A novel myringoplasty technique: the placement of a complementary graft descending from the scutum to support an anterosuperior perforation

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dc.contributor.authorSakallı, Erdal
dc.contributor.authorÇelikyurt, Cengiz
dc.contributor.authorBişkin, Sultan
dc.contributor.authorErdurak, Selçuk Cem
dc.date.accessioned2024-04-08T19:46:47Z
dc.date.available2024-04-08T19:46:47Z
dc.date.issued2017en_US
dc.departmentSağlık Bilimleri Fakültesien_US
dc.description.abstractWe describe a novel myringoplasty procedure. We placed a separated fascia graft descending from the scutum, combined with underlay myringoplasty, to support an anterosuperior perforation. We reviewed data from patients who underwent myringoplasty procedures to treat perforations extending into the anterosuperior quadrant of the pars tensa from October 2012 to June 2014. A total of 42 patients who were followed for a minimum of 1 year were enrolled. The same technique was used in all operations. The tympanomeatal flap was elevated from the neck of malleus up to the tip of the lateral process of malleus. The anterior mallear fold was incised to create an opening running from the neck of the malleus to the anterior tympanic spine. A separate temporal fascia graft (complementary graft) was next inserted through the opening and pushed down into the protympanum. The upper part of the fascia graft was placed over the superior bony wall of the canal. Underlay myringoplasty was then performed. The inferior part of the fascia graft was next spread out to cover the lateral surface of the underlying graft. We measured graft take rate and preoperative and postoperative hearing parameters. The graft success rate was 97.7 % (41/42 patients). The preoperative air-bone gap was 22.56 ± 18.12 dB, and the postoperative air-bone gap was 8.4 ± 10.05 dB. This difference was statistically significant (P\0.001). We believe that this myringoplasty technique is a safe, suitable, and effective for cases with tympanic membrane perforations extending into the anterosuperior quadrant of the pars tensa.en_US
dc.identifier.doi10.1007/s00405-016-4254-4en_US
dc.identifier.endpage131en_US
dc.identifier.issn0937-4477
dc.identifier.issn1434-4726
dc.identifier.issue1en_US
dc.identifier.pmid27515708en_US
dc.identifier.scopus2-s2.0-84981492974en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage127en_US
dc.identifier.urihttps://hdl.handle.net/11363/7287
dc.identifier.urihttps://doi.org/
dc.identifier.volume274en_US
dc.identifier.wosWOS:000393599900015en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorSakallı, Erdal
dc.language.isoenen_US
dc.publisherSPRINGER, ONE NEW YORK PLAZA, SUITE 4600 , NEW YORK, NY 10004, UNITED STATESen_US
dc.relation.ispartofEUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGYen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAnterior perforationen_US
dc.subjectMyringoplastyen_US
dc.subjectTympanic membraneen_US
dc.subjectUnderlayen_US
dc.titleA novel myringoplasty technique: the placement of a complementary graft descending from the scutum to support an anterosuperior perforationen_US
dc.typeArticleen_US

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