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Primary and revision myringoplasty in children: Long-term outcome and analysis of the factors influencing the results.
J Otol
April 2024
Department of Otorhinolaryngology, Head and Neck Surgery, Head and Neck Center, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.
Objective: Assess the long-term outcome of pediatric myringoplasty.
Methods: Tympanoplasty type I, myringoplasty, was performed on 85 children (91 consecutive operations, 74 primary and 17 revisions) under 16 years of age. The perforations were sequela either to acute or chronic inflammatory middle ear disease.
Comparison of Hearing Outcomes in Tympanoplasty With and Without Ossiculoplasty: A Retrospective Cohort Study.
Cureus
November 2024
Otolaryngology - Head and Neck Surgery, King Hamad University Hospital, Manama, BHR.
Objectives To examine the ability of the Middle Ear Risk Index (MERI) score components in order to predict postoperative air-bone gap (ABG) and success rate in patients who underwent tympanoplasty. Methods A retrospective cohort study was conducted at King Hamad University Hospital between May 2017 and February 2021. A total of 79 patients were divided into two groups: 42 patients (53.
View Article and Find Full Text PDFPlasma Radiofrequency Tuboplasty and Cartilage Underlay Myringoplasty for Repairing Chronic Large Perforation with Eustachian Tube Dysfunction.
J Otolaryngol Head Neck Surg
October 2024
Department of Otolaryngology-Head and Neck Surgery, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Article Synopsis
- - The study aimed to compare endoscopic cartilage myringoplasty (ECM) alone versus ECM with plasma radiofrequency tuboplasty (PRT) in treating chronic large perforations with Eustachian tube dysfunction (ETD) over a 24-month follow-up period.
- - Results showed significant improvement in Eustachian tube scores and ETDQ-7 scores in the ECM + PRT group compared to ECM alone, although the graft success rate was similar in both groups (96.8% vs. 86.7%).
- - While ECM + PRT provided better long-term improvements in symptoms and some hearing metrics, differences were not statistically significant, and no serious side effects related to the procedures were reported.
Role of Tympanometric Ear Canal Volumes in Determining Outcome of Myringoplasty in Chronic Suppurative Otitis Media Patients.
Indian J Otolaryngol Head Neck Surg
October 2024
Department of ENT, Head & Neck Surgery, Benazir Bhutto Hospital, Rawalpindi, Pakistan.
Article Synopsis
- The study investigates the relationship between tympanometric ear canal volume and the success of myringoplasty in patients with Chronic Suppurative Otitis Media (CSOM).
- Among 50 patients analyzed, the overall graft uptake was found to be 64%, with significant correlations between tympanometric volume measurements and successful surgical outcomes.
- Key findings suggest that greater differences in tympanometric ear canal volume between ears predict a higher rate of graft uptake, indicating the importance of middle ear aeration in treatment success.
Outcome of Endoscopic Myringoplasty Using Gelfoam Versus no Gelfoam in Tympanic Cavity and External Auditory Canal.
Kathmandu Univ Med J (KUMJ)
September 2024
Department of ENT-HNS, Dhulikhel Hospital, Kathmandu University Hospital, Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, Nepal.
Background Absorbable gelatin sponge (gelfoam) is used routinely during myringoplasty as a scaffold that supports tympanic membrane grafts and ossicular chain and to promote hemostasis. However, gelfoam could cause fibrosis, adhesions, granulations, new bone formation within the middle ear cavity and could obstruct the tympanic ostium of the eustachian tube and affects inner ear function and also interferes with the healing process of neodrum and middle ear cavity. Objective To compare the outcome of endoscopic myringoplasty with and without use of gelfoam in external auditory canal and tympanic cavity.
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