The modified asymmetric chondro-perichondrial island graft in type I tympanoplasty: A retrospective analysis of 784 patients

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dc.authorid0000-0001-7096-4858
dc.authorid0000-0002-5284-8842
dc.authorid0000-0002-6593-9452
dc.contributor.authorSahin, Fetih Furkan
dc.contributor.authorKaya, Isa
dc.contributor.authorCeylan, Hakan
dc.contributor.authorKirazli, Tayfun
dc.date.accessioned2025-02-20T12:13:26Z
dc.date.available2025-02-20T12:13:26Z
dc.date.issued2024
dc.departmentEge Üniversitesi, Tıp Fakültesi, Cerrahi Bilimler Bölümü, Kulak Burun Boğaz Hastalıkları Ana Bilim Dalı
dc.description.abstractObjective: This study aimed to assess the efficacy of a novel modified asymmetric chondro-perichondrial island graft in tympanoplasty. The design features a longer anterior segment compared to the posterior segment, addressing limitations of symmetrical grafts. We investigated the impact of this modified graft on hearing improvement and graft success rates in patients undergoing tympanoplasty surgery. Methods: This retrospective study evaluated 784 patients with chronic otitis media who underwent primary type I tympanoplasty with a modified asymmetric chondro-perichondrial island graft technique. Demographics and characteristics of all patients, preoperative location of the perforation, and Pure-Tone Audiometry (PTA) were assessed preoperatively, and graft success and postoperative hearing outcomes were evaluated at the 12-month follow-up. Results: This study evaluated the efficacy of a modified asymmetric chondro-perichondrial island graft in tympanoplasty. In 784 patients, the mean 12-month postoperative Air-Bone Gap (ABG) improvement was 17.3 dB with a 99% graft success rate. Preoperative ABG significantly improved from 24 dB to 6.6 dB postoperatively (p < 0.001). Perforation location did not affect ABG improvement (p = 0.193) but did influence graft success rate (p < 0.001). No sensorineural hearing loss, retraction pockets, or cholesteatoma were observed postoperatively. Conclusion: Tympanoplasty offers a well-established surgical approach for restoring hearing function and preventing recurrent otorrhea. The asymmetric cartilage-perichondrium island graft design has emerged as a promising technique to achieve optimal functional and anatomical outcomes in tympanoplasty. Level of evidence: Level 4.
dc.identifier.citationSahin, F. F., Kaya, I., Ceylan, H., & Kirazli, T. (2025). The modified asymmetric chondro-perichondrial island graft in type I tympanoplasty: A retrospective analysis of 784 patients. Brazilian Journal of Otorhinolaryngology, 91(2)
dc.identifier.doi10.1016/j.bjorl.2024.101540
dc.identifier.endpage6
dc.identifier.issn1808-8694
dc.identifier.issue2
dc.identifier.pmid39667243
dc.identifier.scopus2-s2.0-85211464396
dc.identifier.scopusqualityQ2
dc.identifier.startpage1
dc.identifier.urihttps://doi.org/10.1016/j.bjorl.2024.101540
dc.identifier.urihttps://hdl.handle.net/11454/116100
dc.identifier.volume91
dc.identifier.wosWOS:001386094400001
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorKaya, Isa
dc.institutionauthorCeylan, Hakan
dc.institutionauthorKirazli, Tayfun
dc.institutionauthorid0000-0001-7096-4858
dc.institutionauthorid0000-0002-5284-8842
dc.language.isoen
dc.publisherAssociação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial
dc.relation.ispartofBrazilian Journal of Otorhinolaryngology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectCartilage
dc.subjectChronic otitis media
dc.subjectTympanoplasty
dc.titleThe modified asymmetric chondro-perichondrial island graft in type I tympanoplasty: A retrospective analysis of 784 patients
dc.typeArticle

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