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Myringoplasty: update on onlay pedicle skin flap and temporalis fascia sandwich graft

Published online by Cambridge University Press:  08 March 2006

U. Raghavan
Affiliation:
Department of Otolaryngology, Edith Cavell Hospital, Peterborough, UK.
D. S. I. Malki
Affiliation:
Department of Otolaryngology, Edith Cavell Hospital, Peterborough, UK.
N. A. Mahmoud
Affiliation:
Department of Otolaryngology, Edith Cavell Hospital, Peterborough, UK.

Abstract

The technique of onlay sandwich grafting of tympanic membrane perforations fashioned by the use of pedicle flap raised from the posterior deep meatal skin and autologous temporalis fascia is described. The results of a series of 124 ears operated between 1987 and 1999 are the basis of this report. Of these 106 patients had myringoplasty for the first time. The operation was successful in 102 (96.23 per cent) patients. Eighteen patients had revision myringoplasty, with a successful result in 14 (77.78 per cent). None of the patients developed complications usually associated with onlay grafting. A preliminary report of this work was presented at the XVI World Congress of Otolaryngology Head and Neck Surgery at Sydney in 1997.

Keywords

Type
Research Article
Copyright
Royal Society of Medicine Press Limited 2000

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