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Factors affecting myringoplasty success

Published online by Cambridge University Press:  06 February 2015

S D Carr ,
D R Strachan  and
C H Raine
S D Carr*
Affiliation:
Department of ENT and Head and Neck Surgery, Bradford Royal Infirmary, UK
D R Strachan
Affiliation:
Department of ENT and Head and Neck Surgery, Bradford Royal Infirmary, UK
C H Raine
Affiliation:
Department of ENT and Head and Neck Surgery, Bradford Royal Infirmary, UK
*
Address for correspondence: Mr S D Carr, Department of ENT and Head and Neck Surgery, Bradford Royal Infirmary, UK E-mail: [email protected]
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Abstract

Objective:

To identify factors that significantly influence myringoplasty success.

Methods:

A retrospective study was performed of all adults and children who underwent myringoplasty from January 2005 to January 2010 in a teaching hospital. Outcome measures were tympanic membrane perforation closure and air–bone gap closure to within 20 dB HL. The factors assessed were the surgeon grade, pre-operative condition of the ipsilateral and contralateral middle ears, perforation site, perforation size, graft material, and whether simultaneous cortical mastoidectomy was performed. Factors with statistically significant effects were determined by logistic regression analysis.

Results:

In the adult group, the perforation site significantly influenced tympanic membrane closure (p = 0.016): anterior (p = 0.008) and subtotal (p = 0.017) sites had the greatest influence. None of the factors proved to have a significant influence on tympanic membrane closure in the paediatric group.

Conclusion:

There was a significant association between perforation site and tympanic membrane perforation closure in adults. Anterior and subtotal perforations had a significantly reduced closure rate.

Keywords

MyringoplastyTympanic MembraneAdultChildHearing
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 129 , Issue 1 , January 2015 , pp. 23 - 26
Copyright
Copyright © JLO (1984) Limited 2015 

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Footnotes

Presented as a podium talk at the Otorhinolaryngological Research Society Spring Meeting, 18 March 2011, London, UK, and as a poster at the American Academy of Otolaryngology – Head and Neck Surgery Foundation Conference, 11–14 September 2011, San Francisco, California, USA

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