Skip to main content
Erschienen in:

13.11.2021 | Original Article

Use of Collagen Sheets as Graft Material for Myringoplasty

verfasst von: Parth Makwana, Sohil I. Vadiya, Sridhar Khetani, Nisarg Mehta

Erschienen in: Indian Journal of Otolaryngology and Head & Neck Surgery | Sonderheft 3/2022

Einloggen, um Zugang zu erhalten

Abstract

The purpose of the study is to investigate how Collagen sheet used as graft material in Myringoplasty improves hearing and tympanic membrane tissue repair in patients with tympanic membrane perforation (TMP) in an office based procedure. Total 50 cases included in the study where Collagen sheet used as graft material for myringoplasty in small to moderate size tympanic membrane perforations(TMP) and procedure performed in an office based set up with the help of a High definition endoscope and camera. Cases followed up regularly and results observed in terms of graft uptake and complete closure of TMP and hearing improvement. Out of 50, complete closure of TMP observed in 39 cases and an average hearing gain of 9.9 db noted in these cases. Success rate of 78% achieved and failed cases were subjected to traditional post auricular method of myringoplasty under microscopic guidance. Myringoplasty with the help of collagen sheet material in an office based set up is an easy, minimally invasive and effective technique and it avoids need for major invasive intervention in a significant number of patients.
Literatur
1.
Zurück zum Zitat Joynt JA (1919) Repair of drum. IowaMedSoc 9:51 Joynt JA (1919) Repair of drum. IowaMedSoc 9:51
2.
Zurück zum Zitat Derlacki EL (1953) Repair of central perforations of tympanic membrane. Arch Otolaryngol 58:405CrossRef Derlacki EL (1953) Repair of central perforations of tympanic membrane. Arch Otolaryngol 58:405CrossRef
3.
Zurück zum Zitat Wullstein H (1952) FunktionelleOperationenimMittelohrmitHilfe des freienSpalt-lappenTransplantates. Arch Ohren-Nasen-u Kehlkopfh 161:422CrossRef Wullstein H (1952) FunktionelleOperationenimMittelohrmitHilfe des freienSpalt-lappenTransplantates. Arch Ohren-Nasen-u Kehlkopfh 161:422CrossRef
4.
Zurück zum Zitat Zollner F (1955) The principles of plastic surgery of the sound-conducting apparatus. J LaryngolOtol 69:637CrossRef Zollner F (1955) The principles of plastic surgery of the sound-conducting apparatus. J LaryngolOtol 69:637CrossRef
5.
Zurück zum Zitat Fayad JN, Baino T, Parisier SC (2003) Preliminary results with the use of AlloDerm in chronic otitis media. Laryngoscope 113(7):1228–1230CrossRef Fayad JN, Baino T, Parisier SC (2003) Preliminary results with the use of AlloDerm in chronic otitis media. Laryngoscope 113(7):1228–1230CrossRef
6.
Zurück zum Zitat Hakuba N, Iwanaga M, Tanaka S et al (2010) Basic fibroblast growth factor combined with atelocollagen for closing chronic tym- panic membrane perforations in 87 patients. OtolNeurotol 31(1):118–121 Hakuba N, Iwanaga M, Tanaka S et al (2010) Basic fibroblast growth factor combined with atelocollagen for closing chronic tym- panic membrane perforations in 87 patients. OtolNeurotol 31(1):118–121
7.
Zurück zum Zitat Lou Z (2012) Healing large traumatic eardrum perforations in humans using fibroblast growth factor applied directly or via gel- foam. OtolNeurotol 33(9):1553–1557 Lou Z (2012) Healing large traumatic eardrum perforations in humans using fibroblast growth factor applied directly or via gel- foam. OtolNeurotol 33(9):1553–1557
8.
Zurück zum Zitat Lim DJ (1995) Structure and function of the tympanic membrane: a review. Acta Otorhinolaryngol Belg 49:101–115 Lim DJ (1995) Structure and function of the tympanic membrane: a review. Acta Otorhinolaryngol Belg 49:101–115
9.
Zurück zum Zitat Glasscock ME, Gulya AJ (2003) Glasscock-Shambaugh Surgery of the Ear, 5th edn. BC Decker Inc., Hamilton, pp 400–420 Glasscock ME, Gulya AJ (2003) Glasscock-Shambaugh Surgery of the Ear, 5th edn. BC Decker Inc., Hamilton, pp 400–420
10.
Zurück zum Zitat Stenfeldt K, Johansson C, Hellström S (2006) The collagen structure of the tympanic membrane: collagen types I, II, and III in the healthy tym- panic membrane, during healing of a perforation, and during infection. Arch Otolaryngol Head Neck Surg 132:293–298CrossRef Stenfeldt K, Johansson C, Hellström S (2006) The collagen structure of the tympanic membrane: collagen types I, II, and III in the healthy tym- panic membrane, during healing of a perforation, and during infection. Arch Otolaryngol Head Neck Surg 132:293–298CrossRef
11.
Zurück zum Zitat Lee SH, Jin SM, Lee KC, Kim MG (2008) Paper-patch myringoplasty with CO2 laser for chronic TM perforation. Eur Arch Otorhinolaryngol 265:1161–1164CrossRef Lee SH, Jin SM, Lee KC, Kim MG (2008) Paper-patch myringoplasty with CO2 laser for chronic TM perforation. Eur Arch Otorhinolaryngol 265:1161–1164CrossRef
12.
Zurück zum Zitat Hakuba N, Iwanaga M, Tanaka S, Hiratsuka Y, Kumabe Y, Konishi M et al (2010) Basic fibroblast growth factor combined with atelocollagen for closing chronic tympanic membrane perforations in 87 patients. Otol Neurotol 31:118–121CrossRef Hakuba N, Iwanaga M, Tanaka S, Hiratsuka Y, Kumabe Y, Konishi M et al (2010) Basic fibroblast growth factor combined with atelocollagen for closing chronic tympanic membrane perforations in 87 patients. Otol Neurotol 31:118–121CrossRef
13.
Zurück zum Zitat Simsek G, Akin I (2014) Early paper patching versus observation in pa tients with traumatic eardrum perforations: comparisons of anatomi- cal and functional outcomes. J Craniofac Surg 25:2030–2032CrossRef Simsek G, Akin I (2014) Early paper patching versus observation in pa tients with traumatic eardrum perforations: comparisons of anatomi- cal and functional outcomes. J Craniofac Surg 25:2030–2032CrossRef
Metadaten
Titel
Use of Collagen Sheets as Graft Material for Myringoplasty
verfasst von
Parth Makwana
Sohil I. Vadiya
Sridhar Khetani
Nisarg Mehta
Publikationsdatum
13.11.2021
Verlag
Springer India
Erschienen in
Indian Journal of Otolaryngology and Head & Neck Surgery / Ausgabe Sonderheft 3/2022
Print ISSN: 2231-3796
Elektronische ISSN: 0973-7707
DOI
https://doi.org/10.1007/s12070-021-02977-z

