[Hammock myringoplasty (technique, results)].
Since 1985, we have been using the so-called "hammock" technique in myringoplasty through the retro-auricular approach, with a temporal fascia graft positioned under what is left of the tympanum. The main feature of this technique lies in the creation of a cephaled tympano-meatal flap by a partial disinsertion of 4 to 5 millimetres of the cephalad part of the Gerlach annular labrurm, taking care to leave 2 millimetres of the labrum attached above the junction of the ephalad wall and the lower wall of the external auditory canal (anterior lower anchoring point). At the end of the operation, the graft is fixed both to the cephalad and to the caudad wall of the bony-external auditory canal like a hammock. This technique makes it possible to verify systematically the tympanic opening of the Eustachian tube. The use of biological glue is desirable, but not essential. The graft is stable enough for the implantation of Politzer's manoeuvre as from the seventh day and for Valsalva's manoeuvre from then on. Out of 213 operation, including all kinds of pathologies, 98% of good results were obtained as from the end of the first month, and 94.6% after three months.
Sauvage
J P
JP
C.H.U. Dupuytren, Service O.R.L., Limoges, France.
Heurtebise
F
F
Puyraud
S
S
D002908:Chronic Disease; D006801:Humans; D009225:Myringoplasty / Q000379:methods*; D010033:Otitis Media / Q000601:surgery; D013524:Surgical Flaps
Myringoplastie en Hamac (technique, résultats).