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Myringoplasty for the anterior perforation: experience with the Kerr flap

Published online by Cambridge University Press:  29 June 2007

J. F. Sharp ,
T. F. Terzis  and
J. Robinson
J. F. Sharp
Affiliation:
Gloucester
T. F. Terzis
Affiliation:
Gloucester
J. Robinson*
Affiliation:
Gloucester
*
Mr J. Robinson, F.R.C.S., Gloucester Royal Hospital, Great Western Road, Gloucester
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Abstract

Surgical closure of the anteriorly located tympanic membrane perforation can present a problem. The lack of anterior support for the graft frequently leads to graft failure if an underlay method is used whereas anterior blunting is a complication of onlay techniques in this situation. The experience with the Kerr flap, an underlay graft fashioned to include a tab of fascia which is placed laterally under the annulus and the anterior meatal skin, is presented. This method gave a 97.5 per cent closure rate with no cases of anterior marginal blunting and a mean auditory threshold gain of 8.5 dB (95 per cent confidence limits 5 to 11.9 dB, P<O.O1) was achieved at the frequencies tested. The use of the Kerr flap is recommended when repairing the anteriorly placed tympanic membrane perforation

Keywords

Myringoplasty
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 106 , Issue 1 , January 1992 , pp. 14 - 16
Copyright
Copyright © JLO (1984) Limited 1992

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