Mohammad Faramarzi1, Sepideh Atashi1, Mohsen Edalatkhah1, Sareh Roosta2. 1. Otolaryngology Research Center, Department of Otolaryngology, Shiraz University of Medical Sciences, Shiraz, Iran. 2. Otolaryngology Research Center, Department of Otolaryngology, Shiraz University of Medical Sciences, Shiraz, Iran. Roosta.Sareh@gmail.com.
Abstract
PURPOSE: Questions have been raised about the effectiveness of myringoplasty techniques for the large tympanic membrane perforation. Various surgical approaches have been recommended to achieve a satisfactory graft success rate in large tympanic membrane perforations. Consequently, there is a growing body of literature that recognizes this controversial topic in otology. The aim of the present research was to investigate the graft success rate in the anterior tab flap technique in ears with large tympanic membrane perforations. METHODS: In this retrospective study, we analyzed 157 ears (belong to 157 patients) which underwent tympanoplasty, intact canal wall mastoidectomy or canal wall down mastoidectomy with anterior tab flap method. Our primary outcome was graft success rate. RESULTS: We achieved a graft success rate of 89.8% (141 ears from a total of 157 ears) by the usage of anterior tab flap method. CONCLUSION: We suggest anterior tab flap as a safe and effective surgical technique for large tympanic membrane perforations.
PURPOSE: Questions have been raised about the effectiveness of myringoplasty techniques for the large tympanic membrane perforation. Various surgical approaches have been recommended to achieve a satisfactory graft success rate in large tympanic membrane perforations. Consequently, there is a growing body of literature that recognizes this controversial topic in otology. The aim of the present research was to investigate the graft success rate in the anterior tab flap technique in ears with large tympanic membrane perforations. METHODS: In this retrospective study, we analyzed 157 ears (belong to 157 patients) which underwent tympanoplasty, intact canal wall mastoidectomy or canal wall down mastoidectomy with anterior tab flap method. Our primary outcome was graft success rate. RESULTS: We achieved a graft success rate of 89.8% (141 ears from a total of 157 ears) by the usage of anterior tab flap method. CONCLUSION: We suggest anterior tab flap as a safe and effective surgical technique for large tympanic membrane perforations.
Authors: Robin Rupp; Tony Schelhorn; Stefan Kniesburges; Matthias Balk; Moritz Allner; Konstantinos Mantsopoulos; Heinrich Iro; Joachim Hornung; Antoniu-Oreste Gostian Journal: Eur Arch Otorhinolaryngol Date: 2022-04-01 Impact factor: 3.236