Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Meta-Analysis
. 2017 Jun 17;46(1):48.
doi: 10.1186/s40463-017-0225-z.

The palisade cartilage tympanoplasty technique: a systematic review and meta-analysis

Caroline C Jeffery  1   2 , Cameron Shillington  2 , Colin Andrews  2 , Allan Ho  3   4
Affiliations
Meta-Analysis

The palisade cartilage tympanoplasty technique: a systematic review and meta-analysis

Caroline C Jeffery et al. J Otolaryngol Head Neck Surg. .

Abstract

Background: Tympanoplasty is a common procedure performed by Otolaryngologists. Many types of autologous grafts have been used with variations of techniques with varying results. This is the first systematic review of the literature and meta-analysis with the aim to evaluate the effectiveness of one of the techniques which is gaining popularity, the palisade cartilage tympanoplasty. PubMed, EMBASE, and Cochrane databases were searched for "palisade", "cartilage", "tympanoplasty", "perforation" and their synonyms. In total, 199 articles reporting results of palisade cartilage tympanoplasty were identified. Five articles satisfied the following inclusion criteria: adult patients, minimum 6 months follow-up, hearing and surgical outcomes reported. Studies with patients undergoing combined mastoidectomy, ossicular chain reconstruction, and/or other middle ear surgery were excluded. Perforation closure, rate of complications, and post-operative pure-tone average change were extracted for pooled analysis. Study failure and complication proportions that were used to generate odds ratios were pooled. Fixed effects and random effects weightings were generated. The resulting pooled odds ratios are reported. Palisade cartilage tympanoplasty has an overall take rate of 96% at beyond 6 months and has similar odds of complications compared to temporalis fascia (OR 0.89, 95% CI 0.62, 1.30). The air-bone gap closure is statistically similar to reported results from temporalis fascia tympanoplasty.

Conclusions: Cartilage palisade tympanoplasty offers excellent graft take rates and good postoperative hearing outcomes for perforations of various sizes and for both primary and revision cases. This technique has predictable, long-term results with low complication rates, similar to temporalis fascia tympanoplasty.

Keywords: Cartilage; Palisade; Perforation; Tympanic membrane; Tympanoplasty; Type I.

PubMed Disclaimer

Figures

Fig. 1
Fig. 1
PRISMA Flow Diagram
Fig. 2
Fig. 2
Forest Plot Demonstrating Pooled OR of complications comparing palisade tyampanoplasty to temporalis fascia
See this image and copyright information in PMC

References

    1. Dornhoffer J. Cartilage tympanoplasty: indications, techniques, and outcomes in a 1,000-patient series. Laryngoscope. 2003;113:1844–56. doi: 10.1097/00005537-200311000-00002. - DOI - PubMed
    1. Dornhoffer JL. Cartilage tympanoplasty. Otolaryngol Clin North Am. 2006;39:1161–76. doi: 10.1016/j.otc.2006.08.006. - DOI - PubMed
    1. Cabra J, Monux A. Efficacy of cartilage palisade tympanoplasty: Randomized controlled trial. Otol Neurotol. 2010;31:589–95. - PubMed
    1. Neumann A, Schultz-Coulon HJ, Jahnke K. Type III tympanoplasty applying the palisade cartilage technique: a study of 61 cases. Otol Neurotol. 2003;24:33–7. doi: 10.1097/00129492-200301000-00008. - DOI - PubMed
    1. Velepic M, Bonifacic M, Manestar D. Cartilage palisade tympanoplasty and diving. Otol Neurotol. 2001;22:430–2. doi: 10.1097/00129492-200107000-00002. - DOI - PubMed

LinkOut - more resources