Closure of perforations of the tympanic membrane by Vein Grafts. A preliminary report of twenty cases

Tabb, Harold G.

doi:10.1288/00005537-196003000-00004

Cited by 81 publications

(35 citation statements)

References 2 publications

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“…Some of the important studies using TFG showed success rate of 80-99 % [9,10,19,20]. Similarly in the studies employing VG the results were 50-92 % [6,7,13,19,21]. In our study, the patients who had residual partial tympanic membrane perforations at third month of postoperative follow up were considered as failures.…”

Section: Graft Successsupporting

confidence: 60%

“…During surgery the ossicular mobility was tested by round window reflex method and the reflex was seen in all the cases indicating ossicular chain integrity. The VG was harvested from the dorsum of the left hand as described Tabb [7]. The VG was placed in such a way that the endothelial surface faced medially.…”

Section: Methodsmentioning

confidence: 99%

“…In a study by Strahan et al [19] highlighted the fact that in the long run ([1.6 year) VG myringoplasty would be unsuccessful with high rate of reperforation. The authors suggested that, though the studies by Tabb [7] and Shea [6] reported high success rate with VG myringoplasty, their follow up period was consistently short. According to Palva and Virtanen [22] for successful myringoplasty prerequisites are faultless surgical technique and strict adherence to it at all phases of surgery.…”

Section: Graft Successmentioning

confidence: 99%

“…Placing the VG through the tympanomeatal flap was also difficult as the graft has the tendency to roll up. There is difference of opinion regarding placing the VG that, whether the intima should face medially or laterally [7]. Shea [6] and Tabb [7] have reported the use of VG with endothelium inwards because endothelium facing inwards minimizes adhesions and the rough sticky adventitia adhering well to the prepared inner drum margin.…”

Section: Technique Of Myringoplastymentioning

confidence: 99%

“…There is difference of opinion regarding placing the VG that, whether the intima should face medially or laterally [7]. Shea [6] and Tabb [7] have reported the use of VG with endothelium inwards because endothelium facing inwards minimizes adhesions and the rough sticky adventitia adhering well to the prepared inner drum margin. Nickel [18] employed the VG by placing the intima either inwards or outwards without any obvious difference.…”

Section: Technique Of Myringoplastymentioning

confidence: 99%

See 4 more Smart Citations

A Comparative Study of Temporalis Fascia Graft and Vein Graft in Myringoplasty

Parida

Nochikattil

Gopalakrishnan

et al. 2012

Indian J Otolaryngol Head Neck Surg

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To compare the surgical outcome of temporalis fascia graft (TFG) and vein graft (VG) in myringoplasty. This prospective study was carried out over 60 patients with inactive tubotympanic type of chronic suppurative otitis media, with small to moderate size central perforation in Jawaharlal Institute of Post Graduate Medical Education and Research, Puducherry from November 2009 to March 2011. Patients were equally randomized into two groups; TFG group and VG group according to the graft material used for myringoplasty. After routine investigations, X-ray mastoid and paranasal sinuses and pure tone audiometry, all cases were operated under local anesthesia using underlay technique. Patients were followed at 2 week, 1 and 3 month postoperatively. Graft uptake, audiological improvement, degree of hearing improvement, and complications were studied during follow up. In TFG group, graft uptake rate was 80 % and hearing improvement was present in 66.7 % whereas in VG group graft uptake rate was 83.3 % and hearing improvement was present in 70 %. No patient had deterioration in hearing, sensory neural hearing loss or any other complications postoperatively. Difference between the preoperative and postoperative air bone (AB) gap was considered as degree of hearing improvement. Postoperative AB gap was \10 dB in 60 % and 66.7 % of patients of TFG group and VG group respectively. The difference in graft uptake rate and hearing improvement between two groups was not statistically significant. Both TFG and VG are equally effective in terms of graft uptake and hearing improvement in myringoplasty.

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