Myringoplasty using a subcutaneous soft tissue graft.
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.
Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Aintree, Liverpool, UK. sude@doctors.org.uk
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S
De
A
A
Karkanevatos
V R
VR
Srinivasan
N J
NJ
Roland
T H J
TH
Lesser
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D006801:Humans; D008875:Middle Aged; D009225:Myringoplasty / Q000379:methods* / Q000592:standards; D012189:Retrospective Studies; D040521:Subcutaneous Tissue / Q000637:transplantation*; D019737:Transplants / Q000592:standards; D016896:Treatment Outcome