Authors: R. Lenert; Pavel Komínek; P. Vantuch Authors‘ workplace: Otorinolaryngologické oddělení Nemocnice Frýdek-Místek, primář MUDr. P. Komínek Published in: Otorinolaryngol Foniatr, , 2000, No. 1, pp. 32-35. Category:
The authors present a group of 84 tympanoplasties where cartilage with theperichondrium was used - in simple myringoplasties as well as in tympanoplasties with reconstruc-tion of the chain of ossicles. The authors use cartilage from the ear lobe or trag either in the formof palisades or is an islet-shaped perichondrocartilaginous graft. The advantage of this graft, ascompared with a fascial one, is better resistance, slighter subsequent formation of retractionpockets and perforations. The disadvantage is sometimes a smaller auditory gain.The authors present early postoperative results. Half a year after operation in 76 patients (90.5%)a closed middle ear cavity with an intact ear drum developed (so-called isdry early). Social hearingwas achieved after operation in patients of group W I in 96% (as compared with 72% beforeoperation), in group W III in 73% (before surgery in 53%), in the total number in 80% patients and60% before surgery.
Key words: tympanoplasty, cartilage with perichondrium, palisade technique, islet-shaped graft.
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