Revision myringoplasty with solvent-dehydrated human dura mater (Tutoplast)

Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
S YetişerB Satar

Abstract

Several grafting materials have been used in the reconstruction of the perforations of the tympanic membrane. The use of dehydrated dura homografts as a substitute for the tympanic membrane has not been fully documented. On the other hand, revision surgery is more critical in terms of patients' expectations. The aim of this study is to determine the tissue stiffness, the compliance, and the wound healing rate of dura homografts in revision surgery of perforations of the tympanic membrane. The charts of 45 patients who have received dura grafts because of re-perforation or failure of the myringoplasty have been reviewed retrospectively. The healing process of the myringoplasty, graft take rate, pure-tone hearing level, and tympanogram were reviewed. It has been concluded that dura homografts, which have excellent tissue-compatibility, stability, and an 86.7% graft success rate, are preferred in patients in whom their own temporalis fascia cannot be used because of previous operations. It has been demonstrated by tympanometric analysis that the compliance of the graft during various pressure applications is as good as the normal eardrum.

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Citations

May 29, 2007·Advances in Therapy·Fatih OktemTuncer Toprak
Apr 23, 2003·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Avishay GolzHenry Z Joachims
Oct 4, 2012·Tissue Engineering. Part B, Reviews·Bing Mei TehMarcus D Atlas
Jan 7, 2004·Plastic and Reconstructive Surgery·Reha YavuzerOsman Latifoğlu
Dec 18, 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·Clotilde de DorlodotJean-Marc Gérard
Nov 17, 2009·Expert Review of Medical Devices·Brett LevinMarcus David Atlas
Jul 24, 2004·Clinical Otolaryngology and Allied Sciences·S DeT H J Lesser
Dec 20, 2007·Oral and Maxillofacial Surgery Clinics of North America·Michael S Block
Jan 7, 2003·The Journal of the American Dental Association·Michael S BlockRobert Lytle
Aug 29, 2017·Ear, Nose, & Throat Journal·Mohammad Waheed El-AnwarYaser Ahmad Foad

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Methods Mentioned

BETA
heterograft
homograft
homografts

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