Efficacy of “hammock” tympanoplasty in the treatment of anterior perforations

Peng, Robert Y.; Lalwani, Anil K.

doi:10.1002/lary.23747

Cited by 31 publications

(22 citation statements)

References 14 publications

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“…Our air-bone gap closure rates were also comparable with those previously reported. [5][6][7][8][9] However, our technique is less invasive because postauricular incision, canalplasty, and general anesthesia were not required. Moreover, the operative time was reduced to approximately 1 hour, and all patients were discharged on the day after surgery.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic Transcanal Myringoplasty for Anterior Perforations of the Tympanic Membrane

Tseng

Lai

et al. 2016

JAMA Otolaryngol Head Neck Surg

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The rate of graft success and hearing outcomes for endoscopic transcanal myringoplasty are comparable with those of microscopic myringoplasty for repairing anterior perforations of the tympanic membrane. However, the present technique is simpler because postauricular incision, canalplasty, and general anesthesia are not required. Thus, endoscopic transcanal myringoplasty should be considered for repairing anterior perforations of the tympanic membrane.

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Section: Discussionmentioning

confidence: 99%

Endoscopic Transcanal Myringoplasty for Anterior Perforations of the Tympanic Membrane

Tseng

Lai

et al. 2016

JAMA Otolaryngol Head Neck Surg

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“…9 Similar kind of surgery performed by Peng and Lalwani found preoperative and postoperativeABG of 23.5dB and 15.7 dB respectively and is similar to our result. 10 Lee et al 2010 found also found significant improvement in hearing after surgery with preoperative and postoperative ABG of 23.5dB and 8.4 dB respectively. 11 Similarly, Mokhtarinejad et al 9 found preoperative and postoperative ABG of 25.6dB and 8.11 dB respectively.…”

Section: Outcome Of Graft Uptake and Hearing Results Between 'U' Flapmentioning

confidence: 92%

“…9 Peng et al, 2014 in their study showed better result with 96% graft uptake (24 out of 25). 10 They had used tragal cartilage as a graft material in most of the patients and was done by postaural approach. But control group was lacking in their study.…”

Section: Outcome Of Graft Uptake and Hearing Results Between 'U' Flapmentioning

confidence: 99%

Outcome of Graft Uptake and Hearing Results between ‘U’ Flap Technique and Conventional Tympanomeatal Flap Technique for Anterior and Subtotal Tympanic Membrane Perforation

Dhungana

Rayamajhi²,

Shrivastav

2018

J Nepal Health Res Council

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Background: Myringoplasty done for anterior and subtotal perforation needs expertise and practice than conventional underlay myringoplasty. The objective of this study was to compare the graft uptake and postoperative hearing results between ‘U’ flap and conventional tympanomeatal flap technique in anterior and subtotal tympanic membrane perforation.Methods: Sixty three patients of age fifteen years and above with chronic otitis media mucosal type with any sizedanterior and subtotal perforationof tympanic membrane were randomly allocated for myringoplasty by lottery method. There were thirty one cases in ‘U’ flap group and thirty twocases in conventional tympanomeatal flap group. Graft uptake and hearing results were assessed after six weeks and results were compared within and between the groups.Results: Graft uptake rate was 90.3%(28/31) in‘U’ flap group and it was 87.5%(28/32) in conventional tympanomeatal flap group with no statistically significant difference (p= 0.772) between the two groups. The mean pre and post-operative air bone gap in ‘U’ flap group were 23.63dB±7.77dB; 13.26dB±5.50dB and that in the conventional tympanomeatal flap group were 20.88±9.88dB, 9.42dB±6.70dB respectively. There was no statistically significant difference in hearing results between the two groups (p= 0.504).Conclusions: The graft uptake rate and hearing results of ‘U’ flap group were comparable and showed no statistically significant difference to those of conventional tympanomeatal flap group.

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“…The hammock tympanoplasty technique has recently been described (27). In this technique, an incision is made in the anterior canal wall skin from the annulus laterally.…”

Section: Underlay Myringoplastymentioning

confidence: 99%