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Preliminary results with the use of AlloDerm in chronic otitis media
Jose N Fayad1, Tony Baino, Simon C Parisier
1Department of Otolaryngology-Head & Neck Surgery, Columbia University College of Physicians and Surgeons, The New York-Presbyterian Hospital, 180 Fort Washington Avenue, Harkness Pavilion, Suite 813, New York, NY 10032, USA. jfayed@aol.com
Objectives/Hypothesis:
AlloDerm, an acellular dermal graft, has been used successfully as a material for soft tissue implantation. The authors report their experience with the use of AlloDerm in the reconstruction of the tympanic membrane.
Study Design:
Case review study.
Methods:
Charts were reviewed for all patients who underwent tympanoplasty with and without mastoidectomy between June 1999 and June 2002 in whom AlloDerm was used as a grafting material. There were 24 patients, 17 with simple perforations (8 revisions) and 7 with chronic otitis media with cholesteatoma (6 revisions). Success was defined as closure of the tympanic membrane perforation.
Results:
Closure of the perforation using AlloDerm was achieved in 87.5% of the patients (ie, in all but three patients). Another patient developed serous otitis media and required a myringotomy tube in the postoperative period.
Conclusions:
The success rate for AlloDerm in tympanoplasty was similar to that of temporalis fascia in the authors' experience. AlloDerm can provide a suitable grafting material when fascia is not available or when the size of the defect precludes the use of fascia.