Need for clinical research in cartilage tympanoplasty

Bu yazının amacı kıkırdak timpanoplasti konusunda klinik araştırmaları teşvik etmek ve gereksinim duyulan olas araştırma alanlarına işaret etmektir. Ayrı ca, her bir metot için klinik araştırma açısından çeşitli araştırma projeleri önerilecektir. Bu amaçla, palizad, çubuk ve dilimlerinin kullanıldığı kıkırdak timpanoplasti teknikleri konusunda yay›nlanm›fl hemen hemen tüm çalışmaların metot ve sonuçları analiz edildi. Tasarı: Net olarak tanımlanmış 23 kıkırdak timpanoplasti metodu altı grupta sınıflandırılmıştır. Bu gruplar içinde, kıkırdak palizad, çubuk ve dilimlerinin kullanıldığı altı farklı metottan oluşan en eski gruptaki klinik araştırmalar anlatılacak ve analiz edilecektir. Hastalar ve Yöntemler: Kıkırdağın kullanıldığı altı timpanoplasti metodu (i) Heermann’ın underlay palizad metodu, (ii) on-lay palizad metodu, (iii) genifl palizad metodu, (iv) underlay çubuk metodu, (v) on-lay çubuk metodu, (vi) Dornhoffer’ın mozaik kı kırdak timpanoplastisi– kısaca tanımlandı ve şekillerle anlatıldı. Altı metodun her birinin yayınlanmış bütün cerrahi, anatomik ve fonksiyonel sonuçları anlatıldı ve analiz edildi. Bulgular: Palizad, çubuk ve dilimlerinin kullanıldığı kıkırdak timpanoplasti konusundaki klinik çalışmalar çok azdır. Anatomik sonuçlar iyidir ve kıkırdak timpanoplasti sonrası çok az bir tekrar ameliyat gereksinimi olmuştur. Sonuç: Kıkırdak timpanoplasti konusunda yeni klinik çalışmalar başlatılmalıdır ve burada önerilen bazı karşılaştırma metotları kullanılabilir.

Anahtar Kelimeler:

Biyomedikal araştırma, Otolojik cerrahi prosedürler, Timpanoplasti, Kıkırdak

Kıkırdak timpanoplastide klinik araştırma ihtiyacı

The goal of this paper is to stimulate the clinical research in cartilage tympanoplasty, and to point out the possibility and need of clinical research. Furthermore, several research projects of clinical research will be elaborated for each method. For this aim, methods and the results of almost all published studies on cartilage tympanoplasty techniques with palisades, stripes and slices were analyzed. Design: Out of the 23 well-defined cartilage tympanoplasty methods, classified in six groups, the clinical research in the oldest group, consisting of six different methods with palisades, stripes and slices, will be described and analyzed. Patients and Methods: The six tympanoplasty methods with cartilage –(i) the underlay palisade method of Heermann, (ii) the on-lay palisade method, (iii) the method of broad palisades, (iv) the method of underlay stripes, (v) the method of on-lay stripes, (vi) the Dornhoffer mosaic cartilage tympanoplasty– are briefly described and illustrated. All published anatomical and functional results of surgery, achieved with each of the six methods, are described and analyzed. Results: The clinical research on cartilage tympanoplasty with palisades, stripes and slices have been very scanty. The anatomical results are good and there have been few re-operations after cartilage tympanoplasty. Conclusion: New clinical studies on cartilage tympanoplasty should be started and some of the proposed methods of comparison can be used.

Keywords:

Biomedical Research, Otologic Surgical Procedures, Tympanoplasty, Cartilage,

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