Abstract
To assess the role of cartilage tympanoplasty in management of retraction pockets of the pars flaccida. This was a prospective study at a tertiary care centre. Twenty patients having grade III or grade IV retraction pockets were included in the study. Retraction pockets were treated by excision and cartilage tympanoplasty. Findings noted on follow-up were recorded and analysed. Graft was taken up in 18 (90%) cases with residual perforation in 2 (10%) cases. Recurrence of retraction pockets was observed in 6 (30%) cases. Hearing was improved up to 15 dB in 16 (80%) cases. It is concluded that grade III and IV retraction pockets can be well managed by excision and cartilage tympanoplasty.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Wells MD, Michaels L (1983) Role of retraction pockets in cholesteatoma formation. Clin Otolaryngol 8:39–45
Yoon TH, Chachern PA, Paparella MM, Aeppli AM (1990) Pathology and pathogenesis of tympanic membrane retraction. Am J Otolaryngol 11:10–17
Palva T (1963) Surgical management of chronic suppurative otitis media. Acta Otolaryngol 118:70–74
Arving J (1963) Some problems concerning the prognosis and treatment of chronic adhesive otitis media and of serous otitis media. Acta Otolaryngol 188:75–76
Linde RE (1973) The cartilage perichondrium graft in the treatment of posterior tympanic membrane pockets. Laryngoscope 83:747–753
Glasscock ME 3rd, Jackson CG, Nissen AJ, Schwaber MK (1982) Postauricular undersurface tympanic membrane grafting: a follow-up report. Laryngoscope 92:718–727
Yung MW (1997) Retraction of the pars tensa—long term results of surgical treatment. Clin Otolaryngol 22:323–326
Ozebek C, Ciftci O, Ozdem C (2010) Long term anatomic and functional results of cartilage tympanoplasty in atelectatic ears. Eur Arch Otorhinolaryngol 267:507–543
Gerber MJ, Mason JC, Lampert PR (2000) Hearing results after primary cartilage tympanoplasty. Laryngoscope 110:1994–1999
Page C, Charlet L, Strunski V (2008) Cartilage tympanoplasty: postoperative functional results. Eur Arch Otorhinolaryngol 265:1195–1198
Dornhoffer J (2004) Cartilage tympanoplasty: indications, techniques and outcomes in a 1000 patient series. Laryngoscope 113:1844–1856
Kerr AG, Byrene JE, Sayth GD (1973) Cartilage homografts in the middle ear: a long term histologic study. J Laryngol Otol 87:1193–1199
Author information
Authors and Affiliations
Contributions
VKK: Concept, Design, Definition of intellectual content, Literature search, Data acquisition, Manuscript preparation, Guarantor. SPSY: Definition of intellectual content, Data analysis, Manuscript editing, Manuscript review. MV: Manuscript preparation, Literature search, Data acquisition. BS: Manuscript preparation, Literature search, Data acquisition. AG: Manuscript preparation, Literature search, Data acquisition.
Corresponding author
Ethics declarations
Conflict of interest
The authors declare that they have no conflict of interest.
Ethical Statement
Informed consent was taken at the time of surgery. This surgery is routinely done worldwide including our institute, so no ethical aspect is involved in this study.
Rights and permissions
About this article
Cite this article
Kalra, V.K., Yadav, S.P.S., Verma, M. et al. Treatment of Tympanic Membrane Retraction Pockets by Excision and Cartilage Tympanoplasty: A Prospective Study. Indian J Otolaryngol Head Neck Surg 70, 392–394 (2018). https://doi.org/10.1007/s12070-018-1388-2
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12070-018-1388-2