Document Detail


Postoperative results of simple underlay myringoplasty in better hearing ears.
MedLine Citation:
PMID:  17851928     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
CONCLUSIONS: Simple underlay myringoplasty with fibrin glue (SUM) is indicated for repair of tympanic membrane (TM) perforation in the better hearing ear because postoperative hearing deterioration is extremely rare. OBJECTIVE: To evaluate the postoperative results, including the hearing and the re-perforation rate, in the better hearing ear. MATERIALS AND METHODS: The procedure of SUM is removal of the perforation edge and bonding of the graft to the remnant TM with a few drops of fibrin glue by underlay technique. This method was applied to 75 patients with a perforated TM in the better hearing ear. The postoperative hearing and the re-perforation rate were investigated. RESULTS: The mean of the postoperative hearing gain was 10.3 dB and no cases of postoperative hearing loss were observed. Although postoperative re-perforation was found in 18 cases (24.0%), the re-perforation was closed in 16 of these cases in the outpatient department by the same procedure using frozen autologous tissue that had been harvested previously in surgery. Including these cases, the total success rate was 97.3%.
Authors:
Yu Yuasa; Ryo Yuasa
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta oto-laryngologica     Volume:  128     ISSN:  0001-6489     ISO Abbreviation:  Acta Otolaryngol.     Publication Date:  2008 Feb 
Date Detail:
Created Date:  2008-07-24     Completed Date:  2008-08-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370354     Medline TA:  Acta Otolaryngol     Country:  Norway    
Other Details:
Languages:  eng     Pagination:  139-43     Citation Subset:  IM    
Affiliation:
Sendai Ear Surgicenter, Sendai, Japan. yyuasa@sendai-surg.gr.jp
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Audiometry, Pure-Tone
Auditory Threshold
Connective Tissue / transplantation*
Female
Fibrin Tissue Adhesive / therapeutic use*
Humans
Male
Microsurgery / methods*
Middle Aged
Myringoplasty / methods*
Otoscopy
Recurrence
Reoperation
Tympanic Membrane Perforation / surgery*
Chemical
Reg. No./Substance:
0/Fibrin Tissue Adhesive

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


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