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https://www.readbyqxmd.com/read/28615814/an-anatomical-study-for-localisation-of-zygomatic-branch-of-facial-nerve-and-masseteric-nerve-an-aid-to-nerve-coaptation-for-facial-reanimation-surgery-a-cadaver-based-study-in-eastern-india
#1
Ratnadeep Poddar, Alipta Bhattacharya, Iman Sinha, Asis Kumar Ghosal
CONTEXT: In cases of chronic facial palsy, where direct neurotisation is possible, ipsilateral masseteric nerve is a very suitable motor donor. We have tried to specifically locate the masseteric nerve for this purpose. AIMS: Describing an approach of localisation and exposure of both the zygomatic branch of Facial nerve and the nerve to masseter, with respect to a soft tissue reference point over face. SETTINGS AND DESIGN: Observational cross sectional study, conducted on 12 fresh cadavers...
January 2017: Indian Journal of Plastic Surgery: Official Publication of the Association of Plastic Surgeons of India
https://www.readbyqxmd.com/read/28585463/endoscopic-lateral-cartilage-graft-tympanoplasty
#2
Cameron C Wick, Demetri Arnaoutakis, Vivian F Kaul, Brandon Isaacson
Objective To describe a novel technique for lateral graft tympanoplasty. Study Design Case series with chart review. Setting Tertiary care university hospital. Subjects and Methods Pediatric and adult patients with tympanic membrane perforations deemed unfavorable for a medial graft technique due to the perforation characteristics or myringitis. Results Between 2014 and 2016, 34 ears from 31 patients underwent a transcanal endoscopic lateral cartilage graft tympanoplasty. The mean age was 24.4 years (range, 6-71 years), and 22 patients (65%) were younger than 18 years...
May 1, 2017: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/28346290/endoscopic-ear-surgery-for-external-auditory-canal-cholesteatoma
#3
Jörg Dähn, Lukas Anschuetz, Masaya Konishi, Mark Sayles, Marco Caversaccio, Patrick Dubach
BACKGROUND: Treatment of external auditory canal cholesteatoma (EACC) has been a question of debate. To our knowledge and according to a systematic review of endoscopic ear surgery (EES) in 2015, this study describes for the first time the technique and outcome by solely transcanal EES for EACC. STUDY METHOD: Retrospective case series, level of evidence IV. METHODS: Between October 2014 and December 2016, nine patients with unilateral EACC have been treated by EES...
June 2017: Otology & Neurotology
https://www.readbyqxmd.com/read/28345510/a-cephalometric-study-to-establish-the-relationship-of-the-occlusal-plane-to-the-three-different-ala-tragal-lines-and-the-frankfort-horizontal-plane-in-different-head-forms
#4
S Subhas, P L Rupesh, R Devann, D R V Kumar, A Paliwal, P Solanki
BACKGROUND: The aim of the study is to compare the relationship of the occlusal plane to 3 different ala-tragal lines, namely the superior, middle and inferior lines, in individuals having different head forms and its relation to the Frankfort horizontal plane. METHODOLOGY: A total of 75 lateral cephalometric radiographs of subjects with natural dentition, having full complement of teeth, between the age group of 18-25 were screened and selected. Lateral cephalogram were made for each subjects in an open mouth position...
March 18, 2017: Journal of Stomatology, Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28304079/endoscope-or-microscope-guided-pediatric-tympanoplasty-comparison-of-grafting-technique-and-outcome
#5
Adrian L James
OBJECTIVES/HYPOTHESIS: To review experience from the introduction of totally endoscopic ear surgery (TEES) to a pediatric tympanoplasty practice to identify factors influencing technique selection and successful outcome. STUDY DESIGN: Prospective cohort study. METHODS: Analysis of prospectively acquired data from a consecutive series of 295 surgeries for tympanic membrane perforation over a 12-year period. Success of perforation closure was compared between microscope and TEES grafting techniques...
March 17, 2017: Laryngoscope
https://www.readbyqxmd.com/read/28094473/transmeatal-tympanoplasty-of-subtotal-and-anterior-perforations-a-single-institution-experience-including-94-patients
#6
LETTER
E A J de Savornin Lohman, J Borgstein
No abstract text is available yet for this article.
August 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28056529/anterior-tragal-crease-is-associated-with-atherosclerosis
#7
Pawinee Rerknimitr, Korbkarn Pongpairoj, Chanat Kumtornrat, Ratchathorn Panchaprateep, Cameron P Hurst, Aurauma Chutinet, Pravit Asawanonda, Nijasri C Suwanwela
The utility of the ear crease sign, anterior tragal crease (ATC), as a marker of atherosclerosis is yet to be established. The intima-media thickness of the common carotid artery (IMT-CCA) has been used as a noninvasive surrogate marker for atherosclerosis. History of traditional risk factors for atherosclerosis was obtained from 147 volunteers; ear examination was also performed and venous blood was drawn for laboratory analysis. The volunteers then underwent an ultrasonography measurement of the IMT-CCA. In univariate analysis, presence of ATC, age, underlying hypertension, diabetes mellitus, ischemic heart disease, cerebrovascular disease, cigarette smoking, low-density lipoprotein, and high-sensitivity C-reactive protein were significantly associated with the IMT-CCA...
