title: Efficacy of allograft fascia lata in tympanic membrane repair.
abstract: We conducted a retrospective study to determine the efficacy of allograft fascia lata in both primary and revision tympanic membrane surgery (myringoplasty). Our patient population included 64 patients-31 men and 33 women, aged 19 to 98 years (mean: 49.5)-who had undergone tympanic membrane surgery with allograft fascia lata. Patients were grouped according to whether they had undergone primary surgery (n = 47) or revision surgery (n = 17). Data were compiled at preoperative and immediate postoperative visits, as well as at 3, 6, 9, and 12 months postoperatively. Residual perforations were defined as those present for less than 6 weeks postoperatively, and recurrent perforations were defined as those that occurred more than 6 weeks postoperatively. A residual perforation was found in only 1 patient (1.6%), a primary surgery patient. Recurrent perforations were found in 8 of the 64 patients (12.5%), including 5 in the primary group (10.6%) and 3 in the revision group (17.6%). We conclude that allograft fascia lata is a comparable alternative to other graft materials for performing myringoplasty.
authors.affiliation: Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, Milton S. Hershey Medical Center, Hershey, PA, USA.
authors.forename: Ashley O'Connell
authors.initials: AO
authors.lastname: Forster
authors.forename: Joel
authors.initials: J
authors.lastname: Jones
authors.forename: John
authors.initials: J
authors.lastname: Davis
authors.forename: Brittany
authors.initials: B
authors.lastname: Weber
authors.forename: Mary
authors.initials: M
authors.lastname: Hawkshaw
authors.forename: Robert T
authors.initials: RT
authors.lastname: Sataloff
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005206:Fascia Lata / Q000637:transplantation*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009225:Myringoplasty / Q000379:methods*; D012086:Reoperation; D012189:Retrospective Studies; D016896:Treatment Outcome; D014432:Tympanic Membrane / Q000601:surgery; D018058:Tympanic Membrane Perforation / Q000601:surgery*; D055815:Young Adult