The audiological and take results of perichondrium attached cartilage island graft in tympanoplasty: PACIT
Cartilage is one of the most preferable grafts for tympanoplasty (TPL). The anatomical and audiological results and take rates of perichondrium attached cartilage island graft in tympanoplasty (PACIT) are presented herein. One hundred ninety four ears of 191 patients (108 male, 83 female) were evalu...
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| Veröffentlicht in: | Acta otorhino-laryngologica italica 2016-08, Vol.36 (4), p.275-281 |
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| creator | Solmaz, F Akduman, D Haksever, M Gündoğdu, E Yanılmaz, M Mescioğlu, A |
| description | Cartilage is one of the most preferable grafts for tympanoplasty (TPL). The anatomical and audiological results and take rates of perichondrium attached cartilage island graft in tympanoplasty (PACIT) are presented herein. One hundred ninety four ears of 191 patients (108 male, 83 female) were evaluated retrospectively in terms of the type of surgery, graft take rate and hearing results. Type I, II, and III TPL were performed in 127 (65.46%), 45 (23.20%), and 22 (11.34%) ears, respectively. The overall mean preoperative pure tone average-air bone gaps (PTA-ABGs) for TPL types were 33.74 ± 9.60, 52.58 ± 9.07, and 56.58 ± 10.27 dB HL, respectively; postoperative mean values for TPL groups were 18.55 ± 9.25, 31.21 ± 4.36, and 44.84 ± 12.45 dB HL. Postoperative hearing results showed an improvement (≥ 10 dB) in 76.81% of ears with a mean gain of 20 dB HL (range 10-40 dB). However, 19.07% of ears showed no change (< 10, ≥ 0 dB) in hearing, and hearing worsened in 4.12% of ears (< 0 dB) postoperatively. Overall, graft take was 91.24% at least 13 months (mean 68.64) after surgery with a graft failure rate of 8.76%. Graft take was successful in TPL groups. Postoperative PTA-ABG results demonstrated significant improvement. The long-term eligibility of perichondrium attached cartilage island graft in TPL is emphasised with this study. |
| doi_str_mv | 10.14639/0392-100X-660 |
| format | Article |
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The anatomical and audiological results and take rates of perichondrium attached cartilage island graft in tympanoplasty (PACIT) are presented herein. One hundred ninety four ears of 191 patients (108 male, 83 female) were evaluated retrospectively in terms of the type of surgery, graft take rate and hearing results. Type I, II, and III TPL were performed in 127 (65.46%), 45 (23.20%), and 22 (11.34%) ears, respectively. The overall mean preoperative pure tone average-air bone gaps (PTA-ABGs) for TPL types were 33.74 ± 9.60, 52.58 ± 9.07, and 56.58 ± 10.27 dB HL, respectively; postoperative mean values for TPL groups were 18.55 ± 9.25, 31.21 ± 4.36, and 44.84 ± 12.45 dB HL. Postoperative hearing results showed an improvement (≥ 10 dB) in 76.81% of ears with a mean gain of 20 dB HL (range 10-40 dB). However, 19.07% of ears showed no change (< 10, ≥ 0 dB) in hearing, and hearing worsened in 4.12% of ears (< 0 dB) postoperatively. Overall, graft take was 91.24% at least 13 months (mean 68.64) after surgery with a graft failure rate of 8.76%. Graft take was successful in TPL groups. Postoperative PTA-ABG results demonstrated significant improvement. The long-term eligibility of perichondrium attached cartilage island graft in TPL is emphasised with this study.