Need For Clinical Research in Cartilage Tympanoplasty

Objectives: 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 andash;(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 tympanoplastyandash; 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. Turkish Baslik: Kikirdak Timpanoplastide Klinik Arastirma Ihtiyaci Anahtar Kelimeler: Biyomedikal calisma; kartilaj; timpanoplasti/yontem Amac: Bu yazinin amaci kikirdak timpanoplasti konusunda klinik arastirmalari tesvik etmek ve gereksinim duyulan olasi arastirma alanlarina isaret etmektir. Ayrica, her bir metot icin klinik arastirma acisindan cesitli arastirma projeleri onerilecektir. Bu amacla, palizad, cubuk ve dilimlerinin kullanildigi kikirdak timpanoplasti teknikleri konusunda yayinlanmis hemen hemen tum calismalarin metot ve sonuclari analiz edildi. Tasari: Net olarak tanimlanmis 23 kikirdak timpanoplasti metodu alti grupta siniflandirilmistir. Bu gruplar icinde, kikirdak palizad, cubuk ve dilimlerinin kullanildigi alti farkli metottan olusan en eski gruptaki klinik arastirmalar anlatilacak ve analiz edilecektir. Hastalar ve Yontemler: Kikirdagin kullanildigi alti timpanoplasti metodu andash;(i) Heermanna#39;in underlay palizad metodu, (ii) on-lay palizad metodu, (iii) genis palizad metodu, (iv) underlay cubuk metodu, (v) on-lay cubuk metodu, (vi) Dornhoffera#39;in mozaik kikirdak timpanoplastisiandash; kisaca tanimlandi ve sekillerle anlatildi. Alti metodun her birinin yayinlanmis butun cerrahi, anatomik ve fonksiyonel sonuclari anlatildi ve analiz edildi. Bulgular: Palizad, cubuk ve dilimlerinin kullanildigi kikirdak timpanoplasti konusundaki klinik calismalar cok azdir. Anatomik sonuclar iyidir ve kikirdak timpanoplasti sonrasi cok az bir tekrar ameliyat gereksinimi olmustur. Sonuc: Kikirdak timpanoplasti konusunda yeni klinik calismalar baslatilmalidir ve burada onerilen bazi karsilastirma metotlari kullanilabilir.