Endoscopic cartilage myringoplasty with the removal of a small rim of the external auditory canal to repair marginal perforations
Abstract Objective To evaluate the graft success rate and postoperative hearing gain for marginal perforations using endoscopic cartilage myringoplasty with the removal of a small rim of the external auditory canal (EAC). Study design Prospective case series. Materials and methods We performed a pro...
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SAGE Publishing
2020-03-01
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| Series: | Journal of Otolaryngology - Head and Neck Surgery |
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| Online Access: | http://link.springer.com/article/10.1186/s40463-020-00408-7 |
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| author | Zheng-cai Lou |
| author_facet | Zheng-cai Lou |
| author_sort | Zheng-cai Lou |
| collection | DOAJ |
| description | Abstract Objective To evaluate the graft success rate and postoperative hearing gain for marginal perforations using endoscopic cartilage myringoplasty with the removal of a small rim of the external auditory canal (EAC). Study design Prospective case series. Materials and methods We performed a prospective study in 41 patients with marginal perforations who underwent endoscopic cartilage myringoplasty with the removal of a small rim of EAC. Patients were followed up for 6 months. Results Of the 41 patients with unilateral marginal perforation included in this study, the graft success rate was 100% (41/41). The mean ABG improved from 11.31 ± 9.71 dB preoperatively to 7.31 ± 2.32 dB postoperatively for small-and medium-sized perforations (P = 0.13); the mean ABG improved from 21.46 ± 8.39 dB preoperatively to 9.84 ± 2.41 dB postoperatively for large perforations (P < 0.05); the mean ABG improved from 28.79 ± 6.74 dB preoperatively to 10.13 ± 3.56 dB postoperatively for subtotal and total perforations (P < 0.05). There were no cases of graft lateralization or significant blunting or atelectasis or graft adhesions. Three patients developed postoperative otorrhoea and five patients had mild myringitis. Conclusions Endoscopic cartilage myringoplasty with the removal of a small rim of the EAC is simple and feasible, showing a high graft success rate and minimal complications for repairing marginal perforations. |
| format | Article |
| id | doaj-art-e71dc3b0ff5c43b8a33007322753ec05 |
| institution | OA Journals |
| issn | 1916-0216 |
| language | English |
| publishDate | 2020-03-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Otolaryngology - Head and Neck Surgery |
| spelling | doaj-art-e71dc3b0ff5c43b8a33007322753ec052025-08-20T01:47:50ZengSAGE PublishingJournal of Otolaryngology - Head and Neck Surgery1916-02162020-03-014911710.1186/s40463-020-00408-7Endoscopic cartilage myringoplasty with the removal of a small rim of the external auditory canal to repair marginal perforationsZheng-cai Lou0Department of Otorhinolaryngology, Yiwu central HospitalAbstract Objective To evaluate the graft success rate and postoperative hearing gain for marginal perforations using endoscopic cartilage myringoplasty with the removal of a small rim of the external auditory canal (EAC). Study design Prospective case series. Materials and methods We performed a prospective study in 41 patients with marginal perforations who underwent endoscopic cartilage myringoplasty with the removal of a small rim of EAC. Patients were followed up for 6 months. Results Of the 41 patients with unilateral marginal perforation included in this study, the graft success rate was 100% (41/41). The mean ABG improved from 11.31 ± 9.71 dB preoperatively to 7.31 ± 2.32 dB postoperatively for small-and medium-sized perforations (P = 0.13); the mean ABG improved from 21.46 ± 8.39 dB preoperatively to 9.84 ± 2.41 dB postoperatively for large perforations (P < 0.05); the mean ABG improved from 28.79 ± 6.74 dB preoperatively to 10.13 ± 3.56 dB postoperatively for subtotal and total perforations (P < 0.05). There were no cases of graft lateralization or significant blunting or atelectasis or graft adhesions. Three patients developed postoperative otorrhoea and five patients had mild myringitis. Conclusions Endoscopic cartilage myringoplasty with the removal of a small rim of the EAC is simple and feasible, showing a high graft success rate and minimal complications for repairing marginal perforations.http://link.springer.com/article/10.1186/s40463-020-00408-7Tympanic membrane perforationEndoscopyCartilage myringoplastyTympanomeatal flapLateralization |
| spellingShingle | Zheng-cai Lou Endoscopic cartilage myringoplasty with the removal of a small rim of the external auditory canal to repair marginal perforations Journal of Otolaryngology - Head and Neck Surgery Tympanic membrane perforation Endoscopy Cartilage myringoplasty Tympanomeatal flap Lateralization |
| title | Endoscopic cartilage myringoplasty with the removal of a small rim of the external auditory canal to repair marginal perforations |
| title_full | Endoscopic cartilage myringoplasty with the removal of a small rim of the external auditory canal to repair marginal perforations |
| title_fullStr | Endoscopic cartilage myringoplasty with the removal of a small rim of the external auditory canal to repair marginal perforations |
| title_full_unstemmed | Endoscopic cartilage myringoplasty with the removal of a small rim of the external auditory canal to repair marginal perforations |
| title_short | Endoscopic cartilage myringoplasty with the removal of a small rim of the external auditory canal to repair marginal perforations |
| title_sort | endoscopic cartilage myringoplasty with the removal of a small rim of the external auditory canal to repair marginal perforations |
| topic | Tympanic membrane perforation Endoscopy Cartilage myringoplasty Tympanomeatal flap Lateralization |
| url | http://link.springer.com/article/10.1186/s40463-020-00408-7 |
| work_keys_str_mv | AT zhengcailou endoscopiccartilagemyringoplastywiththeremovalofasmallrimoftheexternalauditorycanaltorepairmarginalperforations |