Determining the Success Rate of a Modified Underlay Myringoplasty Technique
Abstract Background & aim: Chronic otitis media surgery is the most common procedure in the field of otology in developing countries. Subtotal and total tympanic membrane perforation with inadequate anterior remnant is associated with higher rate of graft failure. This study aimed to evaluate...
| Main Authors: | , , |
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| Format: | Article |
| Language: | fas |
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Yasuj University Of Medical Sciences
2012-12-01
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| Series: | Armaghane Danesh Bimonthly Journal |
| Subjects: | |
| Online Access: | http://armaghanj.yums.ac.ir/browse.php?a_code=A-10-1-291&slc_lang=en&sid=1 |
| _version_ | 1828167786105405440 |
|---|---|
| author | AH Faramarzi SB Hashemi AM Rajaee |
| author_facet | AH Faramarzi SB Hashemi AM Rajaee |
| author_sort | AH Faramarzi |
| collection | DOAJ |
| description | Abstract
Background & aim: Chronic otitis media surgery is the most common procedure in the field of otology in developing countries. Subtotal and total tympanic membrane perforation with inadequate anterior remnant is associated with higher rate of graft failure. This study aimed to evaluate the anatomical and functional outcomes of a modified underlay myringoplasty technique.
Methods: In the present prospective clinical study, 45 patients with subtotal or total tympanic membrane perforation and inadequate anterior remnant underwent tympanoplasty (+/- mastoidectomy). Anterior tip of the temporalis fascia was secured in a mucosal pocket on the lateral wall of Eustachian tube orifice. Data on graft take rate, preoperative and postoperative hearing status and intraoperative findings were analyzed. The anatomical and functional findings of this procedure were analyzed by paired t-test.
Results: A graft success rate of 91.1%, without lateralization, blunting, atelectasia or epithelial pearls was achieved in this study. About 24 % of patients had an air bone gap within 25db before intervention, which increased to 71% postoperatively.(P<0.001).
Conclusion: It seems that the current technique could be a convenient and suitable method for cases with subtotal or total tympanic membrane perforation and inadequate anterior remnant.
Key words: Tympanic membrane, Perforation, Tympanoplasty, Eustachian tube |
| first_indexed | 2024-04-12T02:23:04Z |
| format | Article |
| id | doaj.art-47c1d2b1a6e946949565cf1025134951 |
| institution | Directory Open Access Journal |
| issn | 1728-6506 1728-6514 |
| language | fas |
| last_indexed | 2024-04-12T02:23:04Z |
| publishDate | 2012-12-01 |
| publisher | Yasuj University Of Medical Sciences |
| record_format | Article |
| series | Armaghane Danesh Bimonthly Journal |
| spelling | doaj.art-47c1d2b1a6e946949565cf10251349512022-12-22T03:52:04ZfasYasuj University Of Medical SciencesArmaghane Danesh Bimonthly Journal1728-65061728-65142012-12-01175439448Determining the Success Rate of a Modified Underlay Myringoplasty TechniqueAH Faramarzi0SB Hashemi1AM Rajaee2 Abstract Background & aim: Chronic otitis media surgery is the most common procedure in the field of otology in developing countries. Subtotal and total tympanic membrane perforation with inadequate anterior remnant is associated with higher rate of graft failure. This study aimed to evaluate the anatomical and functional outcomes of a modified underlay myringoplasty technique. Methods: In the present prospective clinical study, 45 patients with subtotal or total tympanic membrane perforation and inadequate anterior remnant underwent tympanoplasty (+/- mastoidectomy). Anterior tip of the temporalis fascia was secured in a mucosal pocket on the lateral wall of Eustachian tube orifice. Data on graft take rate, preoperative and postoperative hearing status and intraoperative findings were analyzed. The anatomical and functional findings of this procedure were analyzed by paired t-test. Results: A graft success rate of 91.1%, without lateralization, blunting, atelectasia or epithelial pearls was achieved in this study. About 24 % of patients had an air bone gap within 25db before intervention, which increased to 71% postoperatively.(P<0.001). Conclusion: It seems that the current technique could be a convenient and suitable method for cases with subtotal or total tympanic membrane perforation and inadequate anterior remnant. Key words: Tympanic membrane, Perforation, Tympanoplasty, Eustachian tubehttp://armaghanj.yums.ac.ir/browse.php?a_code=A-10-1-291&slc_lang=en&sid=1Key words: Tympanic membrane Perforation Tympanoplasty Eustachian tube |
| spellingShingle | AH Faramarzi SB Hashemi AM Rajaee Determining the Success Rate of a Modified Underlay Myringoplasty Technique Armaghane Danesh Bimonthly Journal Key words: Tympanic membrane Perforation Tympanoplasty Eustachian tube |
| title | Determining the Success Rate of a Modified Underlay Myringoplasty Technique |
| title_full | Determining the Success Rate of a Modified Underlay Myringoplasty Technique |
| title_fullStr | Determining the Success Rate of a Modified Underlay Myringoplasty Technique |
| title_full_unstemmed | Determining the Success Rate of a Modified Underlay Myringoplasty Technique |
| title_short | Determining the Success Rate of a Modified Underlay Myringoplasty Technique |
| title_sort | determining the success rate of a modified underlay myringoplasty technique |
| topic | Key words: Tympanic membrane Perforation Tympanoplasty Eustachian tube |
| url | http://armaghanj.yums.ac.ir/browse.php?a_code=A-10-1-291&slc_lang=en&sid=1 |
| work_keys_str_mv | AT ahfaramarzi determiningthesuccessrateofamodifiedunderlaymyringoplastytechnique AT sbhashemi determiningthesuccessrateofamodifiedunderlaymyringoplastytechnique AT amrajaee determiningthesuccessrateofamodifiedunderlaymyringoplastytechnique |