The treatment of the ears with advanced pathology using a composite graft of perichondrium and cartilage

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Published: Jul 1, 2009
Keywords:
Perichondrium-cartilage composite graft, Tympanoplasty, Tympanic membrane

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Konstantinos Bogris
ENT - Head and Neck, Nikaia General Hospital “Saint Panteleimon” Greece
Nikolaos Sylligardakis
ENT - Head and Neck, Nikaia General Hospital “Saint Panteleimon” Greece
Nikolaos Stavropoulos
ENT - Head and Neck, Nikaia General Hospital “Saint Panteleimon” Greece
Nicolas Condilis
Family Medicine Department, Nikaia General Hospital “Saint Panteleimon” Greece
Irini Kalogridaki
Family Medicine Department, Nikaia General Hospital “Saint Panteleimon” Greece

Abstract

In ears with advanced pathology the functional and anatomical results of a surgical procedure depend on factors such as total perforation, tympanosclerosis. Atelectasis. Suppuration or possibility a previous operation. A Perichondrium-Cartilage Composite Graft (PCCG) was used to repair the tympanic membrane by a total of 350 cases over a five-year period in total, 157 type I tympanoplasty procedures (15% with previous surgery) and 193 type III procedures (52% with previous surgery) were carried out. The graft was obtained from the tragus and/or the conceal cartilage.


Two slightly different surgical techniques were used.


Closure of the perforation in the tympanic membrane was successful in 94% of the procedures. An ≤ 30 dB in 79% of the type III procedures. In conclusion, the PCCG is a reliable graft in cases of advances middle ear damage.

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How to Cite
Bogris, Konstantinos, et al. “The Treatment of the Ears With Advanced Pathology Using a Composite Graft of Perichondrium and Cartilage”. Annali Italiani Di Chirurgia, vol. 80, no. 4, July 2009, pp. 281-5, https://annaliitalianidichirurgia.it/index.php/aic/article/view/1776.
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Vol. 80 No. 4 (2009)
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Article