title: How I do it: Anterior pull-through tympanoplasty for anterior eardrum perforations.
abstract: Conclusions This technique is offered as a convenient and reliable method for cases with anterior TM perforation and inadequate anterior remnant. Objectives Chronic otitis media surgery is one of the most common procedures in otology. Anterior tympanic membrane (TM) perforation with inadequate anterior remnant is associated with higher rates of graft failure. It was the goal of this series to evaluate the anatomical and functional outcomes of a modified underlay myringoplasty technique-the anterior pull-through method. Materials and methods In a retrospective clinical study, 13 patients with anterior TM perforations with inadequate anterior remnants underwent tympanoplasty with anterior pull-through technique. The anterior tip of the temporalis fascia was pulled through and secured in a short incision lateral to the anterior part of the annulus. Data on graft take rate, pre-operative, and post-operative hearing status were analyzed. Results A graft success rate of 84.6% (11 out of 13) was achieved, without lateralization, blunting, atelectasia, or epithelial pearls. The air-bone gap was 21.5 ± 6.8 dB before intervention and 11.75 ± 5.7 dB after surgery (p = 0.003).
authors.affiliation: a Division of Otolaryngology-Head & Neck Surgery , University of California , San Diego , CA , USA ;
authors.forename: Jeffrey P
authors.initials: JP
authors.lastname: Harris
authors.affiliation: a Division of Otolaryngology-Head & Neck Surgery , University of California , San Diego , CA , USA ;|b Department of Surgery , Cedars-Sinai Medical Center , Los Angeles , CA , USA ;
authors.forename: Yu-Tung
authors.initials: YT
authors.lastname: Wong
authors.affiliation: a Division of Otolaryngology-Head & Neck Surgery , University of California , San Diego , CA , USA ;|c Department of Otorhinolaryngology-Head & Neck Surgery , Taipei City Hospital , Taipei , Taiwan ;
authors.forename: Tzong-Hann
authors.initials: TH
authors.lastname: Yang
authors.affiliation: a Division of Otolaryngology-Head & Neck Surgery , University of California , San Diego , CA , USA ;|d House Ear Clinic , Los Angeles , CA , USA.
authors.forename: Mia
authors.initials: M
authors.lastname: Miller
mesh_terms: D006801:Humans; D018058:Tympanic Membrane Perforation / Q000601:surgery*; D014433:Tympanoplasty / Q000379:methods*
keywords: Eardrum; hitch; remnant; tab