Clin Exp Otorhinolaryngol.  2011 Mar;4(1):24-26.

Shall We Resect the Tip of Manubrium Mallei in Tympanoplasty?

• Kutluhan A
• Yalciner G
• Guler G
• Kosemehmetoglu K
• Bozdemir K
• Bilgen AS

Abstract

OBJECTIVES
In tympanoplasty operations if perforation is related with malleus handle, malleus handle is desepithelised. We planned this research to investigate whether the epithelial remnants remain as a result of this desepithelisation or not.
METHODS
The 35 patients who were performed tympanoplasty operation were divided into two groups. In the first group which included 13 patients the tip portion of manubrium mallei were cut off without desepithelisation. In the second group which included 22 patients the tip portions of manubrium mallei were cut off after the meticulous desepithelisation. The presence of squamous epithelium was examined histopathologically on the specimens.
RESULTS
Squamous epithelium was observed in 9 of the 13 non-desepithelised specimens and in 6 of 22 desepithelised specimens.
CONCLUSION
In tympanoplasty operations despite careful desepithelisation, squamous epithelial remnants may remain on the malleus handle. So the tip of manubrium mallei could be resected to prevent the future development of cholesteatoma.

Keyword

Malleus; Tympanic membrane perforation; Tympanoplasty; Desepithelisation

MeSH Terms

Cholesteatoma
Epithelium
Humans
Malleus
Manubrium
Tympanic Membrane Perforation
Tympanoplasty

Figure

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  Fig. 1 Classification of perforations (anterior, posterior, central, subtotal).

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  Fig. 2 Squamous epithelial remnant in a desepithelised group sample.

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