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Review of endoscopic myringoplasty success: comparisons of intra-operative graft material and post-operative packing in terms of graft failure rate

Published online by Cambridge University Press:  02 February 2022

P M Puttasiddaiah Open the ORCID record for P M Puttasiddaiah [Opens in a new window] ,
S Morris ,
S Browning  and
A Sanu
P M Puttasiddaiah*
Affiliation:
Department of Otolaryngology, Morriston Hospital, Swansea, Wales, UK
S Morris
Affiliation:
Department of Otolaryngology, Morriston Hospital, Swansea, Wales, UK
S Browning
Affiliation:
Department of Otolaryngology, Morriston Hospital, Swansea, Wales, UK
A Sanu
Affiliation:
Department of Otolaryngology, Morriston Hospital, Swansea, Wales, UK
*
Author for correspondence: Mr Paramesh Mankunda Puttasiddaiah, Department of Otolaryngology, Morriston Hospital, Swansea SA6 6NL, Wales, UK E-mail: [email protected]
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Abstract

Background

Myringoplasty success rate is estimated to be between 60 and 90 per cent. Factors predicting success include the choice of graft and use of auditory canal packing. This study aimed to determine the intra-operative factors associated with endoscopic myringoplasty success.

Methods

A retrospective review of all endoscopic myringoplasty cases between January 2017 and January 2020 was undertaken. Data were collected on: patient demographics, tympanic membrane perforation size, intra-operative details, audiology and post-operative outcomes.

Results

There was no significant difference in graft success rates between cases using bismuth iodoform paraffin paste and Spongostan packing (86.7 per cent vs 84.9 per cent, respectively). Conchal cartilage graft had a higher success rate (100.0 per cent) compared with Biodesign grafting biomaterial (66.7 per cent), but was not superior to tragal cartilage (84.6 per cent) or temporalis fat or fascia (80.0 per cent).

Conclusion

Spongostan packing is equivalent to bismuth iodoform paraffin paste in terms of endoscopic myringoplasty success rate. Although conchal cartilage graft had higher success rates, it was not statistically significantly different from tragal cartilage.

Keywords

MyringoplastyBismuth Iodoform ParaffinOtolaryngologyAudiology
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 136 , Issue 10 , October 2022 , pp. 994 - 997
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Mr P M Puttasiddaiah takes responsibility for the integrity of the content of the paper

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