Received Jul 5; Accepted Mar This article has been cited by other articles in PMC. Abstract Background Myringoplasty can be technically difficult in the pediatric patients due to the narrowness of the external auditory canal and the generally small size of the ear. Moreover, temporalis fascia grafts and myringoplasties for anterior perforations are more likely to fail in children.
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Therefore, devising a simple and effective technique for performing the repair is crucial. Patients with ossicular chain disease and cholesteatoma or inadequate follow-up were excluded. Patients were followed up for 6 months, and final follow-up was completed on January 1, Secondary outcomes included hearing results and prognostic factors.
The mean SD preoperative and postoperative air-bone gaps were Postoperative otorrhea significantly affected the graft success rate odds ratio, The visualization of the perforation margin complete or partial was not significantly associated with the graft success rate. However, partial visualization of the perforation margin significantly prolonged the mean SD operative time complete vs partial, However, the present technique is simpler because postauricular incision, canalplasty, and general anesthesia are not required.
Thus, endoscopic transcanal myringoplasty should be considered for repairing anterior perforations of the tympanic membrane. Introduction Since the s, microscopic tympanoplasty has become the standard treatment of a perforated tympanic membrane. In the overlay technique, the graft is placed lateral to the anulus and remaining fibrous middle layer. Tympanoplasty for closing anterior perforations of the tympanic membrane is considered challenging. The reasons for poor surgical outcomes include a reduced vascular supply, limited anterior margin, poor visualization, and inadequate graft stabilization.
Transcanal microscope-assisted endoscopic myringoplasty in children
Endoscopic Transcanal Myringoplasty for Anterior Perforations of the Tympanic Membrane
Endoscopic transcanal myringoplasty.