title: Results of revision myringoplasty: are they different to those of primary myringoplasty?
abstract: Audit question: Does revision myringoplasty have worse outcomes than primary surgery?
  
  
  METHODS
  The International Otology Database has been used to record data on surgery for middle-ear disease in Norfolk, UK, over nine years. The data show the results of all myringoplasty cases and the results of revision cases. Outcome measures are perforation and hearing change. Comparison is made with benchmark centres of excellence.
  
  
  RESULTS
  A total of 611 operations included myringoplasty; 356 (58 per cent) of cases had a recorded follow up at 3 months. Twenty-nine patients (8.1 per cent) had a post-operative perforation. Benchmark centres performed 2319 operations; 1284 (55 per cent) of these had a follow up at 3 months, and 82 patients (6.4 per cent) had a perforation at follow up. Sixty-nine of the Norfolk patients were revision cases. Six of the 69 patients (8.7 per cent) had a perforation at follow up. The average hearing gain in the revision myringoplasty patients in Norfolk was 7 dB.
  
  
  CONCLUSIONS
  The results of the revision myringoplasty cases are the same as those for the primary myringoplasty cases in this series.
authors.affiliation: ENT Department,James Paget University Hospital,Great Yarmouth, and ENT Department,Norfolk and Norwich University Hospital,Norwich,UK.
authors.forename: P
authors.initials: P
authors.lastname: Prinsley
mesh_terms: D000328:Adult; D002648:Child; D004427:Ear Diseases / Q000601:surgery*; D004432:Ear, Middle / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008485:Medical Audit; D009225:Myringoplasty / Q000009:adverse effects / Q000706:statistics & numerical data*; D011183:Postoperative Complications / Q000453:epidemiology* / Q000209:etiology; D012086:Reoperation / Q000009:adverse effects / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D016896:Treatment Outcome; D018058:Tympanic Membrane Perforation / Q000453:epidemiology / Q000209:etiology; D006113:United Kingdom
keywords: Informed Consent; Myringoplasty; Reoperation; Tympanic Membrane Perforation