Related Experiment Videos
[Myringoplasty using formaldehyde formed fascia (Perkins' foot) in 188 cases: anatomical and functional results at 5
A Morant Ventura1, J Marco Algarra, I Mallea Cañizares
1Servicio de ORL, Hospital Clínico Universitario, Universidad de Valencia.
Abstract:
Herein we explain the experiences we have had, in the ORL department of the HCU of Valencia, al along a period of seven years, by using the formaldehyde formed fascia graft, exposing the anatomical and functional results obtained after a minimum pursuit of five years on a sequence of 188 myringoplasties. With such method we got to close the tympanic membrane, and that they remain entire after five years, on the 72.87% of the cases, getting improvement of audition determined by a reduction of the air-bone gap greater than 15 dB, in the 62.77% of the cases. Such results are obtained with a very slight number of complications. This all makes us to consider this technique as the proper one in cases where perforation is greater than 50% of tympanic membrane.
Insights
Formaldehyde-treated fascia grafts effectively close tympanic membrane perforations in 72.87% of myringoplasty cases. This surgical technique also improves hearing by over 15 dB in 62.77% of patients with minimal complications.
Area of Science:
- Otolaryngology
- Surgical Innovation
- Regenerative Medicine
Context:
- Retrospective analysis of 188 myringoplasty procedures at the HCU of Valencia.
- Seven-year experience utilizing formaldehyde-fixed fascia grafts for tympanic membrane repair.
- Minimum five-year follow-up period to assess long-term outcomes.
Purpose:
- To evaluate the anatomical and functional results of formaldehyde-fixed fascia grafts in myringoplasty.
- To determine the efficacy of this technique in closing tympanic membrane perforations.
- To assess the impact on hearing improvement and complication rates.
Summary:
- Successful tympanic membrane closure achieved in 72.87% of cases after five years.
- Significant hearing improvement (air-bone gap reduction >15 dB) observed in 62.77% of patients.
- The technique demonstrated a low complication rate.
Impact:
- Formaldehyde-fixed fascia grafts are a viable option for myringoplasty, particularly for large perforations (>50%).
- Offers a reliable method for restoring tympanic membrane integrity and improving auditory function.
- Contributes to the understanding of graft materials in otologic surgery.