Myringoplasty

Long-term results in adults and children

M. Gersdorff, P. Garin, M. Decat, M. Juantegui

Research output: Contribution to journalArticle

Abstract

This report presents the long-term results 3 years after primary myringoplasties performed with formolized fascia temporalis autografts. The overall closure rate was 87.7% of cases, with improvement in hearing in 67.2% of cases. The best results were achieved with total perforations, and not with partial posterior perforations, contrary to popular opinion. The anterior perforations were the most difficult to close. Anterior angle blunting was avoided by careful technique. Although the results of myringoplasty are clearly better in adults than in children, there is not a determined 'frontier age' before which a child may not undergo operation. The state of the middle ear at the time of operation influences surgical outcome: wet ears have a higher rate of perforation, myringitis, and retraction pocket. Medical treatment is recommended prior to surgery in every discharging ear, as a diagnostic method rather than a therapeutic one. If the ear remains wet, chronic otitis media should be considered rather than simple perforation of the eardrum, and a mastoidectomy should be combined with the myringoplasty.

Original languageEnglish
Pages (from-to)532-535
Number of pages4
JournalAmerican Journal of Otology
Volume16
Issue number4
Publication statusPublished - 1 Jan 1995
Externally publishedYes

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Myringoplasty
Ear
Tympanic Membrane Perforation
Fascia
Autografts
Otitis Media
Middle Ear
Hearing
Therapeutics

Cite this

Gersdorff, M., Garin, P., Decat, M., & Juantegui, M. (1995). Myringoplasty: Long-term results in adults and children. American Journal of Otology, 16(4), 532-535.
Gersdorff, M. ; Garin, P. ; Decat, M. ; Juantegui, M. / Myringoplasty : Long-term results in adults and children. In: American Journal of Otology. 1995 ; Vol. 16, No. 4. pp. 532-535.
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Gersdorff, M, Garin, P, Decat, M & Juantegui, M 1995, 'Myringoplasty: Long-term results in adults and children', American Journal of Otology, vol. 16, no. 4, pp. 532-535.

Myringoplasty : Long-term results in adults and children. / Gersdorff, M.; Garin, P.; Decat, M.; Juantegui, M.

In: American Journal of Otology, Vol. 16, No. 4, 01.01.1995, p. 532-535.

Research output: Contribution to journalArticle

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Gersdorff M, Garin P, Decat M, Juantegui M. Myringoplasty: Long-term results in adults and children. American Journal of Otology. 1995 Jan 1;16(4):532-535.