Long-term Results and Prognostic Factors of Underlay Myringoplasty in Pars Tensa Atelectasis in Children

Zinis, Luca Oscar Redaelli de; Nassif, Nader; Zanetti, Diego

doi:10.1001/jamaoto.2014.2804

Cited by 4 publications

(1 citation statement)

References 53 publications

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“…The full‐text review was performed on 709 studies, of which 624 were excluded for reasons such as failure to report TM perforation size, inability to stratify outcomes by perforation size, incorrect graft type, and no free full‐text. Following a thorough full‐text review, 85 studies were eventually selected for having met full inclusion criteria 10,14,15,17,18,25‐104 . A comprehensive overview of the search process is detailed in the corresponding PRISMA diagram (Figure 1).…”

Section: Resultsmentioning

confidence: 99%

Comparing Myringoplasty to Type I Tympanoplasty in Tympanic Membrane Repair: A Systematic Review and Meta‐analysis

Jungbauer

Jeong

Nguyen

et al. 2023

Otolaryngol.--head neck surg.

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Objective To compare the anatomic success rates of type I tympanoplasty (tympanoplasty) versus myringoplasty. By our definition, tympanoplasty involves entering the middle ear via elevation of a tympanomeatal flap, while myringoplasty involves surgery to the drumhead without middle ear exposure. Data Sources PubMed, Scopus, CINAHL, Cochrane. Review Methods To be included, studies must have documented surgical technique, tympanic membrane (TM) perforation size (as % of TM), and success rate using tissue or alloplastic grafts. Exclusion criteria included series with more than 10% of patients with cholesteatoma or middle ear pathology. A meta‐analysis of weighted summary proportions under the random effects model was performed, and proportion differences (PD) were calculated. A secondary analysis of hearing outcomes was performed. Results Eighty‐five studies met inclusion, with a tympanoplasty cohort of n = 7966 and n = 1759 for myringoplasty. For perforations, less than 50% of the TM, the success rate for tympanoplasty and myringoplasty was 90.2% and 91.4%, respectively (PD: 1.2%, p = .19). In perforations greater than 50%, tympanoplasty and myringoplasty success rates were 82.8% and 85.3%, respectively (PD: 2.5%, p = .29). For both procedures, perforations less than 50% of the TM had higher success rates than perforations greater than 50% of the TM (p < .01). Both techniques endorsed significant improvements to air‐bone gap (ABG) metrics. Conclusion Our analysis suggests that the anatomic success rate is similar for tympanoplasty and myringoplasty, regardless of perforation size, and that smaller perforations experience higher success rates in both techniques. ABG outcomes were also similar between procedure techniques.

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Section: Resultsmentioning

confidence: 99%

Comparing Myringoplasty to Type I Tympanoplasty in Tympanic Membrane Repair: A Systematic Review and Meta‐analysis

Jungbauer

Jeong

Nguyen

et al. 2023

Otolaryngol.--head neck surg.

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Idiosyncratic phenomena during the spontaneous healing of traumatic tympanic membrane perforations

Jian-Yang¹

2016

Eur Arch Otorhinolaryngol

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Clinical practice guidelines for the diagnosis and management of otitis media with effusion (OME) in children in Japan – 2022 update

et al. 2023

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Long-term Results and Prognostic Factors of Underlay Myringoplasty in Pars Tensa Atelectasis in Children

Abstract: Tensa retraction resulting in a tympanic disruption can be cured by underlay myringoplasty with perichondrium or temporalis fascia with results similar to those of simple tympanic perforations without recurrent retraction even in the long-term period.

Cited by 4 publications

References 53 publications

Comparing Myringoplasty to Type I Tympanoplasty in Tympanic Membrane Repair: A Systematic Review and Meta‐analysis

Comparing Myringoplasty to Type I Tympanoplasty in Tympanic Membrane Repair: A Systematic Review and Meta‐analysis

Idiosyncratic phenomena during the spontaneous healing of traumatic tympanic membrane perforations

Clinical practice guidelines for the diagnosis and management of otitis media with effusion (OME) in children in Japan – 2022 update

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