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
. 2019 Nov;71(Suppl 2):1377-1382.
doi: 10.1007/s12070-018-1438-9. Epub 2018 Jul 6.

Sutureless Tragal Cartilage Island Tympanoplasty: Our Experience

George Mullonkal Varghese  1 , P Hafees Abdullah  1 , Nelwin Jerald Sabu  1
Affiliations

Sutureless Tragal Cartilage Island Tympanoplasty: Our Experience

George Mullonkal Varghese et al. Indian J Otolaryngol Head Neck Surg. 2019 Nov.

Abstract

To evaluate graft take up and hearing improvement using the technique of tragal cartilage island in COM-mucosal type. Prospective study. A total of 258 type 1 tympanoplasty surgeries were done using tragal cartilage island graft from December 2013, to December 2015; in Jubilee Mission Medical College and Research Institute with a follow up of 1 year. Inclusion criteria-all the patients undergoing type 1 tympanoplasty for chronic otitis media (mucosal type, inactive) with an intact ossicular chain by the senior author. The youngest patient was 6 years old and the oldest was 64 years. This pattern was selected for getting a uniform pattern even though cartilage tympanoplasty can be done in other forms of COM also. Graft take up in our study was found to be 96.12% in 1 year of follow up. Closure of tympanic membrane was achieved in 248 of 258 cases. None of the patients showed retraction pockets or cholesteatoma during follow up. The average pre-op AB gap was 21.62 dB which was lowered to 4.22 dB post op. The mean gain in hearing was 17.37 dB. It is worthwhile to consider tragal cartilage island graft as an alternative to temporalis fascia.

Keywords: Cartilage island graft; Chronic otitis media-mucosal type; Tympanoplasty.

PubMed Disclaimer

Conflict of interest statement

Conflict of interestThere are no conflicts of interest.

Figures

Fig. 1
Fig. 1
Tragal incision and exposure of cartilage
Fig. 2
Fig. 2
Before and after making groove
See this image and copyright information in PMC

References

    1. De Freitas MR, De Oliveira TC. The role of different types of grafts in tympanoplasty. Braz J Otorhinolaryngol. 2014;80:275–276. doi: 10.1016/j.bjorl.2014.05.018. - DOI - PMC - PubMed
    1. Dornhoffer J. Cartilage tympanoplasty: indications, techniques, and outcomes in A 1,000-patient series. Laryngoscope. 2003;113(11):1844–1856. doi: 10.1097/00005537-200311000-00002. - DOI - PubMed
    1. De Seta E, et al. Cartilage tympanoplasty: how to reduce surgery time. J Laryngol Otol. 2010;124(7):784–785. doi: 10.1017/S0022215110000344. - DOI - PubMed
    1. Kevin Ho K-H, Katzenmeyer K(1999) TITLE: Tympanoplasty SOURCE: grand rounds presentation. The University of Texas Medical Branch in Galveston, Department of Otolaryngology DATE: June 9, 1999
    1. Cavaliere M, et al. Tragal cartilage in tympanoplasty: anatomic and functional results in 306 cases. Acta Otorhinolaryngol Ital. 2009;29(1):27. - PMC - PubMed

LinkOut - more resources