Atef, A., N. Talaat, A. Fathi, M. Mosleh, and S. Safwat, "Effect of the thickness of the cartilage disk on the hearing results after perichondrium/cartilage island flap tympanoplasty.", ORL; journal for oto-rhino-laryngology and its related specialties, vol. 69, issue 4, pp. 207-11, 2007. Abstract

OBJECTIVE/HYPOTHESIS: The aim of this study was to analyze the effect of the thickness of the cartilage disk on the hearing results after perichondrium/cartilage island flap tympanoplasty. Our hypothesis was that thinning the rigid thick cartilage disk to half of its thickness could increase the compliance and give better acoustic gain and hearing results to patients with a reconstructed tympanic membrane.

STUDY DESIGN: A prospective before/after clinical trial was conducted between January 2003 and March 2004.

METHOD: Patients with chronic suppurative otitis media (mucosal type), central perforations and intact ossicular chain were randomly divided into 2 groups: the 1st group was treated with the perichondrium/cartilage island flap technique using the full-thickness cartilage disk, while the 2nd group was treated with the same technique but after bisecting the cartilage to half of its thickness. Hearing was evaluated using a 4-frequency (500, 1,000, 2,000, 3,000 Hz) pure-tone average air-bone gap before and then 8-9 months after tympanoplasty, and the results were compared statistically.

Hesham, A., A. Fathi, M. Attia, S. Safwat, and A. Hesham, "Laser and topical mitomycin C for management of nasal synechia after FESS: a preliminary report.", European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, vol. 268, issue 9, pp. 1289-92, 2011 Sep. Abstract

The objective of the study is to assess the role of diode laser coupled with topical mitomycin C (MMC) in the management of synechia after endoscopic sinus surgery. Twenty-five patients with recurrent sinusitis due to synechia between the middle turbinate and lateral nasal wall after endoscopic sinus surgery were included in this study. Diode laser was used to divide the synechia and MMC was applied topically in the area of the middle meatus for 5 min. Patients were followed for 6 months to assess symptoms improvement, recurrence of synechia and CT scan changes. Most of our patients reported improvement of their symptoms, recurrent synechia occurred in 15% of the patients with significant improvement of the CT scan findings. In conclusion, the diode laser with topical MMC is an outpatient procedure which is simple, safe and effective in managing postoperative nasal synechia.

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