DOI: http://dx.doi.org/10.18203/issn.2454-5929.ijohns20170360

Overview of tympanoplasty techniques and results

Reshma P. Chavan, Shivraj M. Ingole, Santosh N. Birajdar

Abstract


The objective of this article is to overview about the changing techniques of tympanoplasty surgery and increase in the anatomical and functional success rate of surgeries. Introduction of endoscope in ear surgeries is time saving. Endoscopes are helpful to access hidden areas which was difficult with the help of microscope such as facial recesses, sinus tympani, extension of posterior-superior retraction pockets, etc. Also various modifications done in the techniques of using graft material for tympanoplasty surgery are reviewed in terms of graft acceptance and improvement of hearing. Articles reviewed are research articles, original articles and review articles published in pub med indexed journals. Because of Newer techniques in ear surgeries, tympanoplasty is becoming day care surgery. Also newer techniques are with cosmetic view and gives maximum post-operative hearing using minimal instrumentation. Efforts are taken to review the tympanoplasty surgical technique and its results.

 


Keywords


Endoscopes, Tympanoplasty, Technique

Full Text:

PDF

References


Sarkar S. A review on the history of tympanoplasty. Indian J Otolaryngol Head Neck Surg. 2013; 65(3):455-60.

Zollner F. The principles of plastic surgery of the sound-conducting apparatus. J Laryngol Otol. 1955;69(10):637-52.

Shea JJ. Jr Vein graft closure of eardrum perforations. J Laryngol Otol. 1960;74:358–62.

Heermann H. Tympanic membrane plastic with temporal fascia. Hals-Naser-Ohren. 1960;9:136-9.

Moore GF. Candidate's thesis: Revision tympanoplasty utilizing fossa triangularis cartilage. Laryngoscope. 2002;112(9):1543-54.

Zahnert T, Hottenbrink KB, Morbe D, et al. Experimental in-vestigations of the use of cartilage in tympanic membrane recon-struction. Am J Otol. 2000;21:322-8.

Kazikdas KC, Onal K, Boyraz I, Karabulut E. Palisade cartilage tympano-plasty for management of subtotal perforations: a comparison with the temporalis fascia technique. Eur Arch Otorhinolaryngol. 2007;264:985-9.

Yegin Y, Çelik M, Koç AK, Küfeciler L, Elbistanlı MS, Kayhan FT. Comparison of temporalis fascia muscle and full-thickness cartilage grafts in type 1 pediatric tympanoplasties. Braz J Otorhinolaryngol. 2016;82(6):695-701.

Cavaliere M, Cavaliere M, Mottola G, Rondinelli M, Iemma M. Tragal cartilage in tympanoplasty: anatomic and functional results in 306 cases. Acta Otorhinolaryngol Ital. 2009;29(1):27–32.

Marchioni D, Alicandri-Ciufelli M, Molteni G, Genovese E, Presutti L. Endoscopic tympanoplasty in patients with attic retraction pockets. Laryngoscope. 2010;120(9):1847–55.

Zhang T, Wang Z, Wu L, Zhang Y, Wang W. Postoperative morbidity of graft tympanic membrane in tympanoplasty and the relevant factors. Lin Chuang Er Bi Yan Hou Ke Za Zhi. 2002;16:528–32.

Demirci S, Tuzuner A, Karadas H, Acıkgoz C, Caylan R, Samim EE. Comparison of temporal muscle fascia and cartilage grafts in pediatric tympanoplasties. Am J Otolaryngol. 2014;35:296–9.

Shishegar M, Faramarzi A, Taraghi A. A Short-term Comparison Between Result of Palisade Cartilage Tympanoplasty and Temporalis Fascia Technique. Iran J Otorhinolaryngol. 2012;24(68):105-12.

Mohamad SH, Khan I, Hussain SS. Is cartilage tympanoplasty more effective than fascia tympanoplasty? A systematic review. Otol Neurotol. 2012;33(5):699-705.

Onal K, Arslanoglu S, Oncel S, Songu M, Kopar A, Demiray U. Perichondrium/Cartilage island flap and temporalis muscle fascia in type I tympanoplasty. J Otolaryngol Head Neck Surg. 2011;40(4):295-9.

Demirpehlivan IA, Onal K, Arslanoglu S, Songu M, Ciger E, Can N. Comparison of different tympanic membrane reconstruction techniques in type I tympanoplasty. Eur Arch Otorhinolaryngol. 2011;268(3):471–4.

Ulkü CH. Cartilage tympanoplasty with island technique for reconstruction of tympanic membrane perforation: anatomic and audiologic results. Kulak Burun Bogaz Ihtis Derg. 2010;20(1):7-12.

Lyons SA, Su T, Vissers LE, Peters JP, Smit AL, Grolman W. Fascia compared to one-piece composite cartilage-perichondrium grafting for tympanoplasty. Laryngoscope. 2016;126(7):1662-70.

Couloigner V, Baculard F, El Bakkouri W, Viala P, François M, Narcy P, et al. Inlay butterfly cartilage tympanoplasty in children. Otol Neurotol. 2005;26:247-51.

Murugendrappa MA, Siddappa PN, Shambulingegowda A, Basavaraj GP. Comparative Study of Two Different Myringoplasty Techniques in Mucosal Type of Chronic Otitis Media. J Clin Diagn Res. 2016;10(2):1-3.

