Many thanks to JAYPEEDIGITAL platform, which has been an indispensable easy-to-use source for our...Ozlem YALCINKAYA
Jaypeedigital site offers to our students a huge number of medical publications such as textbooks...Dr Jesus Tapia Jurado
With user-friendly interface, Jaypeedigital provides extensive coverage in medicine, dentistry and...Wan Suhaimi Ariffin, MLS (Syracuse), BLS (UITM)`
Jaypeedigital platform presents an interesting and valuable collection of medical publications that...David E. García Díaz (MD)
Some of us teach in the Division of Graduate Studies and Research at the Faculty and the contents of...Arcelia Meléndez Ocamp (MD)
Subscribe to be the first to know about Best Deals and Exclusive Offers!
by KK Desarda
The technique of “Reconstructive Tympanoplasty” has been improved and refined ever since the introduction of operating microscope. Variety of graft materials being used to restore the dry and functioning ear. The use of cartilage in middle ear surgery is not a new concept and has been recommended on a limited basis to manage retraction pockets for many years, and more recently it has been used in reconstruction of tympanic membrane, recurrent perforations, atelectasis and cholesteatoma pockets. It is naturally thicker and stiffer than fascia, and it is easy to introduce in middle ear. The autologous, homologous, allograft, synthetic materials as plastics, ceramics, hydroxyapatite, gold and recently introduced titanium being used in reconstructive tympanoplasty. But still these grafts have not proved their Universal acceptability except the autologous grafts; (cartilage, ossicles, fascia). The functioning and survival of each graft material varies as each one has certain advantages and disadvantages and technical problems during and after middle ear reconstruction.as shrinkage and displacement. In this monograph author has exclusively used the perichondrium cartilage composite island graft, butterfly graft and the palisade grafts, with some technical modifications which have given consistent good results in middle ear reconstruction. In addition, total perichondrium graft with entire tragal cartilage is routinely used in reconstructing old radical cavities. In view of this the author strongly recommends the tragal cartilage perichondrium graft as a choice graft for reconstructive tympanoplasty.
|1. Desarda KK
KEM Hospital, Pune, Maharashtra, India
King Edward Memorial Hospital, Pune, Maharashtra, India; BJ Medical College, Pune, Maharashtra, India
© 2019 Jaypee Brothers Medical Publishers (P) LTD. | All Rights Reserved