A novel graft-harvesting technique in tympanoplasty: the cubism graft
Articles > Article · 2021
Authors: İsa KAYA, FETİH FURKAN ŞAHİN, Hasan TANRIVERDİ O, Tayfun KİRAZLI
EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY, Journal Indexed in SCI Expanded, International, 2021, vol 278, pp 1289-1292
DOI: 10.1007/s00405-021-06646-3
Summary
Background The slicing method that is used for thinning the cartilage graft may cause forming complications in tympanoplasty. Besides, double-layered grafting techniques may be required when graft medialization is observed. Method This article presents a new and controlled graft cartilage thinning and the cubism graft-harvesting technique in tympanoplasty. Conclusion Thanks to this new technique, over-curling and undesirable fractures of the cartilage island graft can be prevented and the obtained cartilaginous dust can be mixed with platelet-rich fibrin to form the cubism graft. This combined cartilage thinning and cubism graft technique provided 100% graft success and an average air-bone gap gain of 16.3 +/- 2.9 dB (10.7-22.3 dB) in our series of 22 patients. In conclusion, 100% graft success, successful tympanic membrane re-epithelialization and significant auditory improvement can be achieved with this method.