</description><identifier>ISSN: 0392-100X</identifier><identifier>EISSN: 1827-675X</identifier><identifier>DOI: 10.14639/0392-100X-660</identifier><identifier>PMID: 27734979</identifier><language>eng</language><publisher>Italy: Pacini Editore SRL</publisher><subject>Adolescent ; Adult ; Audiometry, Pure-Tone ; Chronic Disease ; Ear Cartilage - transplantation ; Female ; Humans ; Male ; Middle Aged ; Otitis Media - physiopathology ; Otitis Media - surgery ; Otology ; Surgical Flaps ; Tympanoplasty - methods ; Young Adult</subject><ispartof>Acta otorhino-laryngologica italica, 2016-08, Vol.36 (4), p.275-281</ispartof><rights>Copyright by Società Italiana di Otorinolaringologia e Chirurgia Cervico-Facciale, Rome, Italy.</rights><rights>Copyright by Società Italiana di Otorinolaringologia e Chirurgia Cervico-Facciale, Rome, Italy</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5066462/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5066462/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27734979$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Solmaz, F</creatorcontrib><creatorcontrib>Akduman, D</creatorcontrib><creatorcontrib>Haksever, M</creatorcontrib><creatorcontrib>Gündoğdu, E</creatorcontrib><creatorcontrib>Yanılmaz, M</creatorcontrib><creatorcontrib>Mescioğlu, A</creatorcontrib><title>The audiological and take results of perichondrium attached cartilage island graft in tympanoplasty: PACIT</title><title>Acta otorhino-laryngologica italica</title><addtitle>Acta Otorhinolaryngol Ital</addtitle><description>Cartilage is one of the most preferable grafts for tympanoplasty (TPL). The anatomical and audiological results and take rates of perichondrium attached cartilage island graft in tympanoplasty (PACIT) are presented herein. One hundred ninety four ears of 191 patients (108 male, 83 female) were evaluated retrospectively in terms of the type of surgery, graft take rate and hearing results. Type I, II, and III TPL were performed in 127 (65.46%), 45 (23.20%), and 22 (11.34%) ears, respectively. The overall mean preoperative pure tone average-air bone gaps (PTA-ABGs) for TPL types were 33.74 ± 9.60, 52.58 ± 9.07, and 56.58 ± 10.27 dB HL, respectively; postoperative mean values for TPL groups were 18.55 ± 9.25, 31.21 ± 4.36, and 44.84 ± 12.45 dB HL. Postoperative hearing results showed an improvement (≥ 10 dB) in 76.81% of ears with a mean gain of 20 dB HL (range 10-40 dB). However, 19.07% of ears showed no change (< 10, ≥ 0 dB) in hearing, and hearing worsened in 4.12% of ears (< 0 dB) postoperatively. Overall, graft take was 91.24% at least 13 months (mean 68.64) after surgery with a graft failure rate of 8.76%. Graft take was successful in TPL groups. Postoperative PTA-ABG results demonstrated significant improvement. The long-term eligibility of perichondrium attached cartilage island graft in TPL is emphasised with this study.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Audiometry, Pure-Tone</subject><subject>Chronic Disease</subject><subject>Ear Cartilage - transplantation</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Otitis Media - physiopathology</subject><subject>Otitis Media - surgery</subject><subject>Otology</subject><subject>Surgical Flaps</subject><subject>Tympanoplasty - methods</subject><subject>Young Adult</subject><issn>0392-100X</issn><issn>1827-675X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkMtLxDAQxoMouq5ePUqOXqp5NWk9CLL4AkEPK3gr0ybdjaZNTVJh_3srPtDDMAzfzO9jPoSOKDmlQvLyjPCSZZSQ50xKsoVmtGAqkyp_3kazX20P7cf4QohQqqC7aI8pxUWpyhl6Wa4NhlFb7_zKNuAw9BoneDU4mDi6FLFv8WCCbda-18GOHYaUoFkbjRsIyTpYGWyj-7xbBWgTtj1Om26A3g8OYtqc48fLxd3yAO204KI5_O5z9HR9tVzcZvcPN3eLy_tsYFKmrG4MN7JVUlNSiFoyKgThtJBMs9oAAc1arZtpBkGNmirnhcprUmopC8L4HF18cYex7oxuTJ8CuGoItoOwqTzY6r_S23W18u9VTqQU8hNw8g0I_m00MVWdjY1x04vGj7GiBc8FneJX0-rxX69fk5-A-QfLvH89</recordid><startdate>201608</startdate><enddate>201608</enddate><creator>Solmaz, F</creator><creator>Akduman, D</creator><creator>Haksever, M</creator><creator>Gündoğdu, E</creator><creator>Yanılmaz, M</creator><creator>Mescioğlu, A</creator><general>Pacini