Ten-Year Results of Cartilage Palisades Versus Fascia in Eardrum Reconstruction After Surgery for Sinus or Tensa Retraction Cholesteatoma in Children

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dc.authoridUZUN, CEM/0000-0003-3233-7049
dc.authorwosidUZUN, CEM/K-3307-2012
dc.contributor.authorCaye-Thomasen, Per
dc.contributor.authorAndersen, Janne
dc.contributor.authorUzun, Cem
dc.contributor.authorHansen, Soren
dc.contributor.authorTos, Mirko
dc.date.accessioned2024-06-12T10:59:57Z
dc.date.available2024-06-12T10:59:57Z
dc.date.issued2009
dc.departmentTrakya Üniversitesien_US
dc.description.abstractObjectives/Hypothesis: To compare cartilage palisades with fascia grafting in reconstruction of the eardrum after surgery for sinus or tensa retraction cholesteatoma in children, with respect to long-term postoperative eardrum retraction and perforation, cholesteatoma recurrence, and hearing acuity. Methods: A total of 64 children underwent surgery for either sinus or tensa retraction cholesteatoma during the period 1995 to 2000 (mean age 9 years, range 5-15). The eardrum was reconstructed using cartilage palisades in 32 children (32 ears) and fascia or perichondrium in 32 children (33 ears). The patients were followed for at least one year postoperatively and re-evaluated 4 years after surgery, and again recently at a mean of 10 years. The main outcome measures were postoperative drum retraction and perforation, cholesteatoma recurrence, and hearing acuity (pure tone average, speech reception threshold, and pure tone air-bone gap). Results: All but two patients in both groups attended the 10-year follow-up examination (94% attendance). The mean overall follow-up period was 119 months (115 months in the palisade and 125 months in the fascia group). Total number of retractions during follow-up and at the 10-year examination was six (19%) for the palisade group and 14 (42%) for the fascia group (P = .03; chi-square test). The accumulated numbers for a perforation were four (13%) for the palisade group and seven (21%) for the fascia group (difference not significant). Two residual cholesteatomas, which are not related to the graft material, occurred in the palisade group (6%), whereas both recurrencies, which may be related to the graft material, occurred in the fascia group (6%). The hearing acuity for children operated on for a sinus cholesteatoma and for children with type III tympanoplasties was significantly better when cartilage palisade grafting had been employed. Conclusions: The cartilage palisade grafting technique appears superior with respect to prevention of long-term eardrum retraction. The occurrence of cholesteatoma recurrency and eardrum perforation seem to be independent of grafting material, although these results may be due to type 2 error (low number of ears). In sinus cholesteatoma surgery and in type III tympanoplasty, the long-term hearing results appear better when grafting cartilage palisades.en_US
dc.identifier.doi10.1002/lary.20195
dc.identifier.endpage952en_US
dc.identifier.issn0023-852X
dc.identifier.issn1531-4995
dc.identifier.issue5en_US
dc.identifier.pmid19358204en_US
dc.identifier.scopus2-s2.0-66349091316en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage944en_US
dc.identifier.urihttps://doi.org/10.1002/lary.20195
dc.identifier.urihttps://hdl.handle.net/20.500.14551/20644
dc.identifier.volume119en_US
dc.identifier.wosWOS:000265866000018en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherWileyen_US
dc.relation.ispartofLaryngoscopeen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectEar Surgeryen_US
dc.subjectGrafting Materialen_US
dc.subjectDrum Retraction And Perforationen_US
dc.subjectHearingen_US
dc.subjectCholesteatoma Recurrenceen_US
dc.subjectRevision Tympanoplastyen_US
dc.subjectIii Tympanoplastyen_US
dc.subjectTympanic Membraneen_US
dc.titleTen-Year Results of Cartilage Palisades Versus Fascia in Eardrum Reconstruction After Surgery for Sinus or Tensa Retraction Cholesteatoma in Childrenen_US
dc.typeArticleen_US

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