Lateral attic reconstruction technique: preventive surgery for epitympanic retraction pockets

Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology
Maurizio Barbara

Abstract

To provide an estimate of the reliability of a preventive surgical approach named lateral attic reconstruction (LAR) technique for the treatment of Type II epitympanic retraction pockets. From a cohort of 25 adult patients presenting with a Type II epitympanic retraction pocket, 2 groups were randomly formed: a first one, with 15 patients who underwent LAR technique, and a second one, in whom (10 patients) only observation was planned and was therefore used as control. University hospital as tertiary referral center. Selection criteria for composing the 2 groups of study were the presence of a Type II epitympanic retraction pocket and a normal audiogram. The surgical procedure (LAR) consisted of a retroauricular approach, removal of a small piece of tragal cartilage, cleansing of the epitympanic pocket until denudation of the ossicular components, and placement of the cartilage graft to reconstruct the lateral epitympanic wall. All the patients were controlled at different postoperative or postobservation times (1, 3, 6, and 12 mo) via otomicroscopic examination, pure-tone audiometry, and tympanometry. All operated patients showed a normal anatomic pattern starting from the first postoperative control (1 mo) with a normal or ne...Continue Reading

References

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Mar 7, 2003·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Vincent CouloignerT Van Den Abbeele
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Citations

Jul 31, 2013·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Musaed Alzahrani, Issam Saliba
Sep 24, 2015·Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India·Anand V KasbekarVenkat Srinivasan
Jul 9, 2010·The Cochrane Database of Systematic Reviews·Paul C Nankivell, David D Pothier
Feb 23, 2020·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Ming-Yee LinJia-Bin Liao
Jun 9, 2010·The Annals of Otology, Rhinology, and Laryngology·Luca Oscar Redaelli de ZinisMaria Grazia Barezzani
Mar 11, 2021·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Ahmed B BayoumyHans G X M Thomeer

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