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Fat graft myringoplasty in children – a safe and successful day-stay procedure

Published online by Cambridge University Press:  29 June 2007

R. B. Mitchell ,
Kevin D. Pereira  and
Rande H. Lazar
R. B. Mitchell*
Affiliation:
Otolaryngology Consultants of Memphis, Le Bonheur Childrens Medical Center, 777 Washington Avenue, Memphis 38108, Tennessee, USA.
Kevin D. Pereira
Affiliation:
Otolaryngology Consultants of Memphis, Le Bonheur Childrens Medical Center, 777 Washington Avenue, Memphis 38108, Tennessee, USA.
Rande H. Lazar
Affiliation:
Otolaryngology Consultants of Memphis, Le Bonheur Childrens Medical Center, 777 Washington Avenue, Memphis 38108, Tennessee, USA.
*
Address for correspondence: R. B. Mitchell, 59A Balmoral Road, Westcliff on Sea, Essex SS0 7DN.
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Abstract

The surgical closure of dry tympanic membrane perforations in children remains a controversial issue due to conflicting opinions on the appropriate technique, graft material and success rate. We present a review of 342 children who underwent fat graft myringoplasty as a day-stay procedure over a six-year period. Successful closure of the tympanic membrane perforation was achieved in 92 per cent of ears. Subsequent recurrent otitis media with effusion required insertion of ventilation tubes in 12 per cent. No relationship was observed between the age of the child and a successful outcome. We conclude that day-stay fat graft myringoplasty is a safe and successful procedure which results in a dry and safe ear in the majority of children.

Keywords

MyringoplastyChildDay care
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 111 , Issue 2 , February 1997 , pp. 106 - 108
Copyright
Copyright © JLO (1984) Limited 1997

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References

Benson Mitchell, R., Gardiner, Q., Kenyon, G. S. (1996) Day stay myringoplasty. Journal of Laryngology and Otology 110: 421–424.CrossRefGoogle ScholarPubMed
Berger, G., Shapira, A., Marshak, G. (1983) Myringoplasty in children. Journal of Otolaryngology 12: 228–230.Google ScholarPubMed
Chandrasekhar, S. S., House, J. H., Devgan, U. (1995) Pediatric tympanoplasty. A ten-year experience. Archives of Otolaryngology, Head and Neck Surgery 121: 873–878.CrossRefGoogle Scholar
Deddens, A. E., Muntz, H. R., Lusk, R. P. (1993) Adipose myringoplasty in children. Laryngoscope 103: 216–219.CrossRefGoogle ScholarPubMed
Friedberg, J., Gillis, T. (1980) Tympanoplasty in childhood. Journal of Otolaryngology 9(2): 165–168.Google ScholarPubMed
Goodman, W. S. (1971) Tympanoplasty: Areolar tissue graft. Laryngoscope 81 (11): 1819–1825.CrossRefGoogle ScholarPubMed
Gross, C. W., Bassila, M., Lazar, R. H., Long, T. E., Stagner, S. (1989) Adipose plug myringoplasty: An alternative to formal myringoplasty techniques in children. Otolaryngology – Head and Neck Surgery 101: 617–620.CrossRefGoogle ScholarPubMed
Halik, J. J., Smyth, G. D. L. (1988) Long-term results of tympanic membrane repair. Otolaryngology – Head and Neck Surgery 98: 162–169.CrossRefGoogle ScholarPubMed
Hyden, D. (1994) Ear drum perforations in bhildren after ventilation tube treatment. International Journal of Pediatric Otorhinolaryngology 29: 93–100.CrossRefGoogle ScholarPubMed
Kaddour, H. S. (1992) Myringoplasty under local anaesthesia: day case surgery. Clinical Otolaryngology 17: 576–568.CrossRefGoogle ScholarPubMed
Kane, R. J., Moffat, D. A., O'Connor, A. F. F. (1980) Outpatient myringoplasty. Journal of Laryngology and Otology 94: 1387–1393.CrossRefGoogle ScholarPubMed
Ringenberg, J. C. (1962) Fat graft tymanoplasty. Laryngoscope 72: 188–192.CrossRefGoogle Scholar
Shih, L., Detar, T., Crabtree, J. A. (1991) Myringoplasty in children. Otolaryngology – Head and Neck Surgery 105: 74–77.CrossRefGoogle ScholarPubMed