title: Simultaneous myringoplasty and septoplasty, and the use of nasal septal perichondrium.
abstract: To investigate the more ideal graft for optimal repair of tympanic membrane perforation, we examined the use of septal perichondrium in myringoplasty. Twenty-five patients with ages ranging between 18 and 54 were included in this study. All had a persistent, symptomatic tympanic membrane perforation, and nasal obstruction. All patients were scheduled for myringoplasty by a transmeatal approach in combination with septoplasty under general anaesthesia. Twenty-three patients had intact graft material and had more than 5 dB HL improvement in conductive hearing thresholds at least three frequencies in the follow up period. An overall success rate of 92 and 92% was recorded in terms of hearing improvement and perforation closure, respectively. Nasal septal perichondrium is easily accessible, cost-effective, time saving, sufficiently large, and patient friendly as a graft material in myringoplasty and has a good chance of postoperative survival.
authors.affiliation: Department of Otorhinolaryngology, Türkiye Private Hospital, Istanbul, Turkey.
authors.forename: Cevat
authors.initials: C
authors.lastname: Uçar
authors.forename: Mustafa
authors.initials: M
authors.lastname: Kazkayasi
mesh_terms: D000293:Adolescent; D000328:Adult; D001301:Audiometry, Pure-Tone; D001844:Bone Conduction / Q000502:physiology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009225:Myringoplasty / Q000379:methods*; D055171:Nasal Cartilages / Q000637:transplantation*; D015508:Nasal Obstruction / Q000150:complications / Q000601:surgery*; D009300:Nasal Septum / Q000601:surgery*; D011446:Prospective Studies; D012225:Rhinoplasty / Q000379:methods*; D016896:Treatment Outcome; D018058:Tympanic Membrane Perforation / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D055815:Young Adult