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Ten-year myringoplasty series: does the cause of perforation affect the success rate?
Östergötlands Läns Landsting, Sinnescentrum, Department of ENT - Head and Neck Surgery VHN.
Linköping University, Department of Clinical and Experimental Medicine, Oto-Rhiono-Laryngology and Head & Neck Surgery. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Reconstruction Centre, Department of ENT - Head and Neck Surgery UHL.
Linköping University, Faculty of Health Sciences. Linköping University, Department of Clinical and Experimental Medicine, Oto-Rhiono-Laryngology and Head & Neck Surgery.
Skovde University.
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2011 (English)In: JOURNAL OF LARYNGOLOGY AND OTOLOGY, ISSN 0022-2151, Vol. 125, no 2, 126-132 p.Article in journal (Refereed) Published
Abstract [en]

Objective: To present the results of primary myringoplasty procedures together with the perforation cause, perforation size and site, surgeons 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.

Place, publisher, year, edition, pages
Cambridge University Press , 2011. Vol. 125, no 2, 126-132 p.
Keyword [en]
Tympanic Membrane Perforation, Myringoplasty, Otologic Surgical Procedures, Outcomes Assessment
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-67016DOI: 10.1017/S0022215110002069ISI: 000287656300004OAI: oai:DiVA.org:liu-67016DiVA: diva2:406227
Available from: 2011-03-25 Created: 2011-03-25 Last updated: 2012-03-23

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Harder, HenrikMagnuson, BengtHydén, Dag

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Department of ENT - Head and Neck Surgery VHNOto-Rhiono-Laryngology and Head & Neck SurgeryFaculty of Health SciencesDepartment of ENT - Head and Neck Surgery UHL
Medical and Health Sciences

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