The modified asymmetric chondro-perichondrial island graft in type I tympanoplasty: A retrospective analysis of 784 patients
Objective: This study aimed to assess the efficacy of a novel modified asymmetric chondro-perichondrial island graft in tympanoplasty. The design features a longer anterior segment compared to the posterior segment, addressing limitations of symmetrical grafts. We investigated the impact of this mod...
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Elsevier
2025-03-01
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| Series: | Brazilian Journal of Otorhinolaryngology |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1808869424001551 |
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| author | Fetih Furkan Şahin İsa Kaya Hakan Ceylan Tayfun Kirazlı |
| author_facet | Fetih Furkan Şahin İsa Kaya Hakan Ceylan Tayfun Kirazlı |
| author_sort | Fetih Furkan Şahin |
| collection | DOAJ |
| description | Objective: This study aimed to assess the efficacy of a novel modified asymmetric chondro-perichondrial island graft in tympanoplasty. The design features a longer anterior segment compared to the posterior segment, addressing limitations of symmetrical grafts. We investigated the impact of this modified graft on hearing improvement and graft success rates in patients undergoing tympanoplasty surgery. Methods: This retrospective study evaluated 784 patients with chronic otitis media who underwent primary type I tympanoplasty with a modified asymmetric chondro-perichondrial island graft technique. Demographics and characteristics of all patients, preoperative location of the perforation, and Pure-Tone Audiometry (PTA) were assessed preoperatively, and graft success and postoperative hearing outcomes were evaluated at the 12-month follow-up. Results: This study evaluated the efficacy of a modified asymmetric chondro-perichondrial island graft in tympanoplasty. In 784 patients, the mean 12-month postoperative Air-Bone Gap (ABG) improvement was 17.3 dB with a 99% graft success rate. Preoperative ABG significantly improved from 24 dB to 6.6 dB postoperatively (p < 0.001). Perforation location did not affect ABG improvement (p = 0.193) but did influence graft success rate (p < 0.001). No sensorineural hearing loss, retraction pockets, or cholesteatoma were observed postoperatively. Conclusion: Tympanoplasty offers a well-established surgical approach for restoring hearing function and preventing recurrent otorrhea. The asymmetric cartilage-perichondrium island graft design has emerged as a promising technique to achieve optimal functional and anatomical outcomes in tympanoplasty. Level of evidence: Level 4. |
| format | Article |
| id | doaj-art-d8a8bf7a20e74389abc6695906ec76a4 |
| institution | OA Journals |
| issn | 1808-8694 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Brazilian Journal of Otorhinolaryngology |
| spelling | doaj-art-d8a8bf7a20e74389abc6695906ec76a42025-08-20T02:38:11ZengElsevierBrazilian Journal of Otorhinolaryngology1808-86942025-03-0191210154010.1016/j.bjorl.2024.101540The modified asymmetric chondro-perichondrial island graft in type I tympanoplasty: A retrospective analysis of 784 patientsFetih Furkan Şahin0İsa Kaya1Hakan Ceylan2Tayfun Kirazlı3Kızıltepe State Hospital, Department of Otorhinolaryngology, Mardin, Turkey; Corresponding author.Ege University Faculty of Medicine, Department of Otorhinolaryngology, Izmir, TurkeyEge University Faculty of Medicine, Department of Otorhinolaryngology, Izmir, TurkeyEge University Faculty of Medicine, Department of Otorhinolaryngology, Izmir, TurkeyObjective: This study aimed to assess the efficacy of a novel modified asymmetric chondro-perichondrial island graft in tympanoplasty. The design features a longer anterior segment compared to the posterior segment, addressing limitations of symmetrical grafts. We investigated the impact of this modified graft on hearing improvement and graft success rates in patients undergoing tympanoplasty surgery. Methods: This retrospective study evaluated 784 patients with chronic otitis media who underwent primary type I tympanoplasty with a modified asymmetric chondro-perichondrial island graft technique. Demographics and characteristics of all patients, preoperative location of the perforation, and Pure-Tone Audiometry (PTA) were assessed preoperatively, and graft success and postoperative hearing outcomes were evaluated at the 12-month follow-up. Results: This study evaluated the efficacy of a modified asymmetric chondro-perichondrial island graft in tympanoplasty. In 784 patients, the mean 12-month postoperative Air-Bone Gap (ABG) improvement was 17.3 dB with a 99% graft success rate. Preoperative ABG significantly improved from 24 dB to 6.6 dB postoperatively (p < 0.001). Perforation location did not affect ABG improvement (p = 0.193) but did influence graft success rate (p < 0.001). No sensorineural hearing loss, retraction pockets, or cholesteatoma were observed postoperatively. Conclusion: Tympanoplasty offers a well-established surgical approach for restoring hearing function and preventing recurrent otorrhea. The asymmetric cartilage-perichondrium island graft design has emerged as a promising technique to achieve optimal functional and anatomical outcomes in tympanoplasty. Level of evidence: Level 4.http://www.sciencedirect.com/science/article/pii/S1808869424001551TympanoplastyCartilageChronic otitis media |
| spellingShingle | Fetih Furkan Şahin İsa Kaya Hakan Ceylan Tayfun Kirazlı The modified asymmetric chondro-perichondrial island graft in type I tympanoplasty: A retrospective analysis of 784 patients Brazilian Journal of Otorhinolaryngology Tympanoplasty Cartilage Chronic otitis media |
| title | The modified asymmetric chondro-perichondrial island graft in type I tympanoplasty: A retrospective analysis of 784 patients |
| title_full | The modified asymmetric chondro-perichondrial island graft in type I tympanoplasty: A retrospective analysis of 784 patients |
| title_fullStr | The modified asymmetric chondro-perichondrial island graft in type I tympanoplasty: A retrospective analysis of 784 patients |
| title_full_unstemmed | The modified asymmetric chondro-perichondrial island graft in type I tympanoplasty: A retrospective analysis of 784 patients |
| title_short | The modified asymmetric chondro-perichondrial island graft in type I tympanoplasty: A retrospective analysis of 784 patients |
| title_sort | modified asymmetric chondro perichondrial island graft in type i tympanoplasty a retrospective analysis of 784 patients |
| topic | Tympanoplasty Cartilage Chronic otitis media |
| url | http://www.sciencedirect.com/science/article/pii/S1808869424001551 |
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