Aural toilet by suctioning must be performed before instilling the drops into the external auditory canal, and must be followed by tragal
pressure to push the drops through the tympanostomy tubes into the middle ear.
Il reunit aujourd'hui trois SGP : Segro, qui englobe tout ce qui est production cerealiere (farine, levure, semoule, pate alimentaire-), Ecojub (conserve et jus) et Tragal
We conducted a cadaveric study to determine the size of cartilage grafts that can be taken from the tragus without distorting tragal
A platinectomy was performed via a transcanal approach, and the incus was removed, molded, and replaced between the malleus and the oval window, with interposition of a piece of tragal
Given our patients greater symptoms and worse hearing on the left, he was scheduled for a left-sided canal-wall-up mastoidectomy and posterior atticotomy with tragal
cartilage reconstruction of the posterior bony canal wall.
The patient underwent a left transcanal revision type III tympanoplasty with tragal
cartilage and TORP placement.
In addition to demographic data and the type of prosthesis, we compiled information on pre- and postoperative audiometric findings, the underlying diagnosis, the timing of surgery (primary, planned, or revision), the type of surgery (tympanoplasty alone, tympanoplasty with antrotomy, intact-canal-wall tympanomastoidectomy, or canal-wall-down tympanomastoidectomy), the extent of reconstruction (partial or total), the use of the malleus, the use of a tragal
cartilage graft, and evidence of extrusion.
For ossicular reconstruction, we used tragal
cartilage between the incus and the stapes in 1 patient; in the other 3 patients, glass ionomer bone cement was used (an interposition cartilage graft also was used in the patients who received the glass ionomer bone cement).
Because the defect in the inferior EAC was severe, we used several pieces of tragal
and conchal cartilage.
Because many erosions are related to an atrophic or retracted tympanic membrane, use tragal
cartilage, perichondrium, or vein to reinforce the posterosuperior quadrant of the tympanic membrane.
A small piece of tragal
cartilage and perichondrium was harvested through an incision on the medial aspect of the tragus.
Other techniques have been described, from the use of tragal
cartilage to composite allo-implants.