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The fibrous annulus in myringoplasty

Published online by Cambridge University Press:  29 June 2007

Alaa El-Seifi*
Affiliation:
Consultant Otologist, the Military Medical Academy, Kobba, Consultant Otologist, El-Safa and El-Fayrouz Hospitals, Cairo.
Bassem Fouad
Affiliation:
Lecturer in Otology, Benha Faculty of Medicine, Benha.
*
Dr Alaa El-Seifi, 14 Alfi Street, Cairo, Egypt.

Abstract

Graft cholesteatoma is a serious complication of tympanic membrane grafting. It is due to burying keratinizing epithelium under the graft. Its occurrence in the anterior angle has been attributed to the presence of epithelial rests within the annulus in this area, and consequently is considered inevitable with overlay technique.

In the present study we propose that this complication is due to inadequate surgical technique rather than due to factors inherent in underlying pathology or in the technique itself.

Keywords

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1992

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References

Doyle, P. (1972) Tympanoplasty: should grafts be placed medial or lateral to the tympanic membrane. Laryngoscope, 82: 14251430.CrossRefGoogle ScholarPubMed
Grunberg, H. (1967) Zur Ursache des Rezidivcholesteatoms nach Tympanoplastik. Zeitschrift fur Laryngologie und Rhinologie, 3: 199204.Google Scholar
Hough, J. V. D. (1970) Tympanoplasty with interior facial graft technique and ossicular reconstruction. Laryngoscope, 80: 13851413.CrossRefGoogle Scholar
Plester, D., Pusalkar, A. (1981) The anterior tympanomeatal angle: the aetiology, surgery and avoidance of blunting and annular cholesteatoma. Clinical Otolaryngology, 6: 323328.CrossRefGoogle ScholarPubMed
Seifi, A. E. (1974) Myringoplasty: repair of total or subtotal drum perforations. Journal of Laryngology and Otology, 88: 731740.CrossRefGoogle ScholarPubMed
Sheehy, J. L., Glasscock, M. E. (1967) Tympanic membrane grafting with temporalis fascia. Archives of Otolaryngology, 86:381402.Google ScholarPubMed
Smyth, G. D. L. (1978) Fifteen years report on tympanoplasty. Part II. Journal of Laryngology and Otology, 85: 713740.Google Scholar