Editore SRL</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>201608</creationdate><title>The audiological and take results of perichondrium attached cartilage island graft in tympanoplasty: PACIT</title><author>Solmaz, F ; Akduman, D ; Haksever, M ; Gündoğdu, E ; Yanılmaz, M ; Mescioğlu, A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p266t-bce3e6f76d1084b62144031862d2bea0ad2fddc862a41e741e53875b09d668023</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Audiometry, Pure-Tone</topic><topic>Chronic Disease</topic><topic>Ear Cartilage - transplantation</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Otitis Media - physiopathology</topic><topic>Otitis Media - surgery</topic><topic>Otology</topic><topic>Surgical Flaps</topic><topic>Tympanoplasty - methods</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Solmaz, F</creatorcontrib><creatorcontrib>Akduman, D</creatorcontrib><creatorcontrib>Haksever, M</creatorcontrib><creatorcontrib>Gündoğdu, E</creatorcontrib><creatorcontrib>Yanılmaz, M</creatorcontrib><creatorcontrib>Mescioğlu, A</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Acta otorhino-laryngologica italica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Solmaz, F</au><au>Akduman, D</au><au>Haksever, M</au><au>Gündoğdu, E</au><au>Yanılmaz, M</au><au>Mescioğlu, A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The audiological and take results of perichondrium attached cartilage island graft in tympanoplasty: PACIT</atitle><jtitle>Acta otorhino-laryngologica italica</jtitle><addtitle>Acta Otorhinolaryngol Ital</addtitle><date>2016-08</date><risdate>2016</risdate><volume>36</volume><issue>4</issue><spage>275</spage><epage>281</epage><pages>275-281</pages><issn>0392-100X</issn><eissn>1827-675X</eissn><abstract>Cartilage is one of the most preferable grafts for tympanoplasty (TPL). The anatomical and audiological results and take rates of perichondrium attached cartilage island graft in tympanoplasty (PACIT) are presented herein. One hundred ninety four ears of 191 patients (108 male, 83 female) were evaluated retrospectively in terms of the type of surgery, graft take rate and hearing results. Type I, II, and III TPL were performed in 127 (65.46%), 45 (23.20%), and 22 (11.34%) ears, respectively. The overall mean preoperative pure tone average-air bone gaps (PTA-ABGs) for TPL types were 33.74 ± 9.60, 52.58 ± 9.07, and 56.58 ± 10.27 dB HL, respectively; postoperative mean values for TPL groups were 18.55 ± 9.25, 31.21 ± 4.36, and 44.84 ± 12.45 dB HL. Postoperative hearing results showed an improvement (≥ 10 dB) in 76.81% of ears with a mean gain of 20 dB HL (range 10-40 dB). However, 19.07% of ears showed no change (< 10, ≥ 0 dB) in hearing, and hearing worsened in 4.12% of ears (< 0 dB) postoperatively. Overall, graft take was 91.24% at least 13 months (mean 68.64) after surgery with a graft failure rate of 8.76%. Graft take was successful in TPL groups. Postoperative PTA-ABG results demonstrated significant improvement. The long-term eligibility of perichondrium attached cartilage island graft in TPL is emphasised with this study.</abstract><cop>Italy</cop><pub>Pacini Editore SRL</pub><pmid>27734979</pmid><doi>10.14639/0392-100X-660</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adult Audiometry, Pure-Tone Chronic Disease Ear Cartilage - transplantation Female Humans Male Middle Aged Otitis Media - physiopathology Otitis Media - surgery Otology Surgical Flaps Tympanoplasty - methods Young Adult |
| title | The audiological and take results of perichondrium attached cartilage island graft in tympanoplasty: PACIT |
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