[The cartilage graft in middle ear microsurgery. Indications, technique, results].

AIM: The use of cartilage in tympanoplasties in the shape of monolytic cartilage-perichondrium autografts or several particles as a cartilage-palisade.

MATERIALS AND

METHODS

The retrospective analysis concerned 216 clinical cases. The cartilage palisade technique was performed in 163 tympanoplasties. In 53 cases the tympanoplasty was carried out with the use of the monolytic cartilage-perichondrial composite graft: cartilage-island, cartilage-cork or cartilage-mat.

RESULTS

In the type I and II of tympanoplasty the air bone gap (ABG) <10dB showed 70% of patients operated with the use of monolytic cartilage-perichondrial composite autografts and 73% using the cartilage-palisade technique.

CONCLUSIONS

The usefulness of cartilage in tympanoplasties is much the same in cartilage-palisade technique as well as in monolytic, non-palisade technique.