Share This Article:
Short Report

Prolonged Middle Ear Ventilation by Cartilage-Grommet Tympanoplasty

Abstract Full-Text HTML XML Download Download as PDF (Size:2684KB) PP. 13-17
DOI: 10.4236/ijohns.2015.41003    3,101 Downloads   3,698 Views  

ABSTRACT

In 1994, the American Otological Society reported favourable experience with composite cartilage shield tympanoplasty. The tragal cartilage with a grommet inserted in it was used for tympanoplasty in our patient with unilateral CSOM, supposedly because of severe chronic eustachian tube dysfunction. The marriage of cartilage tympanoplasty with grommet insertion was aimed to add the advantages and abolish the disadvantages of both the procedures. In 1990 Lary Hall first introduced the “long term ventilation of the middle ear” with a T-tube placed in the tragal cartilage perichondrium composite island graft. T-tube insertion in the cartilage has been described. But insertion of the Indian Sheperds grommet (ventilation tube) in the cartilage graft as described in this case and its technique are possibly the first of its kinds in literature. The report is aimed to ignite innovation of newer and better techniques of cartilage tympanoplasty.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

Parelkar, K. , Nagle, S. , Jagade, M. , Thorawade, V. , Khairnar, P. , Attakil, A. , Pandare, M. , Nataraj, R. , Hanwate, R. and Kar, R. (2015) Prolonged Middle Ear Ventilation by Cartilage-Grommet Tympanoplasty. International Journal of Otolaryngology and Head & Neck Surgery, 4, 13-17. doi: 10.4236/ijohns.2015.41003.

References

[1] Zoellner, F. (1955) The Principles of Plastic Surgery of the Sound-Conducting Apparatus. The Journal of Laryngology Otology, 69, 567-569.
[2] Wullstein, H.L. (1952) Functional Operations in the Middle Ear with Split-Thickness Skin Graft. Arch Otorhinolaryngol, 161, 422-435. http://dx.doi.org/10.1007/BF02129204
[3] Heermann, H. (1960) Tympanic Membrane Plastic with Temporal Fascia. Archiv für Ohren-, Nasenund Kehlkopfheil- kunde, 9, 136-139.
[4] Shea, J.J. (1960) Vein Graft Closure of Eardrum Perforations. The Journal of Laryngology Otology, 74, 358-362. http://dx.doi.org/10.1017/S002221510005670X
[5] Preobrazhenski, T.B. and Rugov, A.A. (1965) The Employment of Preserved Dura Mater Graft in Tympanoplasty. Vestnik Otorinolaringologii, 5, 38-42.
[6] Sheehy, J.L. and Anderson, R.G. (1980) Myringoplasty. A Review of 472 Cases. Annals of Otology, Rhinology Laryngology, 89, 331-334. http://dx.doi.org/10.1177/000348948008900407
[7] Buckingham, R.A. (1992) Fascia and Perichondrium Atrophy in Tympanoplasty and Recurrent Middle Ear Atelectasis. Annals of Otology, Rhinology Laryngology, 101, 755-758.
http://dx.doi.org/10.1177/000348949210100907
[8] Duckert, L.G., Muller, J., Makielski, K.H. and Helms, J. (1995) Composite Autograft “Shield” Reconstruction of Remnant Tympanic Membranes. American Journal of Otolaryngology, 16, 21-26.
[9] Yamamoto, E., Iwanaga, M. and Fukumoto, M. (1988) Histologic Study of Homograft Cartilage Implanted in the Middle Ear. Otolaryngology—Head and Neck Surgery, 98, 546-551.
[10] Hamed, M., Samir, M. and El Bigermy, M. (1999) Fate of Cartilage Material Used in Middle Ear Surgery Light and Electron Microscopy Study. Auris Nasus Larynx, 26, 257-262.
http://dx.doi.org/10.1016/S0385-8146(99)00012-7
[11] Amedee, R.G., Mann, W.J. and Riechelmann, H. (1989) Cartilage Palisade Tympanoplasty. American Journal of Otology, 10, 447-450.
[12] Dornhoffer, J.L. (1997) Hearing Results with Cartilage Tympanoplasty. The Laryngoscope, 107, 1094-1099. http://dx.doi.org/10.1097/00005537-199708000-00016
[13] Gerber, M.J., Mason, J.C. and Lambert, P.R. (2000) Hearing Results after Primary Cartilage Tympanoplasty. The Laryngoscope, 110, 1994-1999.
http://dx.doi.org/10.1097/00005537-200012000-00002
[14] Heermann, J. (1992) Autograft Tragal and Conchal Palisade Cartilage and Perichondrium in Tympanomastoid Reconstruction. Ear, Nose & Throat Journal, 71, 344-349.
[15] Hall, L.J. (1990) T-Tube with Tragus Cartilage Flange in Long Term Middle Ear Ventilation. American Journal of Otology, 11, 454-457.
[16] Duckert, L.G., Makielski, K.H. and Helms, J. (2003) Prolonged Middle Ear Ventilation with the Cartilage Shield T-Tube Tympanoplasty. Otology & Neurotology, 24, 153-157.
http://dx.doi.org/10.1097/00129492-200303000-00006
[17] Elluru, R.G., Dhanda, R., Neely, J.G. and Goebel, J.A. (2001) Anterior Subannular T-Tube for Prolonged Middle Ear Ventilation during Tympanoplasty: Evaluation of Efficacy and Complications. Otology & Neurotology, 22, 761-765.
http://dx.doi.org/10.1097/00129492-200111000-00008
[18] Elsheikh, M.N., Elsherief, H.S. and Elsherief, S.G. (2006) Cartilage Tympanoplasty for Management of Tympanic Membrane Atelectasis: Is Ventilatory Tube Necessary? Otology & Neurotology, 27, 859-864. http://dx.doi.org/10.1097/01.mao.0000226288.96423.ed

  
comments powered by Disqus

Copyright © 2019 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.