[Myringoplasties. A retrospective analysis of our surgical outcomes].

Autor:	Balaguer García R; Servicio de Otorrinolaringología, Hospital Universitario Dr. Peset, Valencia, España. balaguergarcia@gmail.com, Morales Suárez-Varela MM, Tamarit Conejeros JM, Agostini Porras G, Murcia Puchades V, Dalmau Galofre J
Jazyk:	Spanish; Castilian
Zdroj:	Acta otorrinolaringologica espanola [Acta Otorrinolaringol Esp] 2011 May-Jun; Vol. 62 (3), pp. 213-9. Date of Electronic Publication: 2011 Feb 10.
DOI:	10.1016/j.otorri.2010.12.005
Abstrakt:	Objective: The aim of this study was to present, myringoplasty case results in our department. Different factors were studied to confirm their prognostic value. Materials and Methods: A total of 126 myringoplasties from 2006 until 2010 were reviewed, collecting patient-related details, descriptions of the anatomical defect and the most interesting surgical aspects. Results: Subtotal perforations (35.7%) were the most frequently observed. In 89.7% of the operations, the transcanal approach was preferred. The medial technique (underlay) to the tympanic membrane was the most performed (97.6%). Cartilage was the principal graft used (82.5%). Complete closure of the perforation was obtained in 71.1% of the cases at 6 months follow-up. Recurrences of the perforations were of minimal size in 11.9% of the cases, partial in 11.1% and with a cartilage fragment gap in 4.8%. The mean time in which these defects were registered was 3.82 months. The mean post-operative auditory gain was 12.8 decibels at 6 months. Conclusions: Myringoplasty is an appropriate technique for restoring tympanic integrity and obtaining functional benefit. Dried middle ear mucosa and posterior perforations seem to be related with better functional results. (Copyright © 2010 Elsevier España, S.L. All rights reserved.)
Databáze:	MEDLINE
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