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[The cartilage graft in middle ear microsurgery. Indications, technique, results]
Romuald Wielgosz1, Edward Mroczkowski1
1Klinika Laryngologiczna Szpitala A. Kruppa Kierownik: prof. dr med. J. Lamprecht, Essen, Niemcy.
Aim:
The use of cartilage in tympanoplasties in the shape of monolytic cartilage-perichondrium autografts or several particles as a cartilage-palisade.
Materials And Methods:
The retrospective analysis concerned 216 clinical cases. The cartilage palisade technique was performed in 163 tympanoplasties. In 53 cases the tympanoplasty was carried out with the use of the monolytic cartilage-perichondrial composite graft: cartilage-island, cartilage-cork or cartilage-mat.
Results:
In the type I and II of tympanoplasty the air bone gap (ABG) <10dB showed 70% of patients operated with the use of monolytic cartilage-perichondrial composite autografts and 73% using the cartilage-palisade technique.
Conclusions:
The usefulness of cartilage in tympanoplasties is much the same in cartilage-palisade technique as well as in monolytic, non-palisade technique.
