title: Ten-year myringoplasty series: does the cause of perforation affect the success rate?
abstract: OBJECTIVE
  To present the results of primary myringoplasty procedures together with the perforation cause, perforation size and site, surgeon's experience, and surgical method, and to investigate how these factors relate to graft 'take' rates.
  
  
  METHODS
  Retrospective chart review of 243 consecutive patients undergoing primary myringoplasty with temporalis fascia underlay over a 10-year period from 1994 to 2004.
  
  
  RESULTS
  The overall graft take rate was 95 per cent. The retroauricular approach resulted in a 97 per cent graft take rate, whereas a significantly lower rate (77 per cent) was seen for surgery conducted via the endaural approach, or via an ear speculum. There was no relationship between other factors and tympanic membrane healing.
  
  
  CONCLUSIONS
  No association was found between perforation cause and graft take rate. The underlay technique is safe and reliable, and the retroauricular approach is preferable as it enables good surgical access and has better results.
authors.affiliation: Department of Otorhinolaryngology, Vrinnevi Hospital, Norrköping, Sweden. johanna.westerberg@gmail.com
authors.forename: J
authors.initials: J
authors.lastname: Westerberg
authors.forename: H
authors.initials: H
authors.lastname: Harder
authors.forename: B
authors.initials: B
authors.lastname: Magnuson
authors.forename: L
authors.initials: L
authors.lastname: Westerberg
authors.forename: D
authors.initials: D
authors.lastname: Hydén
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D001299:Audiometry; D002648:Child; D002675:Child, Preschool; D002983:Clinical Competence; D006801:Humans; D016015:Logistic Models; D008875:Middle Aged; D009225:Myringoplasty / Q000379:methods*; D011182:Postoperative Care / Q000379:methods; D012008:Recurrence; D012086:Reoperation / Q000706:statistics & numerical data; D012189:Retrospective Studies; D013548:Sweden; D016896:Treatment Outcome; D018058:Tympanic Membrane Perforation / Q000209:etiology* / Q000601:surgery*; D055815:Young Adult