Skip to main content
SpringerLink
Log in

Endoscopic procurement of allograft tympano-ossicular systems: valuable to replace the Schuknecht bone plug technique?

  • Original Paper
  • Published:
Cell and Tissue Banking Aims and scope Submit manuscript

Abstract

Recently, our group demonstrated the technical feasibility of allograft tympano-ossicular systems (ATOS) procurement directly through the external auditory canal by using a rigid endoscope. This novel technique has several advantages compared to the traditional transcranial Schuknecht bone plug technique: it avoids contact with the dura mater, it is less time-consuming and it doesn’t require a thorough reconstruction of the donor. In our tissue bank, we are currently transitioning from the transcranial procurement technique to the endoscopic procurement technique. The learning curve to master the endoscopic technique is steep but our preliminary results suggest that the percentage of good quality endoscopically procured ATOS is at least similar to the percentage of good quality transcranially procured ATOS dissected from the temporal bone plug. Additionally, the number of donations has increased significantly. By avoiding contact with the dura mater and therefore eliminating the risk of potential prion disease transmission, this technical evolution in procurement technique might allow dedicated tissue banks to (re-)introduce ATOS procurement and implantation.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  • Hamans EP, Govaerts PJ, Somers T, Offeciers FE (1996) Allograft tympanoplasty type 1 in the childhood population. Ann Otol Rhinol Laryngol 105(11):871–876

    Article  CAS  PubMed  Google Scholar 

  • Merchant SN, Nadol JB Jr (2010) Schuknecht’s pathology of the Ear. McGraw-Hill, Ontario

    Google Scholar 

  • Somers T, Schatteman I et al (2004) Allograft tympanoplasty. Acta Otorhinolaryngol Belg 58(2):87–96

    CAS  PubMed  Google Scholar 

  • Van Rompaey V et al (2010) Auditing in middle ear surgery, feasibility of the common otology database. B-ENT 6:189–194

    PubMed  Google Scholar 

  • Van Rompaey V, Vandamme W, Muylle L, Van de Heyning PH (2012a) Temporal bone bank: complying with European Union directives on human tissue and cells. Cell Tissue Bank 13(2):231–240

    Article  PubMed  Google Scholar 

  • Van Rompaey V, van Dinther J et al (2012b) Transmeatal procurement of allograft tympano-ossicular systems: preliminary report. Int Adv Otol 8(2):154–157

    Google Scholar 

  • Van Rompaey V, Farr M, Hamans EP, Mudry A, Van de Heyning PH (2013a) Allograft tympanoplasty: a historical perspective. Otol Neurotol 34(1):180–188

    Article  PubMed  Google Scholar 

  • Van Rompaey V, Caremans J, Hamans EP, Muylle L, Van de Heyning PH (2013b) Endoscopic procurement of tympano-ossicular allografts: alternative to the transcranial or retro-auricular technique. Cell Tissue Bank 14(3):511–514

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. University of Antwerp Temporal Bone Bank, Antwerp University Hospital, Edegem, Belgium

    Jeroen Caremans, Evert Hamans, Ludo Muylle & Paul Van de Heyning

  2. Tissue and Cell Bank, Antwerp University Hospital, Edegem, Belgium

    Jeroen Caremans, Evert Hamans, Ludo Muylle & Paul Van de Heyning

  3. Department of Otorhinolaryngology and Head and Neck Surgery, Antwerp University Hospital, Wilrijkstraat 10, 2650, Edegem, Belgium

    Evert Hamans, Paul Van de Heyning & Vincent Van Rompaey

  4. Faculty of Medicine and Health Sciences, University of Antwerp, Campus Drie Eiken, Antwerp, Belgium

    Evert Hamans, Ludo Muylle, Paul Van de Heyning & Vincent Van Rompaey

Authors
  1. Jeroen Caremans
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Evert Hamans
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Ludo Muylle
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Paul Van de Heyning
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Vincent Van Rompaey
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Vincent Van Rompaey.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Caremans, J., Hamans, E., Muylle, L. et al. Endoscopic procurement of allograft tympano-ossicular systems: valuable to replace the Schuknecht bone plug technique?. Cell Tissue Bank 16, 91–96 (2015). https://doi.org/10.1007/s10561-014-9445-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10561-014-9445-x

Keywords

Search

Navigation