[Tympanic membrane perforation and tympanoplasty].
OBJECTIVE
To report anatomic and physiologic characteristics of the tympanic membrane, to discuss the etiology and pathogenesis of tympanic perforation, and to discuss its management.


METHODS
After a review of the literature, different surgical techniques and the postoperative results were evaluated.


RESULTS
The rate of tympanic membrane closure is greater than 90% for the majority of authors. Age, mucosa inflammation, pathological contralateral ear (perforation, otitis media, cholesteatoma), and surgical experience influence this result.


CONCLUSIONS
Even if surgical results are good, abstention must always be proposed and all complications must be explained.


CONCLUSIONS
Palisade cartilage tympanoplasty is an effective technique for both tympanic membrane closures.
Tringali
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S
Service d'oto-neurochirurgie, hospices civils de Lyon, centre hospitalier Lyon Sud, 69495 Pierre-Bénite cedex, France. stephane.tringali@chu-lyon.fr
Dubreuil
C
C
Bordure
P
P
D006801:Humans; D009225:Myringoplasty / Q000009:adverse effects; D014432:Tympanic Membrane / Q000033:anatomy & histology / Q000502:physiology / Q000637:transplantation*; D018058:Tympanic Membrane Perforation / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D014433:Tympanoplasty