January 1, 2017: Angiology
https://www.readbyqxmd.com/read/27999999/cartilage-island-on-stapes-autologous-porp-in-the-hypoventilated-middle-ear
#8
Jeanette Hess-Erga, Bart Lambertus Henricus Jozef Engelen, Flemming Slinning Vassbotn
The most common technique in sound restoration of the middle ear is prosthetic surgery. Hypoventilation of the middle ear may cause adhesive otitis or atelectasis resulting in a higher risk of prosthetic extrusion rate and recurrence of the underlying cholesteatoma. We report long-term results using an island of tragal cartilage as an autologous PORP in selected patients with poor middle ear ventilation. Retrospective chart reviews were performed for procedures involving 52 patients between year 2000 and 2009...
April 2017: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/27810842/pediatric-type-1-cartilage-tympanoplasty-comparison-between-graft-success-rates-and-hearing-results-in-adults
#9
Gültekin Övet, Necat Alataş, Mehmet Şentürk, Fatih Güzelkara
OBJECTIVE: It is an ongoing debate whether tympanoplasty should be performed in the pediatric age group. The purpose of this study was to analyze and compare the anatomical and functional outcomes of type I cartilage tympanoplasty in children and adults. MATERIALS AND METHODS: The file records of patients who underwent type 1 cartilage tympanoplasty were retrospectively reviewed. In total, 133 patients who underwent type 1 tympanoplasty for chronic otitis media were included...
December 2016: Journal of International Advanced Otology
https://www.readbyqxmd.com/read/27725967/non-invasive-neuromodulation-via-tragal-stimulation-time-to-lend-an-ear
#10
Olujimi A Ajijola, David Hamon
No abstract text is available yet for this article.
June 2016: JACC. Clinical Electrophysiology
https://www.readbyqxmd.com/read/27668792/minimally-invasive-surgery-for-the-treatment-of-hyperacusis
#11
Herbert Silverstein, Rosemary Ojo, Julie Daugherty, Ronen Nazarian, Jack Wazen
OBJECTIVE: To evaluate the efficacy of a minimally invasive surgical procedure in patients with severe hyperacusis. STUDY DESIGN: Prospective, longitudinal design. SETTING: Tertiary referral center. PATIENTS: Adult patients with history of severe hyperacusis. INTERVENTION: Using a transcanal approach, the round and oval window was reinforced with temporalis fascia or tragal perichondrium in six subjects (nine ears) and was subdivided into two groups (unilateral or bilateral reinforcement procedure)...
December 2016: Otology & Neurotology
https://www.readbyqxmd.com/read/27648655/useful-method-for-intraoperative-monitoring-of-facial-nerve-in-a-scarred-bed
#12
Bilge Kagan Aysal, Abdulkerim Yapici, Yalcin Bayram, Fatih Zor
Facial nerve is the main cranial nerve for the innervation of facial expression muscles. Main trunk of facial nerve passes approximately 1 to 2 cm deep to tragal pointer. In some patients, where a patient has multiple operations, fibrosis due to previous operations may change the natural anatomy and direction of the branches of facial nerve. A 22-year-old male patient had 2 operations for mandibular reconstruction after gunshot wound. During the second operation, there was a possible injury to the marginal mandibular nerve and a nerve stimulator was used intraoperatively to monitor the nerve at the tragal pointer because the excitability of the distal segments remains intact for 24 to 48 hours after nerve injuries...
October 2016: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/27591167/pedunculated-tragal-dermoid-cyst-misdiagnosed-as-an-accessory-tragus
#13
Se-Hyung Kim
I encountered an ovoid mass that blocked the opening of a patient's right ear, and initially thought that it was an accessory tragus. Unusually, the cyst had developed on the tragus of the ear and was pedunculated with a linear stalk from the tragal cartilage. To the best of my knowledge, this is the first report of a dermoid cyst that involved the tragal cartilage, and was completely excised.
February 2017: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/27567383/evaluation-of-the-anatomical-and-auditory-outcomes-of-minimally-invasive-cartilage-myringoplasty-our-technique-and-experience
#14
Eda Simsek, Ozalkan Ozkan, Cüneyt Kucur, Ayşe Carlıoglu
The purpose of this study was to assess closure rates in tympanic membrane perforations of various dimensions using the tragal cartilage-perichondrium composite graft and its effect on hearing values and also to present our own experiences. MATERIALS AND METHODS: Sixty-one patients presenting to our clinic in 2014-2015 and diagnosed with tympanic membrane perforation were included in the study. Otomicroscopic and otoendoscopic examinations were performed preoperatively and at the 12th month postoperatively...
