Cartilage "shield" grafts in revision tympanoplasty. Export

@article{citeulike:6082065, abstract = {OBJECTIVE: To report our experience with cartilage "shield" grafts in revision tympanoplasty. STUDY DESIGN: Retrospective chart review at a tertiary referral center. Patients underwent revision tympanoplasties by replacing the entire tympanic membrane with concha cymba cartilage shaped as a shield. MAIN OUTCOME MEASURES: Successful graft take was defined as having no perforation, graft retraction, or lateralization. Hearing results were analyzed by comparing the preoperative and postoperative pure-tone average air-bone gap and speech discrimination scores. RESULTS: Forty-three patients underwent 46 procedures. Graft take was successful in 43 procedures (93.5\%). There was no graft lateralization or displacement into the middle ear. An overall postoperative air-bone gap of 25 dB or less was achieved in 22 of the 39 patients (56.4\%), and speech discrimination scores remained unchanged. CONCLUSION: Cartilage shield tympanoplasty is a reliable procedure for revision tympanoplasty patients, with excellent graft take and significant improvement of hearing.}, author = {Sismanis, Aristides and Dodson, Kelley and Kyrodimos, Efthymios}, citeulike-article-id = {6082065}, citeulike-linkout-0 = {http://dx.doi.org/10.1097/mao.0b013e318161aae1}, citeulike-linkout-1 = {http://view.ncbi.nlm.nih.gov/pubmed/18165789}, citeulike-linkout-2 = {http://www.hubmed.org/display.cgi?uids=18165789}, doi = {10.1097/mao.0b013e318161aae1}, issn = {1531-7129}, journal = {Otology \& neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology}, keywords = {cartilage}, month = {April}, number = {3}, pages = {330--333}, posted-at = {2009-11-07 09:27:46}, priority = {2}, title = {Cartilage "shield" grafts in revision tympanoplasty.}, url = {http://dx.doi.org/10.1097/mao.0b013e318161aae1}, volume = {29}, year = {2008} }

TY - JOUR ID - citeulike:6082065 L3 - citeulike-article-id:6082065 N2 - OBJECTIVE: To report our experience with cartilage "shield" grafts in revision tympanoplasty. STUDY DESIGN: Retrospective chart review at a tertiary referral center. Patients underwent revision tympanoplasties by replacing the entire tympanic membrane with concha cymba cartilage shaped as a shield. MAIN OUTCOME MEASURES: Successful graft take was defined as having no perforation, graft retraction, or lateralization. Hearing results were analyzed by comparing the preoperative and postoperative pure-tone average air-bone gap and speech discrimination scores. RESULTS: Forty-three patients underwent 46 procedures. Graft take was successful in 43 procedures (93.5%). There was no graft lateralization or displacement into the middle ear. An overall postoperative air-bone gap of 25 dB or less was achieved in 22 of the 39 patients (56.4%), and speech discrimination scores remained unchanged. CONCLUSION: Cartilage shield tympanoplasty is a reliable procedure for revision tympanoplasty patients, with excellent graft take and significant improvement of hearing. IS - 3 JF - Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology SN - 1531-7129 EP - 333 TI - Cartilage "shield" grafts in revision tympanoplasty. VL - 29 SP - 330 KW - cartilage AU - Sismanis, Aristides AU - Dodson, Kelley AU - Kyrodimos, Efthymios PY - 2008/04// UR - http://dx.doi.org/10.1097/mao.0b013e318161aae1 ER -