A tympanometric comparison of tympanoplasty with cartilage palisades or fascia after surgery for tensa cholesteatoma in children

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dc.authoridUZUN, CEM/0000-0003-3233-7049
dc.authorwosidUZUN, CEM/K-3307-2012
dc.contributor.authorUzun, C
dc.contributor.authorCayé-Thomasen, P
dc.contributor.authorAndersen, J
dc.contributor.authorTos, M
dc.date.accessioned2024-06-12T11:12:01Z
dc.date.available2024-06-12T11:12:01Z
dc.date.issued2003
dc.departmentTrakya Üniversitesien_US
dc.description.abstractObjective. The aim of the present study is to compare the tympanometric and functional findings of cartilage palisade tympanoplasty with those of tympanoplasty with temporalis fascia grafting after one-stage surgery in children with tensa cholesteatoma. Study Design. In children aged 5 to 15 years (mean, 9.5 years) with tensa cholesteatoma, cartilage palisade tympanoplasty was performed in 32 ears and fascia tympanoplasty in 29 ears. Tympanometry was performed in 31 ears with cartilage palisade tympanoplasty (the palisade group) and 28 ears with fascia tympanoplasty (the fascia group) at follow-up a median of 48 months after surgical removal of the cholesteatoma (range, 3-75 months). Main Outcome Measures. Postoperative perforations, tympanometric parameters (tympanogram type, compliance, tympanometric width), and hearing. Results. All postoperative re-perforations occurred in the fascia group. However, there was no difference between the palisade group and the fascia group in terms of tympanometric parameters, nor between the two groups when dividing into tensa retraction and sinus cholesteatoma subgroups. When comparing the types of tympanoplasty, the type 11 group reconstructed with cartilage palisades contained a higher number of ears with a normal compliance (0.2-1.6 mL) but a higher number of ears with a tympanometric width of more than 150 mmH(2)O. Regarding the number of ears with normal tympanometries, there was no significant difference between the palisade and the fascia group. The late functional hearing results were better in ears reconstructed with cartilage palisades, with functional success in 71%, compared with 54% in the group with fascia grafting. This difference in functional results was particularly pronounced in ears with an abnormal tympanogram (68% vs. 29%). Conclusion: Compared to fascia grafting, the present study showed better late functional hearing results after drum reconstruction using cartilage palisades, despite comparable tympanometric findings. Cartilage palisade reconstruction seems to provide better functional results, especially in ears with a poor tubal function, which is the common situation after cholesteatoma surgery.en_US
dc.identifier.doi10.1097/00005537-200310000-00017
dc.identifier.endpage1757en_US
dc.identifier.issn0023-852X
dc.identifier.issn1531-4995
dc.identifier.issue10en_US
dc.identifier.pmid14520101en_US
dc.identifier.scopus2-s2.0-0141529794en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage1751en_US
dc.identifier.urihttps://doi.org/10.1097/00005537-200310000-00017
dc.identifier.urihttps://hdl.handle.net/20.500.14551/23001
dc.identifier.volume113en_US
dc.identifier.wosWOS:000185871500016en_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.subjectPalisade Cartilage Techniqueen_US
dc.subjectTympanoplastyen_US
dc.subjectTympanometryen_US
dc.subjectCholesteatomaen_US
dc.subjectChildrenen_US
dc.subjectRetraction Cholesteatomaen_US
dc.subjectTympanic Membraneen_US
dc.subjectReconstructionen_US
dc.titleA tympanometric comparison of tympanoplasty with cartilage palisades or fascia after surgery for tensa cholesteatoma in childrenen_US
dc.typeArticleen_US

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