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At least 1,513 records · Page 84Linked to original sources
PubMed1981

Experience with tympanoplasty for atelectatic ears.

Atelectasis is, unfortunately, still a common sequela of otitis media with effusion (OME)--including serous otitis media (SOM) and mucoid otitis media (MOM). When atelectatic ears provide a functional deficit, i.e., a conductive loss of sufficient magnitude or a residual conductive loss after aerating the middle ear with ventilation tube or early or strongly suspected attic cholesteatoma, a simple corrective procedure has been used which has stood the test of time. The procedure as well as experience with 51 patients (60 ears) will be described and discussed. The procedure consists of re-establishing the mesotympanic space, strengthening the tympanic membrane by an underplant fascial graft, cutting the tensor tympani, extirpation of any disease, re-establishment of ossicular mobility and continuity and the insertion of a ventilation tube in the anterior drumhead remnants along with silicone rubber sheeting and a moist Gelfilm implant. Methods and results are discussed.

Adolescent↗
PubMed1980

Recurrent cholesteatoma in combined approach tympanoplasty.

Forty-six ears--13 cholesteatoma ears and 33 non-cholesteatoma ears--with preoperative poor Eustachian tube function and a healed tympanic membrane more than 12 months after surgery were investigated. It was found that retractions occurred independent of previous cholesteatoma or surgical procedure. Also, retractions were associated with intratympanic negative air pressure, indicating dysfunction of the Eustachian tube.

Adult↗
PubMed1979

[The prognostic value in tympanoplasty surgery of eustachian tube function tests (author's transl)].

A study was undertaken to test the validity of preoperative Eustachian tube ventilation measurements in 107 patients with conductive deafness and chronic middle ear disease. By standard static aspiration and deflation tests and with the Valsalva probe correlations were found in some patients between tubal function and the extent of middle ear damage as shown by the air-bone gap on audiometry and the findings at operation. However no prognostic information was evident with these measures since no relationship existed between tubal function and operative success as judged by closure of the air-bone gap or by healing of the tympanic membrane defect.

Ear Diseases↗
PubMed1979

[Comparison of the results of incus interposition and artificial columella in tympanoplasty (author's transl)].

The average postoperative air-bone gap after interposition of an incus between tympanic membrane and stapes footplate is too high in case of missing crura of the stapes, it is 27 dB. The interposition of an artificial prosthesis, according to Shea and beeing made of "Platipore", leads to a statistically based lower air-bone gap with a mean of 20 dB. Concerning the change of bone conduction, there is no difference between these two methods of operation. The rate of artificial prosthesis which are perforating the tympanic membrane, increases after seven months up to 15%, but only 4% of the incuses invade the plane of the tympanic membrane after 22 months.

Bone Conduction↗
PubMedDate not supplied

[Tympanoplasty in massive destruction of bony walls of the tympanic cavity].

New variants of occulotympanoplasty employing single and double--T, double--T--supporting prostheses in patients with chronic otitis media are provided. Surgical application of the flat bone and dura mater from human fetus facilitates the operative technique and reduces traumatism of the transplanted appliances. The results obtained confirm feasibility of adjusting the transformation system according to individual morphologic setting and suggest conclusions on superiority of the designs with little persistence, i.e. single and double--T prostheses.

Chronic Disease↗