This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.
At the 1989 Triological Society meeting in San Francisco, Calif, Dr Warren Y. Adkins, Charleston, SC, presented his experience using composite autografts for tympanoplasty and reconstruction of canal wall defects. First, he reviewed his early experience with 40 cases that were presented in 1982; he added to these an additional 62 cases utilizing autograft cartilage to prevent retraction and recurrent cholesteatoma associated with posterior retractions (55 cases) and repeatedly failed tympanoplasty (18 cases).
Dr Adkins outlined the technique whereby a groove is created in the ear canal to lock the autograft into position. Perichondrium may help anchor the cartilage in place and, if necessary, acts as graft material should a tympanic membrane or attic defect be present. Only 2 of 62 cases failed, and no recurrent cholesteatoma or retraction pocket developed at the sites. Eustachian tube dysfunction remained a problem in this group, and six patients required intermittent intubation for
WAGUESPACK RW. Composite Autograft Cartilage Grafts for Tympanoplasty and Mastoid Surgery. Arch Otolaryngol Head Neck Surg. 1989;115(9):1028. doi:10.1001/archotol.1989.01860330018008
Monkeypox Resource Center
Customize your JAMA Network experience by selecting one or more topics from the list below.