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Myringoplasty using a subcutaneous soft tissue graft.

S De1, A Karkanevatos, V R Srinivasan

  • 1Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Aintree, Liverpool, UK. sude@doctors.org.uk

Clinical Otolaryngology and Allied Sciences
|July 24, 2004
PubMed
Summary

This study shows that using subcutaneous soft tissue grafts for myringoplasty is effective, achieving an 82.7% success rate for tympanic membrane closure. This method offers advantages over traditional grafts, including smaller incisions and reduced bleeding risk.

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Area of Science:

  • Otolaryngology
  • Surgical Innovation

Background:

  • Myringoplasty is a common surgical procedure to repair tympanic membrane perforations.
  • Autologous grafts are frequently used, with temporalis fascia being a traditional choice.

Purpose of the Study:

  • To evaluate the efficacy and outcomes of using autologous subcutaneous soft tissue grafts in myringoplasty.
  • To compare the advantages of subcutaneous soft tissue grafts with temporalis fascia grafts.

Main Methods:

  • A retrospective analysis of 52 patients undergoing myringoplasty with subcutaneous soft tissue grafts over a 5-year period.
  • Data collected included patient demographics, perforation details, surgical approach, and postoperative outcomes.
  • Follow-up averaged 19 months.

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Main Results:

  • Successful tympanic membrane closure was achieved in 82.7% of patients.
  • Pure tone audiometry showed improvement in 57.1% of cases, with no instances of surgical deafness.
  • Subcutaneous grafts demonstrated comparable outcomes to temporalis fascia grafts.

Conclusions:

  • Autologous subcutaneous soft tissue grafts are a viable and effective option for myringoplasty.
  • This technique offers benefits such as smaller incisions, minimal dissection, and reduced bleeding risk compared to temporalis fascia grafts.