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New Cartilage Slicer for Slicing Techniques in Tympanoplasty: Design and Applications

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Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

Cartilage-perichondrium composite graft is used in middle ear surgery for tympanic membrane, ossicular and for soft wall reconstruction. The thickness of the cartilage is thought to interfere with the sound conduction. In our otology practice for tympanic membrane reconstruction, we prefer the sliced cartilage graft to achieve acoustic benefit. At times in the process of slicing, the cartilage gets wasted if not sliced with a precision slicing instrument. We have designed and developed a multi-purpose cartilage slicer for precise reduction of the thickness of the cartilage. To describe the design of our cartilage slicer and to report our preliminary experience with the cartilage slicer. Descriptive study. The technique of slicing with our new cartilage slicer and its usage has been described in detail. A total number of 689 cartilages in tympanoplasty and mastoidectomy have been sliced with it from 2013 to 2017. Our study reports the technique of slicing the tragal cartilage for tympanoplasty, highlighting its advantages and precision of the cartilages slices obtained. Our cartilage slicer is a good option for cartilage slicing in tympanoplasty.

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Authors and Affiliations

  1. Department of Otorhinolaryngology, M.I.M.E.R. Medical College, Talegaon D, Pune, 410507, India

    Sapna Ramkrishna Parab

  2. Sushrut ENT Hospital and Dr. Khan’s ENT Research Center, Talegaon Dabhade, Pune, India

    Mubarak M. Khan

Authors
  1. Sapna Ramkrishna Parab
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  2. Mubarak M. Khan
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Correspondence to Sapna Ramkrishna Parab.

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Conflict of interest

Application for IPR to the Government of India under the Design act in the name of Dr. Mubarak Khan. And “SLICE !t” is tradename secured for this. Dr Sapna Parab has helped in preparing the manuscript and evaluated the use of the Cartilage slicer actively during various cartilage tympanoplasties independently and along with second author.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional committee and with the 1964 helsinski declaration and its later amendments or comparable ethical standards Institutional Ethics Committee has approved the study.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

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Parab, S.R., Khan, M.M. New Cartilage Slicer for Slicing Techniques in Tympanoplasty: Design and Applications. Indian J Otolaryngol Head Neck Surg 70, 515–520 (2018). https://doi.org/10.1007/s12070-018-1467-4

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  • DOI: https://doi.org/10.1007/s12070-018-1467-4

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