Surgical management of retraction pockets of the pars tensa with cartilage and perichondrial grafts

  • Spielmann P
  • Mills R
  • 21


    Mendeley users who have this article in their library.
  • 12


    Citations of this article.


Stable, self-cleansing retraction pockets of the pars tensa are common incidental findings and require no treatment. In other cases, recurrent discharge occurs and there may also be associated conductive hearing loss. In a minority of cases, cholesteatoma may develop. This paper presents the results of surgery using a graft composed of cartilage and perichondrium for retraction pockets involving the posterior half of the tympanic membrane, as well as early results using a larger graft designed to manage retraction of the entire tympanic membrane. Data on 51 patients with posterior retraction pockets are presented. Forty-two (82 per cent) patients had no aural discharge one year following surgery and the tympanic membrane was not retracted in 43 (84 per cent). The larger 'Mercedes-Benz' graft was used in four patients and the results obtained suggested that it may prove a successful technique for extensive retraction pockets.

Author-supplied keywords

  • Atelectasis
  • Cholesteatoma
  • Otologic Surgical Procedures
  • Tympanic Membrane

Get free article suggestions today

Mendeley saves you time finding and organizing research

Sign up here
Already have an account ?Sign in

Find this document


  • P. Spielmann

  • R. Mills

Cite this document

Choose a citation style from the tabs below

Save time finding and organizing research with Mendeley

Sign up for free