November 2016: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/27485368/comparison-of-results-of-graft-uptake-using-tragal-cartilage-perichondrium-composite-graft-versus-temporalis-fascia-in-patients-undergoing-surgery-for-chronic-otitis-media-squamous-type
#15
COMPARATIVE STUDY
S Khalilullah, Shankar P Shah, D Yadav, R P Shrivastav, H Bhattarai
BACKGROUND: To assess, analyze and compare the results of graft uptake using Tragal Cartilage-Perichondrium Composite (TCPC) graft with Temporalis Fascia (TF) graft in patients who undergoing surgery for chronic otitis media - squamous type. METHODS: Patients aged 13 years and above with diagnosis of chronic otitis media - squamous type undergoing modified radical mastoidectomy, either primary or revision surgery with grafting of tympanic membrane (TM) and patients undergoing excision of postero-superior retraction pocket (PSRP) were included in this study...
August 2, 2016: Head & Face Medicine
https://www.readbyqxmd.com/read/27167089/tympanoplasty-in-adhesive-otitis-media-a-descriptive-study
#16
Aisha Larem, Hassan Haidar, Ali Alsaadi, Hassanin Abdulkarim, Maryam Abdulraheem, Sally Sheta, Shanmugam Ganesan, Amr Elhakeem, Abdulsalam Alqahtani
OBJECTIVES/HYPOTHESIS: There is no consensus among clinicians regarding the best treatment strategy for adhesive otitis media (AdOM). It is common practice to only intervene in the presence of recurrent infections or significant conductive hearing loss. In an attempt to provide evidence regarding the efficacy and safety of surgical intervention, we have analyzed the long-term outcome of tympanoplasty for AdOM . STUDY DESIGN: Prospective study. METHODS: From January 2013 to April 2014, 57 patients with AdOM (60 ears) who fit our criteria for tympanoplasty were recruited and underwent tympanoplasty using tragal cartilage combined with transtympanic ventilation tube and cortical mastoidectomy...
December 2016: Laryngoscope
https://www.readbyqxmd.com/read/27097140/autologous-costochondral-microtia-reconstruction
#17
REVIEW
Sapna A Patel, Amit D Bhrany, Craig S Murakami, Kathleen C Y Sie
Reconstruction with autologous costochondral cartilage is one of the mainstays of surgical management of congenital microtia. We review the literature, present our current technique for microtia reconstruction with autologous costochondral graft, and discuss the evolution of our technique over the past 20 years. We aim to minimize donor site morbidity and create the most durable and natural appearing ear possible using a stacked framework to augment the antihelical fold and antitragal-tragal complex. Assessment of outcomes is challenging due to the paucity of available objective measures with which to evaluate aesthetic outcomes...
April 2016: Facial Plastic Surgery: FPS
https://www.readbyqxmd.com/read/27068884/comparison-of-temporalis-fascia-muscle-and-full-thickness-cartilage-grafts-in-type-1-pediatric-tympanoplasties
#18
COMPARATIVE STUDY
Yakup Yegin, Mustafa Çelik, Arzu Karaman Koç, Levent Küfeciler, Mustafa Suphi Elbistanlı, Fatma Tülin Kayhan
INTRODUCTION: Various graft materials have been used to close tympanic membrane perforations. In the literature, there are few studies in pediatric populations comparing different graft materials. To our knowledge, there is no reported study that measured the thickness of the tragal cartilage in pediatric tympanoplasties. The tragal cartilage is not of uniform thickness in every patient. OBJECTIVE: To compare anatomical and functional outcomes of temporalis fascia muscle and full-thickness tragal cartilage in type 1 pediatric tympanoplasties...
November 2016: Brazilian Journal of Otorhinolaryngology
https://www.readbyqxmd.com/read/27066406/comparison-of-partial-thickness-and-full-thickness-tragal-cartilage-graft-during-modified-cartilage-shield-tympanoplasty-for-type-i-procedures
#19
Sohil Vadiya, Sushen Bhatt
To compare the results, in terms of graft uptake and hearing improvement, of modified cartilage shield technique of tympanoplasty using either partial thickness tragal cartilage or full thickness tragal cartilage for type I procedures. 35 patients were included in group A where a partial thickness tragal cartilage was used and 27 patients included in group B where a full thickness tragal cartilage was used for modified cartilage shield tympanoplasty. Audiometry done at 4 months after surgery and the results compared...
March 2016: Indian Journal of Otolaryngology and Head and Neck Surgery
https://www.readbyqxmd.com/read/26999836/-the-anatomic-study-of-tragal-cartilage-and-its-clinical-application-in-ear-surgery
#20
Yongliang Shao, Yongqing Zhou, Xiaoming Li, Yanqiao Wu, Xuzhen Chen, Chunmei Gao
OBJECTIVE: Dissecting adult cadaver's tragal cartilage and researching its clinical application in ear surgery. METHOD: Dissect the bilateral tragal cartilage of 22 adult cadavers immersed in formalin (both of male and female are 11). Measure and compute the average value of the length, width, thickness and area. Summarize autologous tragal cartilage's clinical application in ear surgery. RESULT: The statistic values of male tragal cartilage were: length (22...
October 2015: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
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