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Paper patching for chronic tympanic membrane perforations.

Avishay Golz1, David Goldenberg, Aviram Netzer

  • 1Department of Otolaryngology-Head and Neck Surgery, Rambam Medical Center, Haifa, Israel. golz@netvision.net.il

Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
|April 23, 2003
PubMed
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Paper patching is a simple, cost-effective outpatient procedure for chronic tympanic membrane perforations. It shows a good success rate, especially for smaller perforations (under 5 mm), before considering surgery.

Area of Science:

  • Otolaryngology
  • Surgical Innovation

Background:

  • Chronic tympanic membrane perforations can impact hearing and quality of life.
  • Surgical interventions for tympanic membrane perforations carry risks and costs.

Purpose of the Study:

  • To evaluate the efficacy of paper-patch myringoplasty for chronic tympanic membrane perforations of varying sizes.
  • To determine the success rate and influencing factors of paper patching.

Main Methods:

  • Retrospective analysis of 77 patients undergoing paper-patch myringoplasty.
  • Data collected included perforation size, duration, and closure success.

Main Results:

  • Overall closure rate was 63.2% for small, 43.5% for medium, and 12.5% for large perforations.

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  • Smaller perforations required fewer applications and less time for closure.

    • Conclusions:

    • Paper patching is a safe, cost-effective, and time-efficient outpatient procedure.
    • It is recommended for tympanic membrane perforations smaller than 5 mm prior to surgical referral.