İsa Kaya1, Fetih Furkan Şahin2, Hasan Tanrıverdi O1, Tayfun Kirazlı1. 1. Department of Otorhinolaryngology, Ege University School of Medicine, İzmir, Turkey. 2. Department of Otorhinolaryngology, Ege University School of Medicine, İzmir, Turkey. fetihfurkansahin@gmail.com.
Abstract
BACKGROUND: The slicing method that is used for thinning the cartilage graft may cause forming complications in tympanoplasty. Besides, double-layered grafting techniques may be required when graft medialization is observed. METHOD: This article presents a new and controlled graft cartilage thinning and the cubism graft-harvesting technique in tympanoplasty. CONCLUSION: Thanks to this new technique, over-curling and undesirable fractures of the cartilage island graft can be prevented and the obtained cartilaginous dust can be mixed with platelet-rich fibrin to form the cubism graft. This combined cartilage thinning and cubism graft technique provided 100% graft success and an average air-bone gap gain of 16.3 ± 2.9 dB (10.7-22.3 dB) in our series of 22 patients. In conclusion, 100% graft success, successful tympanic membrane re-epithelialization and significant auditory improvement can be achieved with this method.
BACKGROUND: The slicing method that is used for thinning the cartilage graft may cause forming complications in tympanoplasty. Besides, double-layered grafting techniques may be required when graft medialization is observed. METHOD: This article presents a new and controlled graft cartilage thinning and the cubism graft-harvesting technique in tympanoplasty. CONCLUSION: Thanks to this new technique, over-curling and undesirable fractures of the cartilage island graft can be prevented and the obtained cartilaginous dust can be mixed with platelet-rich fibrin to form the cubism graft. This combined cartilage thinning and cubism graft technique provided 100% graft success and an average air-bone gap gain of 16.3 ± 2.9 dB (10.7-22.3 dB) in our series of 22 patients. In conclusion, 100% graft success, successful tympanic membrane re-epithelialization and significant auditory improvement can be achieved with this method.