Document Detail


Graft Uptake Rates with Isoamyl-2-Cyanoacrylate in Myringoplasty Procedures: A 10-Year Retrospective Study.
MedLine Citation:
PMID:  21540314     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Objective. To assess graft uptake rates with the use of cyanoacrylate adhesives in myringoplasty procedures. Study Design. Case series with chart review. Setting. Tertiary care center. Subjects and Methods. Five hundred forty-two patients selected with safe central perforations were divided into 4 groups based on perforation size and each divided into 2 subgroups depending on the presence or absence of preexisting pathology on the remnant tympanic membrane. Myringoplasty without ossicular reconstruction was done postaurally or by transcanal approach, with inlay graft placed and adhesive applied. Ear pack was removed on the seventh postoperative day. Graft uptake rates, graft uptake time (neotympanum intact and mobile), and postoperative sequelae were noted. Results. Graft uptake was about 99% at 3 months postsurgery. Residual perforation was seen in 2 patients in group 2 and 1 in group 4 and thinned-out tympanum in 1 patient in group 4. Mean uptake time was 21 days. Neotympanum mobility was sluggish in 9 cases postoperatively in group 4 and in 2 cases in group 3. Patients with successful (neotympanum intact and mobile) graft uptake showed significant improvement. Postoperative inflammatory signs in the external auditory canal were seen in 3 cases. Conclusion. Cyanoacrylate use in myringoplasty obtains graft uptake rates of 99% compared with most studies, which report 80% to 90%. This also allows removal of the pack by the seventh day, allowing close follow-up of the graft and less patient discomfort. Importantly, it has not interfered with the formation of the neotympanum or compromised hearing improvement.
Authors:
Dasari Samuel Deenadayal; Ajay Kumar Neeli; Saif Hameed Patel
Related Documents :
11921114 - Clinical-pathological study of levodopa complications.
21345004 - Hepatic portocholecystostomy (hpc) is ineffective in the treatment of biliary atresia w...
21242864 - Unilateral versus bilateral balloon kyphoplasty for multi-level osteoporotic vertebral ...
21468334 - Trabeculectomy versus ahmed glaucoma valve implantation in neovascular glaucoma.
23403724 - Posterior decompression and short segmental pedicle screw fixation combined with verteb...
23957144 - Molar position associated with a missing opposed and/or adjacent tooth: a follow up stu...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-5-3
Journal Detail:
Title:  Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery     Volume:  -     ISSN:  1097-6817     ISO Abbreviation:  -     Publication Date:  2011 May 
Date Detail:
Created Date:  2011-5-4     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8508176     Medline TA:  Otolaryngol Head Neck Surg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Department of Otolaryngology and Head & Neck Surgery, Yashoda Hospital, Secunderabad, India.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Sentinel Node Biopsy for Head and Neck Melanoma: A Systematic Review.
Next Document:  Potassium, Calcium, and Magnesium Intakes and Risk of Stroke in Women.