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Periosteal Graft Myringoplasty: Our Experience
Mostafa ElTaher1, Yosry Othman2, Ibrahim Mohammed1
1Department of Otorhinolaryngology, Faculty of Medicine, Sohag University, Sohag, Egypt.
International Archives of Otorhinolaryngology
|October 26, 2018
Summary
Periosteal grafts offer excellent results for myringoplasty, demonstrating high anatomical success rates and significant hearing improvement. This study highlights periosteal tissue as a viable and effective autologous graft material for tympanic membrane repair.
Area of Science:
- Otolaryngology
- Surgical Innovation
- Regenerative Medicine
Background:
- Myringoplasty commonly utilizes temporalis fascia or cartilage grafts.
- Periosteal tissue, though less discussed, presents potential advantages for tympanic membrane reconstruction.
Purpose of the Study:
- To evaluate the efficacy of periosteal graft myringoplasty.
- To detail the surgical technique and assess anatomical and functional outcomes.
Main Methods:
- Prospective study of 88 patients undergoing myringoplasty with mastoid cortex periosteum.
- Postauricular approach with underlay graft technique.
- Pre- and postoperative pure tone audiometry, with a minimum 12-month follow-up.
Main Results:
- Achieved a 93% anatomical success rate, comparable to established graft materials.
- Demonstrated a significant postoperative hearing improvement of approximately 11 dB (p < 0.001).
Conclusions:
- Periosteal grafts are easily harvested and applied.
- This technique yields excellent anatomical and functional success in myringoplasty.
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