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Olujimi A Ajijola, David Hamon
No abstract text is available yet for this article.
June 2016: JACC. Clinical Electrophysiology
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)...
September 23, 2016: Otology & Neurotology
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
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.
August 30, 2016: British Journal of Oral & Maxillofacial Surgery
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...
August 5, 2016: American Journal of Otolaryngology
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...
2016: Head & Face Medicine
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...
May 11, 2016: Laryngoscope
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
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...
March 28, 2016: Brazilian Journal of Otorhinolaryngology
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
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
Se-Joon Oh, Il-Woo Lee, Eui-Kyung Goh, Soo-Keun Kong
Patulous eustachian tube (PET) can have a significant negative impact on a patient's quality of life. Several methods of surgical management can be an option to treat PET, and our objective is to evaluate the safety and efficacy of autologous cartilage injection in patients with PET. Thirty-three ears of twenty-five patients with chronic PET refractory to conservative treatment were enrolled to this study. Autologous tragal cartilage was harvested, and chopped into fine pieces to allow its injection using a 1 cc Bruening syringe...
March 2016: American Journal of Otolaryngology
Sanath Shetty, K Kamalakanth Shenoy, Justin Ninan, Pranay Mahaseth
AIMS: The aim was to evaluate if any correlation exists between variation in angulation of Po-Na-ANS angle and relative parallelism of the occlusal plane to the different tragal levels of the ear in dentulous subjects. METHODOLOGY: A total of 200 subjects were selected for the study. A custom made occlusal plane analyzer was used to determine the posterior point of the ala-tragal line. The lateral cephalogram was shot for each of the subjects. The points Porion, Nasion, and Anterior Nasal Spine were located and the angle formed between these points was measured...
April 2015: Journal of Indian Prosthodontic Society
Yongliang Shao, Yongqing Zhou, Xiaoming Li, Xuzhen Chen, Ling Wang, Chunmei Gao
OBJECTIVE: To investigate the reconstruction method of lateral attic wall with tragal cartilage and temporalis fascia graft. And analyze the postoperative result of its clinical application. METHOD: From Jan 2005 to Jul 2014, 45 patients whose middle ear disease were limited to attic received this surgery in our department. Among 31 cases of cholesteatoma otitis media and 14 cases of external auditory canal cholesteatoma were included. In order to expose the attic fully, we operated epitympanotomy through retroauricular incision and then removed the scutum and lateral attic bone wall...
November 2015: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
Gaoussou Touré, Evelyne Anzouan-Kacou
PURPOSE: In humans, the styloauricularis is a rare muscle extending from the tragal cartilage of the auricle to the styloid process. When it contracts, by bearing on the styloid process, it increases the cephalo-auricular angle. It can be a landmark for the facial nerve. We report a case with bilateral presence of the styloauricularis. METHODS: Bilateral presence of the styloauricularis was discovered during routine dissection of the head and neck. RESULTS: In the presented case, styloauricularis muscles arose from the cartilage of the external acoustic meatus on both sides of the head, crossing halfway along the facial nerve trunk and inserting the styloid process...
October 2016: Surgical and Radiologic Anatomy: SRA
Johannes Borgstein, Samir Achbab
Adherence of the tympanic membrane to the incus, with or without cholesteatoma, can be the cause of incus erosion even when there is (relatively) normal hearing before surgery. Tragal cartilage can be securely placed between the remaining incus and stapes after slight lateralisation of the malleus. Lateralisation of the malleus restores the normal anatomy by stretching the retracted tensor tympani muscle. Tragal cartilage is a good sound conductor in this construction with good results up to a median follow-up time of 16 months...
January 23, 2016: Clinical Otolaryngology
Henning Frenzel
There is a long history of rib cartilage use in reconstruction for microtia. This article aims to describe the modern techniques of autologous auricular reconstruction in detail, to elucidate the modifications for certain anatomical or disease-related conditions, and to contrast the different strategies used by other surgeons. The two mainstays of successful reconstruction with excellent results are the fabrication of the framework and soft tissue management. A three-dimensional framework mimics the curves, indentations, and peaks of a normal ear with maximal stability...
December 2015: Facial Plastic Surgery: FPS
M Gersdorff, G Heylen, D Franceschi, J-M Gerard
Anterior tympanic perforations are actually the most difficult to close and a number of different techniques exist. This article represents the author's surgical procedure for type I tympanoplasties (myringoplasties) for this kind of perforation using the tragal cartilage and the perichondrium after preparation (revival, cleaning) of the perforation edge with a laser. This technique does not use a skin incision of external auditory meatus, when this one is large.
2014: Revue de Laryngologie—Otologie—Rhinologie
Thomas Samdi Musa, Alfred Nicholas Bemu, Umar Sambo Grema, Abdullahi Musa Kirfi
INTRODUCTION: Otitis externa (OE) is an inflammation or infection of the external auditory canal (EAC), the auricle, or both this condition has been reported to be found in all age groups. The aims and objectives were, study/determine the prevalence of Otitis externa in the specialist otolaryngology clinic in National Ear Care Center Kaduna, study the pattern of presentation among patients with otitis externa in the specialist otolaryngology clinic in National Ear Care Center Kaduna, and evaluate the choice of drug treatment for otitis externa in the specialist otolaryngology clinic in National Ear Care Center Kaduna...
2015: Pan African Medical Journal
Prashant Tripathi, Rajendra Prasad Guragain, Chop Lal Bhusal, Sureshwar Lal Karna, Johannes Borgstein
BACKGROUND: In children, the success of myringoplastywith temporalis fascia is lower compared to adults and cartilage as an alternative graft material has shown higher success rate. OBJECTIVE: To compare results of myringoplasty using tragal cartilage palisades with the use of temporalis fascia in children with large tympanic membrane perforations. MATERIALS AND METHODS: This is a prospective and randomized study conducted in children of age 6-14 years with large tympanic membrane perforation of more than two quadrants...
September 2015: International Journal of Pediatric Otorhinolaryngology
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