Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

Type III—Polyethylene Columella Tympanoplasty: Long-Range Review of 28 Cases

Type III—Polyethylene Columella Tympanoplasty: Long-Range Review of 28 Cases Abstract THE PROBLEM of middle ear reconstruction in cases where malleus, incus, and the stapes superstructure have been destroyed by disease involves the primary difficulty that, if there is no structure between ear drum and footplate of the stapes, there may be up to 50 db hearing loss. Therefore, to restore hearing, the surgeon must introduce a prosthesis of some foreign material or reconstruct a columella from autonomous tissues. With a plastic or metal prosthesis there are many difficulties which follow this type of reconstruction. There may be extrusion of strut, which at times will be followed by suppuration. Additional hearing loss may also ensue. This hearing loss may be due either to simply the loss of the prosthesis, or scarring following extrusion. At times, scar tissue will form around a nonextruded strut and immobilize the footplate, thus resulting in hearing loss. The use of flared polyethylene strut from drum graft References 1. Wullstein, H.: Restoration of Middle Ear Function in Chronic Otitis Media , Ann Otol 65:1020, 1956. 2. Zoellner, F.: The Prognosis of the Operative Improvement of Hearing in Chronic Middle Ear Infections , Ann Otol 66:907, 1957. 3. Shea, J.J., Jr.: Fenestration of the Oval Window , Ann Otol 67:932, 1958. 4. House, H.P.: Polyethylene in Middle Ear Surgery , Arch Otolaryng 71:926, 1960.Crossref 5. Proctor, B.: Type IV Tympanoplasty , Arch Otolaryng 79:176 ( (Feb) ) 1964.Crossref 6. Harrison, W.H., et al: Prosthesis in the Middle Ear , Arch Otolaryng 69:661 ( (June) ) 1959.Crossref 7. Brockman, S.: Problems in Tympanoplasty , Laryngoscope 71:859 ( (July) ) 1961.Crossref 8. Booth, T.: Restoration of Hearing by Tympanoplasty , Laryngoscope 71:947 ( (Aug) ) 1961.Crossref 9. Hayden, G.D.: Results With the Polyethylene T-Strut in the Restoration of Hearing , Laryngoscope 71:504 ( (May) ) 1961.Crossref 10. Plester, D.: Problems in Tympanoplasty , J Laryng 75:879, 1961.Crossref 11. Austin, D.F.: Veingraft Tympanoplasty, Two Year Report , Trans Amer Acad Ophthal Otolaryng 67:[ill]98 ( (March) -April) 1963. 12. Sheehy, J.L.: Ossicular Problems in Tympanoplasty , Arch Otolaryng 81:115 ( (Feb) ) 1965.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology American Medical Association

Type III—Polyethylene Columella Tympanoplasty: Long-Range Review of 28 Cases

Loading next page...
 
/lp/american-medical-association/type-iii-polyethylene-columella-tympanoplasty-long-range-review-of-28-vdT4irtqQ5
Publisher
American Medical Association
Copyright
Copyright © 1966 American Medical Association. All Rights Reserved.
ISSN
0003-9977
DOI
10.1001/archotol.1966.00760020562012
Publisher site
See Article on Publisher Site

Abstract

Abstract THE PROBLEM of middle ear reconstruction in cases where malleus, incus, and the stapes superstructure have been destroyed by disease involves the primary difficulty that, if there is no structure between ear drum and footplate of the stapes, there may be up to 50 db hearing loss. Therefore, to restore hearing, the surgeon must introduce a prosthesis of some foreign material or reconstruct a columella from autonomous tissues. With a plastic or metal prosthesis there are many difficulties which follow this type of reconstruction. There may be extrusion of strut, which at times will be followed by suppuration. Additional hearing loss may also ensue. This hearing loss may be due either to simply the loss of the prosthesis, or scarring following extrusion. At times, scar tissue will form around a nonextruded strut and immobilize the footplate, thus resulting in hearing loss. The use of flared polyethylene strut from drum graft References 1. Wullstein, H.: Restoration of Middle Ear Function in Chronic Otitis Media , Ann Otol 65:1020, 1956. 2. Zoellner, F.: The Prognosis of the Operative Improvement of Hearing in Chronic Middle Ear Infections , Ann Otol 66:907, 1957. 3. Shea, J.J., Jr.: Fenestration of the Oval Window , Ann Otol 67:932, 1958. 4. House, H.P.: Polyethylene in Middle Ear Surgery , Arch Otolaryng 71:926, 1960.Crossref 5. Proctor, B.: Type IV Tympanoplasty , Arch Otolaryng 79:176 ( (Feb) ) 1964.Crossref 6. Harrison, W.H., et al: Prosthesis in the Middle Ear , Arch Otolaryng 69:661 ( (June) ) 1959.Crossref 7. Brockman, S.: Problems in Tympanoplasty , Laryngoscope 71:859 ( (July) ) 1961.Crossref 8. Booth, T.: Restoration of Hearing by Tympanoplasty , Laryngoscope 71:947 ( (Aug) ) 1961.Crossref 9. Hayden, G.D.: Results With the Polyethylene T-Strut in the Restoration of Hearing , Laryngoscope 71:504 ( (May) ) 1961.Crossref 10. Plester, D.: Problems in Tympanoplasty , J Laryng 75:879, 1961.Crossref 11. Austin, D.F.: Veingraft Tympanoplasty, Two Year Report , Trans Amer Acad Ophthal Otolaryng 67:[ill]98 ( (March) -April) 1963. 12. Sheehy, J.L.: Ossicular Problems in Tympanoplasty , Arch Otolaryng 81:115 ( (Feb) ) 1965.Crossref

Journal

Archives of OtolaryngologyAmerican Medical Association

Published: Jun 1, 1966

References