Myringoplasty using a subcutaneous soft tissue graft
Autor: | N. J. Roland, A. Karkanevatos, V. R. Srinivasan, T. H. J. Lesser, S. De |
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Rok vydání: | 2004 |
Předmět: |
Adult
medicine.medical_specialty Adolescent medicine.medical_treatment Perforation (oil well) Transplants Lower risk Myringoplasty Subcutaneous Tissue medicine Humans Child Aged Retrospective Studies medicine.diagnostic_test business.industry Retrospective cohort study Middle Aged Tympanoplasty Surgery Dissection Treatment Outcome medicine.anatomical_structure Otorhinolaryngology Child Preschool Pure tone audiometry business Subcutaneous tissue |
Zdroj: | Clinical Otolaryngology and Allied Sciences. 29:314-317 |
ISSN: | 1365-2273 0307-7772 |
DOI: | 10.1111/j.1365-2273.2004.00820.x |
Popis: | A retrospective study was performed on patients who underwent myringoplasty using an autologous subcutaneous soft tissue graft over a 5-year period. Details including age, site and size of perforation, grade of surgeon, surgical approach, postoperative dressings, overnight stay, complications and outcome were recorded and analysed. Fifty-two patients underwent myringoplasty using a subcutaneous soft tissue graft. Their ages ranged from 4 to 78 years (median = 36 years). The mean follow-up period was 19 months. Successful closure to give an intact tympanic membrane was obtained in 82.7% of patients. Thresholds improved on pure tone audiometry in 57.1% and deteriorated in only one patient. There was no case of dead ear as a result of surgery. Subcutaneous tissue graft has comparable outcomes with temporalis fascia graft with additional advantages of a smaller incision, minimum dissection and a lower risk of bleeding. |
Databáze: | OpenAIRE |
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