DOI: 10.1055/b-002-66242
Tos, Mirko: 2009

Cartilage Tympanoplasty

Classification of Methods—Techniques—Results Print ISBN 9783131450913 · Online ISBN 9783131495419
Weitere Informationen

Buch

Herausgeber: Tos, Mirko

Titel: Cartilage Tympanoplasty

Untertitel: Classification of Methods—Techniques—Results

Print ISBN: 9783131450913; Online ISBN: 9783131495419; Buch-DOI: 10.1055/b-002-66242

2009 © 2009 Georg Thieme Verlag KG
Georg Thieme Verlag KG, Stuttgart

Fachgebiete: HNO-Heilkunde, Phoniatrie, Audiologie

Thieme Clinical Collections (English Language)



Einführung
1 History of Cartilage Tympanoplasty
Introduction
Cartilage in Ossiculoplasty in Tympanoplasty Type 2 with Intact Stapes
Cartilage Slices in Tympanoplasty Type 2 with Intact Stapes
Cartilage in Ossiculoplasty in Tympanoplasty Type 3 with Missing Stapedial Arch
Myringoplasty Using Autogenous Septal Cartilage by Salen—the First Cartilage Tympanoplasty
The Heermann Cartilage Bridge from the Stapes Columella to the Inferior Annulus
The Broad Heermann Stapes–Annulus Cartilage Bridges
The Tunnelplasty
Cartilage Palisade Tympanoplasty
The Goodhill Annular Graft—the First Cartilage–Perichondrium Composite Graft
2 Classifications and Definitions
Classification of Cartilage Tympanoplasty Methods
Cartilage Grafts
Classification of Tympanoplasty
Pictorial Key to the Drawings in this Book
3 Approaches and Harvesting of Cartilage
Approaches
Harvesting of Cartilage
4 Surgical Techniques
Definition
Indications for Surgery
Harvesting and Shaping of Palisades
Surgical Techniques
Modifications of Cartilage Palisade Technique
Results of Surgery with Palisades in Underlay Tympanoplasty Techniques
Author's Comments and Proposals
5 Cartilage Palisades in On-lay Tympanoplasty Techniques
Definitions
Harvesting and Shaping of the Palisades
Indications for On-lay Palisade Technique
Surgical Techniques with On-lay Placement of Palisades
Results of On-lay Cartilage Tympanoplasty Techniques
Author's Comments on On-lay Palisade Techniques
6 Tympanoplasty with Broad Cartilage Palisades
Definition
Harvesting and Shaping of Broad Palisades
Indications for Tympanoplasty with Broad Cartilage Palisades
The Bernal-Sprekelsen Broad Palisade Techniques
Broad Palisades and Various Tympanomastoidectomies
Results in Tympanoplasty with Broad Cartilage Palisades
Author's Comments and Recommendations
7 Cartilage Strips in Underlay Tympanoplasty Techniques
Definition
Harvesting and Shaping of the Cartilage Strips
Indications for Cartilage Strips in Underlay Techniques
Surgical Techniques
Results of Surgery
Author's Comments and Recommendations
8 Cartilage Strips in On-lay Tympanoplasty Techniques
Definition
Harvesting and Shaping of the Cartilage Strips
Indications for Surgery
The On-lay Cartilage Strip Techniques
Results of Surgery
Author's Comments and Recommendations
9 The Dornhoffer Cartilage Mosaic Tympanoplasty
Definition
Harvesting and Trimming of the Cartilage
Indications for Cartilage Mosaic Tympanoplasty
Surgical Techniques of Cartilage Mosaic Tympanoplasty
Results of Surgery
Author's Comments and Recommendations
10 Underlay Tympanoplasty with Cartilage Foils and Thin Plates
Definition
Harvesting and Elaboration of Cartilage Foils and Thin Plates
Indications for Surgery
Underlay Techniques with Foils and Thin Plates
Results after Surgery with Cartilage Foils or Thin Plates Covered with Perichondrium
Author's Comments and Recommendations
11 On-lay Tympanoplasty with Cartilage Foils and Thin Plates Definition
Definition
Harvesting and Elaboration of Cartilage Foils and Thin Plates
Indications for On-lay Tympanoplasty with Cartilage Foils and Thin Plates
On-lay Techniques with Foils and Thin Plates
Results after On-lay Tympanoplasty with Cartilage Foils
Author's Comments and Recommendations
12 On-lay Tympanoplasty with Thick Cartilage Plates
Definitions
Harvesting and Elaboration of the Cartilage Plates
On-lay Techniques with Thick Cartilage Plates
Results of Surgery with Cartilage Plates
Author's Comments and Recommendations
Effect of the Thickness of The Cartilage Disk on Hearing
Experimental Investigation of the Use of Cartilage in Tympanic Membrane Reconstruction
Clinical Research on the Thickness of Cartilage Grafts
13 Underlay Tympanoplasty with Thick Cartilage Plates
Definitions
Harvesting and Elaboration of the Autogenous Cartilage Plates
The Underlay Tympanoplasty Techniques with Thick Cartilage Plates
