A novel myringoplasty technique: the placement of a complementary graft descending from the scutum to support an anterosuperior perforation

We describe a novel myringoplasty procedure. We placed a separated fascia graft descending from the scutum, combined with underlay myringoplasty, to support an anterosuperior perforation. We reviewed data from patients who underwent myringoplasty procedures to treat perforations extending into the anterosuperior quadrant of the pars tensa from October 2012 to June 2014. A total of 42 patients who were followed for a minimum of 1 year were enrolled. The same technique was used in all operations. The tympanomeatal flap was elevated from the neck of malleus up to the tip of the lateral process of malleus. The anterior mallear fold was incised to create an opening running from the neck of the malleus to the anterior tympanic spine. A separate temporal fascia graft (complementary graft) was next inserted through the opening and pushed down into the protympanum. The upper part of the fascia graft was placed over the superior bony wall of the canal. Underlay myringoplasty was then performed. The inferior part of the fascia graft was next spread out to cover the lateral surface of the underlying graft. We measured graft take rate and preoperative and postoperative hearing parameters. The graft success rate was 97.7 % (41/42 patients). The preoperative air-bone gap was 22.56 ± 18.12 dB, and the postoperative air-bone gap was 8.4 ± 10.05 dB. This difference was statistically significant (P < 0.001). We believe that this myringoplasty technique is a safe, suitable, and effective for cases with tympanic membrane perforations extending into the anterosuperior quadrant of the pars tensa. © 2016, Springer-Verlag Berlin Heidelberg.

Yazar Sakalli E.
Celikyurt C.
Biskin S.
Erdurak S.C.
Yayın Türü Article
Tek Biçim Adres https://hdl.handle.net/20.500.12628/4003
Tek Biçim Adres 10.1007/s00405-016-4254-4
Konu Başlıkları Anterior perforation
Myringoplasty
Tympanic membrane
Underlay
Koleksiyonlar Araştırma Çıktıları | WoS | Scopus | TR-Dizin | PubMed | SOBİAD
Scopus İndeksli Yayınlar Koleksiyonu
WoS İndeksli Yayınlar Koleksiyonu
Dergi Adı European Archives of Oto-Rhino-Laryngology
Dergi Cilt Bilgisi 274
Dergi Sayısı 1
Sayfalar 127 - 131
Yayın Yılı 2017
Eser Adı
[dc.title]
A novel myringoplasty technique: the placement of a complementary graft descending from the scutum to support an anterosuperior perforation
Yazar
[dc.contributor.author]
Sakalli E.
Yazar
[dc.contributor.author]
Celikyurt C.
Yazar
[dc.contributor.author]
Biskin S.
Yazar
[dc.contributor.author]
Erdurak S.C.
Yayın Yılı
[dc.date.issued]
2017
Yayıncı
[dc.publisher]
Springer Verlag
Yayın Türü
[dc.type]
article
Özet
[dc.description.abstract]
We describe a novel myringoplasty procedure. We placed a separated fascia graft descending from the scutum, combined with underlay myringoplasty, to support an anterosuperior perforation. We reviewed data from patients who underwent myringoplasty procedures to treat perforations extending into the anterosuperior quadrant of the pars tensa from October 2012 to June 2014. A total of 42 patients who were followed for a minimum of 1 year were enrolled. The same technique was used in all operations. The tympanomeatal flap was elevated from the neck of malleus up to the tip of the lateral process of malleus. The anterior mallear fold was incised to create an opening running from the neck of the malleus to the anterior tympanic spine. A separate temporal fascia graft (complementary graft) was next inserted through the opening and pushed down into the protympanum. The upper part of the fascia graft was placed over the superior bony wall of the canal. Underlay myringoplasty was then performed. The inferior part of the fascia graft was next spread out to cover the lateral surface of the underlying graft. We measured graft take rate and preoperative and postoperative hearing parameters. The graft success rate was 97.7 % (41/42 patients). The preoperative air-bone gap was 22.56 ± 18.12 dB, and the postoperative air-bone gap was 8.4 ± 10.05 dB. This difference was statistically significant (P < 0.001). We believe that this myringoplasty technique is a safe, suitable, and effective for cases with tympanic membrane perforations extending into the anterosuperior quadrant of the pars tensa. © 2016, Springer-Verlag Berlin Heidelberg.
Kayıt Giriş Tarihi
[dc.date.accessioned]
2019-12-23
Açık Erişim Tarihi
[dc.date.available]
2019-12-23
Yayın Dili
[dc.language.iso]
eng
Konu Başlıkları
[dc.subject]
Anterior perforation
Konu Başlıkları
[dc.subject]
Myringoplasty
Konu Başlıkları
[dc.subject]
Tympanic membrane
Konu Başlıkları
[dc.subject]
Underlay
Haklar
[dc.rights]
info:eu-repo/semantics/closedAccess
ISSN
[dc.identifier.issn]
0937-4477
İlk Sayfa Sayısı
[dc.identifier.startpage]
127
Son Sayfa Sayısı
[dc.identifier.endpage]
131
Dergi Adı
[dc.relation.journal]
European Archives of Oto-Rhino-Laryngology
Dergi Sayısı
[dc.identifier.issue]
1
Dergi Cilt Bilgisi
[dc.identifier.volume]
274
Tek Biçim Adres
[dc.identifier.uri]
https://dx.doi.org/10.1007/s00405-016-4254-4
Tek Biçim Adres
[dc.identifier.uri]
https://hdl.handle.net/20.500.12628/4003
Görüntülenme Sayısı ( Şehir )
Görüntülenme Sayısı ( Ülke )
Görüntülenme Sayısı ( Zaman Dağılımı )
Görüntülenme
17
09.12.2022 tarihinden bu yana
İndirme
1
09.12.2022 tarihinden bu yana
Son Erişim Tarihi
02 Mart 2024 00:03
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Tıklayınız
myringoplasty fascia malleus anterosuperior technique air-bone tympanic postoperative preoperative lateral anterior opening quadrant perforations extending placed patients procedure patients) (41/42 success parameters hearing separated descending measured underlying surface spread inferior performed 12 dB Heidelberg Berlin Springer-Verlag
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