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Ten-year myringoplasty series: does the cause of perforation affect the success rate?

Published online by Cambridge University Press:  16 November 2010

J Westerberg ,
H Harder ,
B Magnuson ,
L Westerberg  and
D Hydén
J Westerberg*
Affiliation:
Department of Otorhinolaryngology, Vrinnevi Hospital, Norrköping, Sweden
H Harder
Affiliation:
Department of Otolaryngology, Linköping University Hospital, Sweden
B Magnuson
Affiliation:
Department of Otolaryngology, Linköping University Hospital, Sweden
L Westerberg
Affiliation:
Systems Biology Research Centre, School of Life Science, Skövde University, Sweden
D Hydén
Affiliation:
Department of Otolaryngology, Linköping University Hospital, Sweden
*
Address for correspondence: Dr Johanna Westerberg, Department of ENT, Vrinnevi Hospital, Gamla Övägen 25, 601 82 Norrköping, Sweden Fax: +46 11 223129 E-mail: [email protected]
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Abstract

Objective:

To present the results of primary myringoplasty procedures together with the perforation cause, perforation size and site, surgeon's experience, and surgical method, and to investigate how these factors relate to graft ‘take’ rates.

Study design:

Retrospective chart review of 243 consecutive patients undergoing primary myringoplasty with temporalis fascia underlay over a 10-year period from 1994 to 2004.

Results:

The overall graft take rate was 95 per cent. The retroauricular approach resulted in a 97 per cent graft take rate, whereas a significantly lower rate (77 per cent) was seen for surgery conducted via the endaural approach, or via an ear speculum. There was no relationship between other factors and tympanic membrane healing.

Conclusion:

No association was found between perforation cause and graft take rate. The underlay technique is safe and reliable, and the retroauricular approach is preferable as it enables good surgical access and has better results.

Keywords

Tympanic Membrane PerforationMyringoplastyOtologic Surgical ProceduresOutcomes Assessment
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 125 , Issue 2 , February 2011 , pp. 126 - 132
Copyright
Copyright © JLO (1984) Limited 2010

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