New Cartilage Slicer for Slicing Techniques in Tympanoplasty: Design and Applications

Overview

Journal Indian J Otolaryngol Head Neck Surg

Publisher Springer

Date 2018 Nov 23

PMID 30464908

Citations 15

Authors

Sapna Ramkrishna Parab

Mubarak M Khan

Affiliations

Soon will be listed here.

Abstract

Abstract: Cartilage-perichondrium composite graft is used in middle ear surgery for tympanic membrane, ossicular and for soft wall reconstruction. The thickness of the cartilage is thought to interfere with the sound conduction. In our otology practice for tympanic membrane reconstruction, we prefer the sliced cartilage graft to achieve acoustic benefit. At times in the process of slicing, the cartilage gets wasted if not sliced with a precision slicing instrument. We have designed and developed a multi-purpose cartilage slicer for precise reduction of the thickness of the cartilage. To describe the design of our cartilage slicer and to report our preliminary experience with the cartilage slicer. Descriptive study. The technique of slicing with our new cartilage slicer and its usage has been described in detail. A total number of 689 cartilages in tympanoplasty and mastoidectomy have been sliced with it from 2013 to 2017. Our study reports the technique of slicing the tragal cartilage for tympanoplasty, highlighting its advantages and precision of the cartilages slices obtained. Our cartilage slicer is a good option for cartilage slicing in tympanoplasty.

Level Of Evidence: Level 4.

Citing Articles

Paediatric Cartilage Tympanoplasty: A Two Handed Technique with Our Endoscope Holder.

Khan M, Parab S Indian J Otolaryngol Head Neck Surg. 2023; 74(Suppl 3):3865-3871.

PMID: 36742868 PMC: 9895262. DOI: 10.1007/s12070-021-02678-7.

Feasibility of Sheep Auricular Cartilage as a Teaching Tool for Training in Slicing Techniques for Cartilage Tympanoplasty.

Khan M, Parab S Indian J Otolaryngol Head Neck Surg. 2023; 74(Suppl 3):4366-4371.

PMID: 36742864 PMC: 9895347. DOI: 10.1007/s12070-021-03017-6.

Comparative Evaluation of Hearing in Cartilage Umbrella, Boomerang and Torp in Chronic Otitis Media Cases with Absent Stapes Suprastructure: Our Experience.

Rana A, Kumar S, Kumar A, Khan M, Parab S, Upadhyay D Indian J Otolaryngol Head Neck Surg. 2023; 74(Suppl 3):4069-4076.

PMID: 36742804 PMC: 9895258. DOI: 10.1007/s12070-021-02819-y.

Endoscopic Cartilage Boomerang Ossiculoplasty- as Total Ossicular Replacement Using Endoscope Holder.

Khan M, Parab S Indian J Otolaryngol Head Neck Surg. 2023; 74(Suppl 3):4125-4130.

PMID: 36742661 PMC: 9895426. DOI: 10.1007/s12070-021-02854-9.

Novel Method of Cartilage Harvest in Otology with Micro Dermatome: A Descriptive Study.

Velusamy A, Anand A, Janarthanan S Indian J Otolaryngol Head Neck Surg. 2023; 74(Suppl 3):3982-3986.

PMID: 36742577 PMC: 9895563. DOI: 10.1007/s12070-021-02791-7.

References

Khan M, Parab S . Average thickness of tragal cartilage for slicing techniques in tympanoplasty. J Laryngol Otol. 2015; 129(5):435-9. DOI: 10.1017/S0022215115000055. View

Khan M, Parab S . Novel Concept of Attaching Endoscope Holder to Microscope for Two Handed Endoscopic Tympanoplasty. Indian J Otolaryngol Head Neck Surg. 2016; 68(2):230-40. PMC: 4899363. DOI: 10.1007/s12070-015-0916-6. View

Dornhoffer J . Cartilage tympanoplasty. Otolaryngol Clin North Am. 2006; 39(6):1161-76. DOI: 10.1016/j.otc.2006.08.006. View

Lee C, Chen J, Chou Y, Hsu L, Chen P, Liu T . Optimal graft thickness for different sizes of tympanic membrane perforation in cartilage myringoplasty: a finite element analysis. Laryngoscope. 2007; 117(4):725-30. DOI: 10.1097/mlg.0b013e318031f0e7. View

Yung M . Cartilage tympanoplasty: literature review. J Laryngol Otol. 2008; 122(7):663-72. DOI: 10.1017/S0022215108001813. View

Zahnert T, Huttenbrink K, Murbe D, Bornitz M . Experimental investigations of the use of cartilage in tympanic membrane reconstruction. Am J Otol. 2000; 21(3):322-8. DOI: 10.1016/s0196-0709(00)80039-3. View

Uslu C, Tek A, Tatlipinar A, Kilicarslan Y, Durmus R, Ayogredik E . Cartilage reinforcement tympanoplasty: otological and audiological results. Acta Otolaryngol. 2010; 130(3):375-83. DOI: 10.3109/00016480903145346. View

Loeb L . Autotransplantation and Homoiotransplantation of Cartilage in the Guinea-Pig. Am J Pathol. 2009; 2(2):111-22. PMC: 1931690. View

Khan M, Parab S . Endoscopic cartilage tympanoplasty: A two-handed technique using an endoscope holder. Laryngoscope. 2015; 126(8):1893-8. DOI: 10.1002/lary.25760. View

10.

Khan M, Parab S . Day care ear surgery: our experience of 4 years. Indian J Otolaryngol Head Neck Surg. 2013; 64(3):280-4. PMC: 3431527. DOI: 10.1007/s12070-011-0303-x. View

11.

Parab S, Khan M . Minimal Invasive Endoscopic Ear Surgery: A Two Handed Technique. Indian J Otolaryngol Head Neck Surg. 2019; 71(Suppl 2):1334-1342. PMC: 6841889. DOI: 10.1007/s12070-018-1411-7. View

12.

Bernal-Sprekelsen M, Romaguera Lliso M, Sanz Gonzalo J . Cartilage palisades in type III tympanoplasty: anatomic and functional long-term results. Otol Neurotol. 2003; 24(1):38-42. DOI: 10.1097/00129492-200301000-00009. View

13.

Khan M, Parab S . Comparative study of sliced tragal cartilage and temporalis fascia in type I tympanoplasty. J Laryngol Otol. 2015; 129(1):16-22. DOI: 10.1017/S0022215114003132. View

14.

Dornhoffer J . Hearing results with cartilage tympanoplasty. Laryngoscope. 1997; 107(8):1094-9. DOI: 10.1097/00005537-199708000-00016. View

15.

Ben Gamra O, Mbarek C, Khammassi K, Methlouthi N, Ouni H, Hariga I . Cartilage graft in type I tympanoplasty: audiological and otological outcome. Eur Arch Otorhinolaryngol. 2008; 265(7):739-42. DOI: 10.1007/s00405-008-0645-5. View

16.

Murbe D, Zahnert T, Bornitz M, Huttenbrink K . Acoustic properties of different cartilage reconstruction techniques of the tympanic membrane. Laryngoscope. 2002; 112(10):1769-76. DOI: 10.1097/00005537-200210000-00012. View

17.

Kerr A, BYRNE J, Smyth G . Cartilage homografts in the middle ear: a long-term histological study. J Laryngol Otol. 1973; 87(12):1193-9. DOI: 10.1017/s0022215100078166. View

18.

Khan M, Parab S . Primary cartilage tympanoplasty: our technique and results. Am J Otolaryngol. 2010; 32(5):381-7. DOI: 10.1016/j.amjoto.2010.07.010. View