Neu im Fachgebiet HNO

Ab sofort gelten die neuen Verordnungsausnahmen für Lipidsenker

Freie Fahrt für Lipidsenker? Das nicht, doch mit niedrigerem Schwellenwert fürs Infarktrisiko und neuen Indikationen hat der G-BA die Verordnungs-Handbremse ein gutes Stück weit gelockert.

Riesenzellarteriitis: bilaterale Biopsie der Temporalarterien von Vorteil

Falls zur diagnostischen Sicherung einer Riesenzellarteriitis (RZA) eine Biopsie der Temporalarterien (TAB) erforderlich ist, scheint die bilaterale TAB der unilateralen überlegen zu sein.

Lagerungsschwindel hält trotz Manöver an: Was steckt dahinter?

Ob sich ein benigner paroxysmaler Lagerungsschwindel erfolgreich behandeln lässt, könnte einem chinesischen Team zufolge auch von psychischen Faktoren abhängen.

Zi veröffentlicht Ranking zur Fehleranfälligkeit gängiger Praxis-EDV

Welches Praxisverwaltungssystem macht am wenigsten Probleme? Das Zi dokumentiert jetzt detaillierte Produktbewertungen zu 17 konkreten Anwendungssituationen.

Update HNO

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert – ganz bequem per eMail.