Skip to main content
Top
Published in: Indian Journal of Otolaryngology and Head & Neck Surgery 3/2018

01-09-2018 | Original Article

Treatment of Tympanic Membrane Retraction Pockets by Excision and Cartilage Tympanoplasty: A Prospective Study

Authors: Vijay Kumar Kalra, Samar Pal Singh Yadav, Manish Verma, Balwan Singh, Ashiya Goel

Published in: Indian Journal of Otolaryngology and Head & Neck Surgery | Issue 3/2018

Login to get access

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.
Literature
1.
go back to reference Wells MD, Michaels L (1983) Role of retraction pockets in cholesteatoma formation. Clin Otolaryngol 8:39–45CrossRefPubMed Wells MD, Michaels L (1983) Role of retraction pockets in cholesteatoma formation. Clin Otolaryngol 8:39–45CrossRefPubMed
2.
go back to reference Yoon TH, Chachern PA, Paparella MM, Aeppli AM (1990) Pathology and pathogenesis of tympanic membrane retraction. Am J Otolaryngol 11:10–17CrossRefPubMed Yoon TH, Chachern PA, Paparella MM, Aeppli AM (1990) Pathology and pathogenesis of tympanic membrane retraction. Am J Otolaryngol 11:10–17CrossRefPubMed
3.
go back to reference Palva T (1963) Surgical management of chronic suppurative otitis media. Acta Otolaryngol 118:70–74 Palva T (1963) Surgical management of chronic suppurative otitis media. Acta Otolaryngol 118:70–74
4.
go back to reference 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 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
5.
go back to reference Linde RE (1973) The cartilage perichondrium graft in the treatment of posterior tympanic membrane pockets. Laryngoscope 83:747–753CrossRefPubMed Linde RE (1973) The cartilage perichondrium graft in the treatment of posterior tympanic membrane pockets. Laryngoscope 83:747–753CrossRefPubMed
6.
go back to reference Glasscock ME 3rd, Jackson CG, Nissen AJ, Schwaber MK (1982) Postauricular undersurface tympanic membrane grafting: a follow-up report. Laryngoscope 92:718–727CrossRefPubMed Glasscock ME 3rd, Jackson CG, Nissen AJ, Schwaber MK (1982) Postauricular undersurface tympanic membrane grafting: a follow-up report. Laryngoscope 92:718–727CrossRefPubMed
7.
go back to reference Yung MW (1997) Retraction of the pars tensa—long term results of surgical treatment. Clin Otolaryngol 22:323–326CrossRefPubMed Yung MW (1997) Retraction of the pars tensa—long term results of surgical treatment. Clin Otolaryngol 22:323–326CrossRefPubMed
8.
go back to reference Ozebek C, Ciftci O, Ozdem C (2010) Long term anatomic and functional results of cartilage tympanoplasty in atelectatic ears. Eur Arch Otorhinolaryngol 267:507–543CrossRef Ozebek C, Ciftci O, Ozdem C (2010) Long term anatomic and functional results of cartilage tympanoplasty in atelectatic ears. Eur Arch Otorhinolaryngol 267:507–543CrossRef
9.
go back to reference Gerber MJ, Mason JC, Lampert PR (2000) Hearing results after primary cartilage tympanoplasty. Laryngoscope 110:1994–1999CrossRefPubMed Gerber MJ, Mason JC, Lampert PR (2000) Hearing results after primary cartilage tympanoplasty. Laryngoscope 110:1994–1999CrossRefPubMed
10.
go back to reference Page C, Charlet L, Strunski V (2008) Cartilage tympanoplasty: postoperative functional results. Eur Arch Otorhinolaryngol 265:1195–1198CrossRefPubMed Page C, Charlet L, Strunski V (2008) Cartilage tympanoplasty: postoperative functional results. Eur Arch Otorhinolaryngol 265:1195–1198CrossRefPubMed
11.
go back to reference Dornhoffer J (2004) Cartilage tympanoplasty: indications, techniques and outcomes in a 1000 patient series. Laryngoscope 113:1844–1856CrossRef Dornhoffer J (2004) Cartilage tympanoplasty: indications, techniques and outcomes in a 1000 patient series. Laryngoscope 113:1844–1856CrossRef
12.
go back to reference Kerr AG, Byrene JE, Sayth GD (1973) Cartilage homografts in the middle ear: a long term histologic study. J Laryngol Otol 87:1193–1199CrossRefPubMed Kerr AG, Byrene JE, Sayth GD (1973) Cartilage homografts in the middle ear: a long term histologic study. J Laryngol Otol 87:1193–1199CrossRefPubMed
Metadata
Title
Treatment of Tympanic Membrane Retraction Pockets by Excision and Cartilage Tympanoplasty: A Prospective Study
Authors
Vijay Kumar Kalra
Samar Pal Singh Yadav
Manish Verma
Balwan Singh
Ashiya Goel
Publication date
01-09-2018
Publisher
Springer India
Published in
Indian Journal of Otolaryngology and Head & Neck Surgery / Issue 3/2018
Print ISSN: 2231-3796
Electronic ISSN: 0973-7707
DOI
https://doi.org/10.1007/s12070-018-1388-2

Other articles of this Issue 3/2018

Indian Journal of Otolaryngology and Head & Neck Surgery 3/2018 Go to the issue