Harris JP, Wong YT, Yang TH, Miller M. How I do it: Anterior pull-through tympanoplasty for anterior eardrum perforations. Acta Otolaryngol. 2016;136(4):414-9.

Sergi B, Galli J, De Corso E, Parrilla C, Paludetti G. Overlay versus underlay myringoplasty: report of outcomes considering closure of perforation and hearing function. Acta Otorhinolaryngol Ital. 2011;31(6):366-7.

Gupta SC. Myringoplasty with a single flap. Ear Nose Throat J. 2000;79(12):946-8, 950-1.

Brown CYQ, McCarty DJ, Briggs RJS. Success rate following myringoplasty at the Royal Victoria Eye and Ear Hospital. Aust J Otolaryngol. 2002.

Vartiainen E, Nuutinen J. Success and pitfalls in myringoplasty: follow-up study of 404 cases. Am J Otol. 1993;14(3):301–5.

Franklin M, Rizer MD. Overlay vs underlay technique. Laryngoscope. 1997;107(84):26–36.

Sengupta A, Basak B, Ghosh D, Basu D, Adhikari D, Maity K. A study on outcome of underlay, overlay and combined techniques of myringoplasty. Indian J Otolaryngol Head Neck Surg. 2012;64(1):63-6.

Mokhtarinejad F, Okhovat SAR, Barzegar F. Surgical hearing results of the circumferential sub annular grafting technique in tympanoplasty randomized clinical study. Am J Otolaryngol Head Neck Surg. 2012;33:75–6.

Palva T, PaIva A, Karja J. Myringoplasty. Ann Otol Rhinol Laryngol. 1969;78:1074–80.

Belhossine I, Pezzettigotta S, Genty E, Erminy M, Lecanu JB. Modified butterfly cartilage tympanoplasty: retrospective study on 26 patients. Rev Laryngol Otol Rhinol (Bord). 2012;133(2):77-80.

Karakullukçu B, Acioğlu E, Pamukçu M. Transcanal butterfly cartilage tympanoplasty. Kulak Burun Bogaz Ihtis Derg. 2006;16(4):160-3.

Eavey RD. Inlay tympanoplasty: cartilage butterfly technique. Laryngoscope. 1998;108(5):657-61.

Borkowski G, Sudhoff H, Luckhaupt H. Autologous perichondrium-cartilage graft in the treatment of total or subtotal perforations of the tympanic membrane Laryngorhinootologie. 1999;78(2):68-72.

Gun T, Sozen T, Boztepe OF, Gur OE, Muluk NB, Cingi C. Influence of size and site of perforation on fat graft myringoplasty. Auris Nasus Larynx. 2014;41(6):507-12.

Konstantinidis I, Malliari H, Tsakiropoulou E, Constantinidis J. Fat myringoplasty outcome analysis with oto endoscopy: who is the suitable patient? Otol Neurotol. 2013;34(1):95-9.

Landsberg R, Fishman G, De Rowe A, Berco E, Berger G. Fat graft myringoplasty: results of a long-term follow-up. J Otolaryngol. 2006;35(1):44-7.

Koc S, Akyuz S, Gurbuzler L, Aksakal C. Fat graft myringoplasty with the newly developed surgical technique for chronic tympanic membrane perforation. Eur Arch Otorhinolaryngol. 2013;270(5):1629-33.

Kwong KM, Smith MM, Coticchia JM. Fat graft myringoplasty using umbilical fat. Int J Pediatr Otorhinolaryngol. 2012;76(8):1098-101.

Santa Maria PL, Oghalai JS. Is office-based myringoplasty a suitable alternative to surgical tympanoplasty? Laryngoscope. 2014;124(5):1053-4.

Saliba I, Knapik M, Froehlich P, Abela A. Advantages of hyaluronic acid fat graft myringoplasty over fat graft myringoplasty. Arch Otolaryngol Head Neck Surg. 2012;138(10):950-5.

Saliba I, Froehlich P. Hyaluronic acid fat graft myringoplasty: an office-based technique adapted to children. Arch Otolaryngol Head Neck Surg. 2011;137(12):1203-9.

Dündar R, Soy FK, Kulduk E, Muluk NB, Cingi C. A new grafting technique for tympanoplasty: tympanoplasty with a boomerang-shaped chondroperichondrial graft (TwBSCPG). Eur Arch Otorhinolaryngol. 2014;271(10):2687-94.

Dundar R, Kulduk E, Soy FK, Aslan M, Yukkaldiran A, Guler OK, et al. Surgical success of boomerang-shaped chondroperichondrial graft in pediatric chronic otitis media cases. Int J Pediatr Otorhinolaryngol. 2015;79(6):808-11.

Abdelghany AM. The button graft technique for perforations affecting less than 25% of the tympanic membrane: a non-randomised comparison of a new modification to cartilage tympanoplasty with underlay and overlay grafts. Clin Otolaryngol. 2013;38(3):208-16.

Dornhoffer J. Cartilage tympanoplasty: indications, techniques, and outcomes in a 1,000-patient series. Laryngoscope. 2003;113(11):1844-56.

Nassif N. Response to the Letter to the Editor regarding "Tympanic membrane perforation in children: Endoscopic type I tympanoplasty, a newly technique, is it worthwhile?" by Nassif et al. Int J Pediatr Otorhinolaryngol. 2016;80:110-1.