Epithelial Migration on the Tympanic Membrane

Alberti, P. W.

doi:10.1017/s0022215100062800

Cited by 132 publications

(136 citation statements)

References 31 publications

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“…About one-third of the subject had formed the habit unconsciously over 10 years. The entire subjects interviewed had their ear examined; about 27% had ear discharge, wax impaction in 22% and foreign body 12% [7]. In our study, all the 500 subjects were cleaning their ear canals.…”

Section: Discussionmentioning

confidence: 85%

Knowledge, Attitude and Practice of Ear Care in Coastal Karnataka

Dosemane¹

2015

JCDR

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Section: Discussionmentioning

confidence: 85%

Knowledge, Attitude and Practice of Ear Care in Coastal Karnataka

Dosemane¹

2015

JCDR

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“…10 This "conveyor belt" process is an ongoing process in most individuals. 6 Since cerumen is naturally extruded from the ear canals of most people and spontaneous clearing of significant impactions occurs frequently, observation over time can be offered as reasonable management. There have only been limited studies investigating the outcome of observing cerumen in the ear canal.…”

Section: Supporting Textmentioning

confidence: 99%

Clinical Practice Guideline (Update): Earwax (Cerumen Impaction)

Schwartz

Magit

Rosenfeld

et al. 2017

Otolaryngol.--head neck surg.

119

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Objective. This update of the 2008 American Academy of Otolaryngology-Head and Neck Surgery Foundation cerumen impaction clinical practice guideline provides evidencebased recommendations on managing cerumen impaction. Cerumen impaction is defined as an accumulation of cerumen that causes symptoms, prevents assessment of the ear, or both. Changes from the prior guideline include• a consumer added to the development group;• new evidence (3 guidelines, 5 systematic reviews, and 6 randomized controlled trials); • enhanced information on patient education and counseling; • a new algorithm to clarify action statement relationships;• expanded action statement profiles to explicitly state quality improvement opportunities, confidence in the evidence, intentional vagueness, and differences of opinion; • an enhanced external review process to include public comment and journal peer review; and • 3 new key action statements on managing cerumen impaction that focus on primary prevention, contraindicated intervention, and referral and coordination of care.Purpose. The primary purpose of this guideline is to help clinicians identify patients with cerumen impaction who may benefit from intervention and to promote evidence-based management. Another purpose of the guideline is to highlight needs and management options in special populations or in patients who have modifying factors. The guideline is intended for all clinicians who are likely to diagnose and manage patients with cerumen impaction, and it applies to any setting in which cerumen impaction would be identified, monitored, or managed. The guideline does not apply to patients with cerumen impaction associated with the following conditions: dermatologic diseases of the ear canal; recurrent otitis externa; keratosis obturans; prior radiation therapy affecting the ear; previous tympanoplasty/myringoplasty, canal wall down mastoidectomy, or other surgery affecting the ear canal.Key Action Statements. The panel made a strong recommendation that clinicians should treat, or refer to a clinician who can treat, cerumen impaction, defined as an accumulation of cerumen that is associated with symptoms, prevents needed assessment of the ear, or both.The panel made the following recommendations: (1) Clinicians should explain proper ear hygiene to prevent cerumen impaction when patients have an accumulation of cerumen. (2) Clinicians should diagnose cerumen impaction when an accumulation of cerumen, as seen on otoscopy, is associated with symptoms, prevents needed assessment of the ear, or both. (3) Clinicians should assess the patient with cerumen impaction by history and/or physical examination for factors that modify management, such as ≥1 of the following: anticoagulant therapy, immunocompromised state, diabetes mellitus, prior radiation therapy to the head and neck, ear canal stenosis, exostoses, and nonintact tympanic membrane. (4) Clinicians should not routinely treat cerumen in patients who are asymptomatic and whose ears can be adequately examined. (5) Clinicians s...

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“…6 In this study, we have compared the results of temporalis fascia versus periosteum grafts used for the repair of tympanic membrane using underlay technique in Myringoplasty. Both the grafts are accessible near the operative site, available in adequate amount, have excellent contour, can be thinned down and possess excellent survival capacity.…”

Section: Discussionmentioning

confidence: 99%

COMPARATIVE STUDY ON USAGE OF TEMPORALIS FASCIA Vs. PERIOSTEUM IN MYRINGOPLASTY

S¹,

N²,

Veeraswamy³

et al. 2016

jemds

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OBJECTIVESThe aims are 1. To study the surgical results of myringoplasty using temporalis fascia as a graft material. 2. To study the surgical results of myringoplasty using periosteum as a graft material. 3. To study the comparative outcome in myringoplasty with temporalis fascia versus periosteum as graft materials in terms of graft uptake and hearing improvement. MATERIALS AND METHODSThe study was conducted in Government ENT Hospital, Andhra Medical College, Visakhapatnam during the period of July 2012 to July 2014. It's a prospective study where myringoplasty was performed on 100 patients after complete examination and investigations. All patients were found to have CSOM with inactive mucosal disease with central perforation. Patients were divided into equal groups. Group 1 underwent repair of tympanic membrane by using temporalis fascia and Group 2 by using of periosteum. Post auricular approach was chosen in all the cases. CONCLUSIONMyringoplasty is the method of choice of treatment for CSOM with inactive mucosal disease. CSOM is more common in females in this study. Out of the 100 cases 54 were females and 46 males. It is common in the age group of 15-24 years (44%) particularly among the low socio-economic group because of lack of hygiene, ignorance and unavailability of advanced medical care. Around 90% of cases of CSOM that presented to the OPD were of safe type and required surgery. These patients were undergone reconstructive surgery using either temporalis fascia or periosteum as graft material. Good results were noted both with temporalis fascia and periosteum in terms of graft uptake and hearing restoration. Graft uptake was better with periosteum when compared to temporalis fascia. Hearing improvement better with temporalis fascia than periosteum. KEYWORDSTemporalis Fascia, Periosteum, Myringoplasty, CSOM. HOW TO CITE THIS ARTICLE:Rao SSP, Prasad TVSSNL, Veeraswamy N, et al. Comparative study on usage of temporalis fascia vs. periosteum in myringoplasty.

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Epithelial Migration on the Tympanic Membrane

Cited by 132 publications

References 31 publications

Knowledge, Attitude and Practice of Ear Care in Coastal Karnataka

Knowledge, Attitude and Practice of Ear Care in Coastal Karnataka

Clinical Practice Guideline (Update): Earwax (Cerumen Impaction)

COMPARATIVE STUDY ON USAGE OF TEMPORALIS FASCIA Vs. PERIOSTEUM IN MYRINGOPLASTY

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