Results of Surgery with Cartilage Plates
Author's Comments and Proposals
14 Superior (or Attic) Cartilage–Perichondrium Composite Island Graft Tympanoplasty
Definition
Indications for Surgery
Surgical Methods for Closure of Bony Defects of the Scutum
Results of Surgery
Author's Comments and Proposals
15 Posterior Cartilage–Perichondrium Composite Island Graft Tympanoplasty
Definition
Harvesting and Shaping of the Graft
Indications for Surgery
Surgical Techniques with Posterior Cartilage–Perichondrium Composite Island Graft
Results of Surgery with the Posterior Island Graft
Author's Comments and Recommendations
16 Superior and Posterior Cartilage–Perichondrium Composite Island Graft Tympanoplasty
Definition
Harvesting and Shaping of the Graft
Indications
Surgical Methods
Results of Surgery
Author's Comments and Recommendations
Pathogenesis of Attic Cholesteatoma
17 Total Pars Tensa Cartilage-Perichondrium Composite Island Graft Tympanoplasty
Definitions
Harvesting and Shaping of the Cartilage Graft
Indications for Surgery
Surgical Techniques
Results of Surgery with the Total Tensa Composite Graft
Outcomes by Surgical Indication
Author's Comments and Recommendations
18 Annular Cartilage-Perichondrium Composite Graft Tympanoplasty
Definition
Previous Applications of the Annular Graft
Harvesting and Shaping of the Annular Graft
Indications for Application of Annular Grafts
Surgical Techniques with Annular Grafts
Results of Surgery with the Annular Graft
Author's Comments and Proposals
19 “Crown Cork” Cartilage-Perichondrium Composite Graft Tympanoplasty
Definition
Harvesting and Construction of the “Crown Cork” Graft
Indications for “Crown Cork” Tympanoplasty
Surgical Techniques of “Crown Cork” Tympanoplasty
Results of the “Crown Cork” Tympanoplasty
Author's Comments and Recommendations
20 Cartilage Shield T-Tube Tympanoplasty
Definition
Harvesting and Construction of the Cartilage Shield T-Tube Grafts
Indication for Cartilage Shield T-Tube Tympanoplasty
Surgical Techniques
Postoperative Care and Problems
Results of Cartilage Shield T-Tube Tympanoplasty
Author's Comments and Recommendations
21 Underlay Tympanoplasty Techniques with Cartilage–Perichondrium Composite Island Graft
Definition
Harvesting and Shaping of the Island Graft
Indication for Application of the Underlay Island Graft
Surgical Techniques
Results of Surgery with the Island Graft
Author's Comments and Recommendations
22 In-lay Underlay Tympanoplasty Techniques with Cartilage–Perichondrium Composite Island Graft
Definition
Harvesting and Shaping of the Graft
Indications for In-lay Underlay Technique
The In-lay Underlay Techniques
Results of Surgery
Author's Comments and Recommendations
23 On-lay Tympanoplasty Techniques with Cartilage–Perichondrium Composite Island Graft
Definition
Harvesting and Elaboration of the On-lay Island Graft
Indications for Surgery
Surgical Techniques of On-lay Tympanoplasty with Island Grafts
Results of Surgery with On-lay Techniques
Author's Comments and Recommendations
24 In-lay On-lay Tympanoplasty Techniques with Cartilage–Perichondrium Composite Island Graft
Definition
Harvesting and Elaboration of the Graft
Indications for Application of the In-lay On-lay Graft
The In-lay On-lay Technique
Results of Surgery
Author's Comments and Recommendations
25 In-lay Butterfly Cartilage Tympanoplasty
Definition
Indications
Harvesting and Shaping of the Butterfly Cartilage Graft
The In-lay Butterfly Cartilage Technique
Results of the In-lay Butterfly Technique
Author's Comments and Recommendations
26 Composite Chondroperichondrial Clip Tympanoplasty: The Triple “C” Technique
Definition
Indications for the Triple “C” Techniques
Harvesting and Preparation of the Graft
Surgical Techniques
Results of Triple “C” Technique
Author's Comments and Proposals
27 The Fate of Implanted Cartilage Grafts
The Nourishment of the Cartilage
Experiments on the Fate of Transplanted Cartilage
Author's Comments and Recommendations
The Fate of the Implanted Cartilage and Clinical Consequences
28 Clinical Research in Cartilage Tympanoplasties
Introduction
Postoperative Results without Comparison with Other Series
Comparison of the Results in Cartilage Tympanoplasty Methods with the Results in Tympanoplasty Methods Using Fascia or Perichondrium Graft
Comparison of Results between Various Cartilage Tympanoplasty Methods
Proposals for the Methods of Clinical Research in Cartilage Tympanoplasty
Anhang