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‘Umbrella’ graft tympanoplasty

Published online by Cambridge University Press:  19 January 2010

M Malhotra
M Malhotra*
Affiliation:
Department of Otorhinolaryngology, Lala Lajpat Rai Memorial Medical College, Meerut, Uttar Pradesh, India
*
Address for correspondence: Dr Manu Malhotra, R-19, LLRM Medical College, Garh Road, Meerut, Uttar Pradesh, India, Pin 250001. E-mail: manumalhotrallrm@gmail.com
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Abstract

Objectives:

Tympanoplasty continues to pose a challenge in developing countries, where treatment cost and lack of compliance with second stage surgery are often important factors in determining the surgical strategy. This study aimed to determine the effectiveness of the newly developed, ‘umbrella’ autograft.

Materials and methods:

In 22 patients suffering chronic suppurative otitis media, in whom the incus and stapes suprastructure were found to be absent during surgery, reconstruction was achieved using cartilage-malleus umbrella graft assembly. Six-month post-operative results were evaluated on the basis of average hearing gain, measured at 0.5, 1, 2 and 3 kHz.

Results:

At six months post-operatively, 77.3 per cent of patients showed hearing improvement. Audiography at this time indicated significant improvement (p < 0.001), suggesting that this hearing gain may stand the test of time.

Conclusion:

Umbrella graft tympanoplasty appears to be a promising technique in terms of cost-effectiveness and the autologous nature of implant materials.

Keywords

Middle EarOssiculoplastyAutograftCartilageTympanoplasty
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 124 , Issue 4 , April 2010 , pp. 377 - 381
Copyright
Copyright © JLO (1984) Limited 2010

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