Parab Sapna Ramkrishna, Khan Mubarak M
Department of Otorhinolaryngology, M.I.M.E.R. Medical College, Talegaon D, Pune, 410507 India.
Sushrut ENT Hospital and Dr. Khan's ENT Research Center, Talegaon Dabhade, Pune, India.
Indian J Otolaryngol Head Neck Surg. 2018 Dec;70(4):515-520. doi: 10.1007/s12070-018-1467-4. Epub 2018 Jul 31.
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 4.
软骨 - 软骨膜复合移植物用于中耳手术中的鼓膜、听骨链及软壁重建。软骨的厚度被认为会干扰声音传导。在我们的鼓膜重建耳科实践中，我们更倾向于使用切片软骨移植物以获得声学益处。有时在切片过程中，如果不用精密切片器械进行切片，软骨就会被浪费。我们设计并开发了一种多功能软骨切片器，用于精确减小软骨厚度。描述我们的软骨切片器的设计，并报告我们使用该软骨切片器的初步经验。描述性研究。已详细描述了使用我们新型软骨切片器进行切片的技术及其用法。2013年至2017年期间，共有来自鼓室成形术和乳突切除术的689块软骨用它进行了切片。我们的研究报告了鼓室成形术切取耳屏软骨的技术，突出了其优点以及所获得的软骨切片的精度。我们的软骨切片器是鼓室成形术中软骨切片的一个不错选择。
4级。
