title: [Circumferential subannular grafting technique in tympanoplasty: preliminary results].
abstract: OBJECTIVE
  We evaluated the preliminary results of the circumferential subannular grafting technique, which has been proposed as a modification of the standard underlay method.
  
  
  METHODS
  Twenty patients (15 females, 5 males; mean age 32.4 years; range 13 to 65 years) with chronic otitis media were operated on with the use of the circumferential subannular grafting technique. The mean follow-up was 13.6 months (range 1 to 36).
  
  
  RESULTS
  No complications were encountered related to graft survival or the external ear canal. The mean air-bone gap was 25.2+/-8.6 dB preoperatively and 15.8+/-7.4 dB postoperatively, with a mean decrease of 10+/-7.9 dB.
  
  
  CONCLUSIONS
  Circumferential subannular grafting was found to be effective in restoring tympanic membrane perforations in all the quadrands. The main limitations of the technique are the need for surgical skills and the necessity of an intact or remnant manubrium mallei.
authors.affiliation: Department of Otolaryngology, Medicine Faculty of Dokuz Eylül University, Izmir, Turkey.
authors.forename: Ataman
authors.initials: A
authors.lastname: Güneri
authors.forename: Mustafa Cenk
authors.initials: MC
authors.lastname: Ecevit
authors.forename: Taner Kemal
authors.initials: TK
authors.lastname: Erdağ
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002908:Chronic Disease; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010033:Otitis Media / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome; D014432:Tympanic Membrane / Q000601:surgery*; D014433:Tympanoplasty / Q000379:methods