose Throat J 71(8):344–349
Amedee RG, Mann WJ, Riechelmann H (1989) Cartilage palisade tympanoplasty. Am J Otol 10:447–450
Boone RT, Gardner EK, Dornhoffer JL (2004) Success of cartilage grafting in revision tympanoplasty without mastoidectomy. Otol Neurotol 25:678–681
Moore GF (2002) Revision tympanoplasty utilizing fossa triangularis cartilage. Laryngoscope 112:1543–1554
Vartiainen E, Kansanen M (1992) Tympanomastoidectomy for chronic otitis media without cholesteatoma. Otolaryngol Head Neck Surg 106:230–234
Sismanis A, Dodson K, Kyrodimos E (2008) Cartilage “shield” grafts in revision tympanoplasty. Otolo Neurotol 29:330–333
Menéndez Colino LM, Bernal Sprekelsen M (2002) Reconstrucción tímpano osicular. Resultados funcionales de timpanoplastia con cartílago en empalizada y prótesis de titanio. Estudio piloto. Acta Otorrinolaringol Esp 53:718–724
Dornhoffer JL (1997) Hearing results with cartilage tympanoplasty. Laryngoscope 107(8):1094–1099
Bernal Sprekelsen M, Tomás Barberán M (1997) Indicaciones, técnica y resultados anatómicos de la timpanoplastia con cartílago en empalizada. Acta Otorrinolaringol Esp 48(4):279–286
Gerber MJ, Mason JC, Lambert PR (2000) Hearing results after primary cartilage tympanoplasty. Laryngoscope 110:1994–1999
Kirazli T, Bilgen C, Midilli R, Ögüt F (2005) Hearing results after primary cartilage tympanoplasty with island technique. Otolaryngol Head Neck Surg 132:933–937
Ghanem MA, Monroy A, Alizadeh FS, Nicolau Y, Eavey RD (2006) Butterfly cartilage graft inlay tympanoplasty for large perforations. Laryngoscope 116:1813–1816
Djalilian HR (2006) Revision tympanoplasty using scar tissue graft. Otol Neurotol 27:131–135
Veldman JE, Braunius WW (1998) Revision surgery for chronic otitis media: a learning experience. Report on 389 cases with a long term follow-up. Ann Otol Rhinol Laryngol 107:486–491
Conflict of interest
The authors have no conflict of interests.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Altuna, X., Navarro, J.J. & Algaba, J. Island cartilage tympanoplasty in revision cases: anatomic and functional results. Eur Arch Otorhinolaryngol 269, 2169–2172 (2012). https://doi.org/10.1007/s00405-011-1875-5
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00405-011-1875-5