Introduction
Different types of autologous graft materials are used for myringoplasty, with the temporalis fascia and cartilage being the most frequently used tissues. Periosteal tissue has been used for a long time in our department, and many advantages support its use in myringoplasty. To the best of our knowledge, this issue is scarcely discussed in the previously published literature.
Objective
To present our experience with periosteal graft myringoplasty, describing the technique and the anatomical and functional outcomes.
Methods
A prospective clinical study involving 88 patients (72 females and 16 males) with a mean age 26.9 years. The patients underwent myringoplasty using the mastoid cortex periosteum; they were all operated using the postauricular approach, and the graft was applied using the underlay technique. The patients performed pre- and postoperative pure tone audiometry for tested frequencies (0.5 kHz, 1 kHz, 2 kHz, and 4 kHz). All patients were followed-up for at least 12 months after the operation.
Results
The anatomical success rate among all patients was of 93%, which is comparable to the rate of success in procedures using other usual grafting materials. In addition, there was a highly significant postoperative improvement in pure tone audiometry results as compared with the preoperative ones (the main hearing gain was of ∼ 11 dB;
p
< 0.001).
Conclusion
The periosteal graft is easily harvested, easy to apply, with excellent anatomical and functional success.
Background: Otitis media with effusion (OME) is the condition in which fluid was presented in the middle ear cavities with absence of signs or symptoms of acute infection. Most episodes of OME resolve within 3 months, without need for surgical intervention. The placement of tympanostomy tubes (TTs) is the treatment for persistent OME. Objective: This study is performed to compare between anterosuperior and anteroinferior insertion of tympanostomy tubes in treatment of otitis media with effusion. Methods: The study included 40 patients with bilateral OME (at least 3 months did not respond to medical treatment) , divided into two groups: Group (I) included 40 patients who had been undergone myringotomy and tympanostomy tubes insertion at antero-superior quadrant of one ear (Right ear). Group (II) included the same 40 patients who had been undergone myringotomy and tympanostomy tubes insertion at antero-inferior quadrant of other ear (left ear). All patients were exposed to complete history taking, ENT examination and audiological investigation (Tympanometry, Pure Tone Audiometry), follow up of cases by clinical and audiological investigations were performed at 1,2 and 6 months.
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