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Boomerang-shaped vs. shield-shaped chondroperichondrial cartilage grafts for type 1 tympanoplasty in children: A study of 121 patients

November 3, 2017  |  Can Ozbay, MD; Fatih Kemal Soy, MD; Erkan Kulduk, MD; Riza Dundar, MD; Ahmet Yukkaldiran, MD; Osman Kadir Guler, MD; Ertan Koc

Abstract

Many techniques and graft materials have been used for the reconstruction of the tympanic membrane. We conducted a retrospective study to compare anatomic and functional outcomes of type 1 tympanoplasty that we performed with boomerang-shaped chondroperichondrial cartilage...

Correlation between sensorineural hearing loss and chronic otorrhea

November 3, 2017  |  Fernanda Martinho Dobrianskyj, MS; Isis Rocha Dias Goncalves, DO; Yumi Tamaoki, DO; Edson Ibrahim Mitre, MD; Fernando A. Quintanilha Ribeiro, PhD

Abstract

Many studies have attempted to correlate chronic otorrhea in children and in adults with the sensorineural hearing loss in the affected ear, with contradictory results. This loss might be the result of the likely toxicity of the bacteria involved, effects of inflammatory...

Surgical trainees and powered-drill use do not affect type I tympanoplasty hearing outcomes

September 18, 2017  |  David T. Kent, MD; David H. Chi, MD; Dennis J. Kitsko, DO

Abstract

The purposes of this study were to determine if use of a powered drill or trainee involvement during tympanoplasty is associated with a decline in sensorineural hearing, as well as to examine whether trainee involvement affected tympanic membrane (TM) closure rates. This study...

Long-standing, near total tympanic membrane perforation

September 18, 2017  |  J. Scott Greene, MD, FACS

Although most spontaneous perforations heal, repeated ruptures and chronic suppuration can lead to permanent perforations.

Platelet-rich plasma myringoplasty: A new office procedure for the repair of small tympanic membrane perforations

August 24, 2017  |  Mohammad Waheed El-Anwar, MD; Ismail Elnashar, MD; Yaser Ahmad Foad, MD

Abstract

We conducted a prospective study to assess the effectiveness of a platelet-rich plasma hourglass graft in the repair of small tympanic membrane perforations as an office-based procedure. Our study population was made up of 25 patients-10 men and 15 women, aged 19 to 45 years (...

The protective effect of intratympanic dexamethasone on streptomycin ototoxicity in rats

June 20, 2017  |  Aylin Gul, MD; Engin Sengul, MD; Beyhan Yilmaz, MD; Fazil Emre Ozkurt, MD; Mehmet Akdag, MD; Aysenur Keles, MD; Ismail Topcu, MD

Abstract

The purpose of this experimental study was to investigate the protective role of intratympanically administered dexamethasone on the inner ears of rats that were exposed to streptomycin ototoxicity. Twenty-four adult Wistar albino rats were separated into 4 groups: Group 1 (...

Facial nerve mimicking the fibrocartilaginous annulus of the tympanic membrane

April 30, 2017  |  Hande Senem Deveci, MD; Tülay Erden Habeşoğlu, MD; Cem Karataş, MD; Selami Uzun, MD

In this case, the mastoid segment of the facial nerve was mobilized with a microelevetor at the posterior quadrant, but the facial nerve was preserved.

Glomus jugulare manifesting as angiogenesis of the external ear canal

March 24, 2017  |  Sei Y. Chung, BS; James K. Liu, MD, FACS; Richard Chan Woo Park, MD, FACS; Robert W. Jyung, MD

On otoscopic examination, one will usually see a red-blue vascular mass behind the tympanic membrane, often described as a “rising sun” emanating from the hypotympanum.

Decision making in patients with natural myringostapediopexy: A study of the contralateral ear

September 19, 2016  |  Viviane Bom Schmidt, MD; Sady Selaimen da Costa, MD, PhD; Leticia Petersen Schmidt Rosito, MD; Neil Sperling, MD; Rodrigo Goncalves Dias, MD

Abstract

Naturally occurring myringostapediopexy frequently results in minimal hearing loss and is asymptomatic. Management decisions in such ears, however, often hinge on an appraisal of evolution toward cholesteatoma. The study of the contralateral ear has been used by our research...

Surgical management of a high jugular bulb

August 21, 2016  |  Daniel S. Roberts, MD, PhD; Brian Chen, MD; William Slattery, MD

Patient selection for surgical repair of a high dehiscent jugular bulb should include the presence of a codominant sigmoid sinus to avoid elevated postoperative intracranial pressure.

Comparison of a microsliced modified chondroperichondrium shield graft and a temporalis fascia graft in primary type I tympanoplasty: A prospective randomized controlled trial

July 18, 2016  |  Shambhu Nath Bhattacharya, MS; Sudipta Pal, MS; Somnath Saha, MS; Prasanta Kumar Gure, MS; Anupam Roy, MS

Abstract

We conducted a prospective, randomized, controlled trial to compare outcomes in type I tympanoplasty patients who received an autologous microsliced modified cartilage perichondrium shield graft (cartilage group) and those who received an autologous temporalis muscle fascia...

Diagnosis and management of a tympanic membrane hemangioma

June 14, 2016  |  Glen Watson, MBBS, FRCS; Amanda McSorley, MBChB, BSc, MRCS; Vivek Kaushik, MBBS, FRCS, DLO

Abstract

Vascular tumors arising in the temporal bone represent 0.7% of all lesions in this area. Hemangiomas confined to the tympanic membrane are exceptionally rare. We report a new case of tympanic membrane hemangioma that arose in 59-year-old man who presented with a 2-month history...

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