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Vol. 53. Issue 8.
Pages 578-582 (October 2002)
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Vol. 53. Issue 8.
Pages 578-582 (October 2002)
Timpanoplastia con cartílago: 3 años de experiencia
Timpanoplasty using cartilage: 3 years of experience
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1849
L.I. Amorós Sebastiá
Corresponding author
luisigamoros@hotmail.com

Correspondencia: Servicio ORL. Hospital Universitario Doctor Peset. Avda. Gaspar Aguilar, 90. 46017 Valencia.
, V. Murcia Puchades, J. Dalmau Galofre, M. Carrasco Llatas, C. López Mollá, R. López Martínez
Hospital universitario doctor peset. Valencia
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Resumen

Presentamos nuestros resultados con la técnica de timpanoplastia con cartílago, en un estudio retrospectivo de 71 oídos intervenidos a lo largo de 3 años. Indicamos esta técnica en reintervenciones, grandes perforaciones, retracciones severas y membranas atróficas. En un 32% de los casos fue precisa la reconstrucción de cadena. Se logró un cierre completo del 86%, con un 14% de reperforaciones o defectos entre los fragmentos de cartílago. Estos resultados nos alientan a profundizar en el uso del cartílago en esta cirugía y la adquisición de más experiencia para valorar en su justa medida la eficacia de esta técnica.

Palabras clave:
Timpanoplastia
Injerto con cartílago
Miringoplastia en empalizada
Abstract

We present our results in a timpanoplasty technique using autologous cartilage, in a retrospective study of 71 cases within 3 years. We used this technique in revision surgery, large perforations, severe retractions, and atrophic membranes. 32% of cases needed ossicular chain reconstruction. A complete closing of the membrane was obtained in 86% of cases, while 14% remained re-perforated or discontinued between cartilage pieces. These results are comparable to other studies using cartilage graft with several techniques. These results encourage us to continue using this technique in order to acquire more experience and a better knownledge about the efficacy of this technique.

Key words:
Timpanoplasty
Cartilage graft
Palisade cartilage miringoplasty

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