Pediatric Myringoplasty: Factors That Affect Success—A Retrospective Study

Abstract

Proper patient and graft material selection can affect the outcome of myringoplasty procedures. Practical implications from these data suggest that Gelfoam myringoplasty is more successful than either paper patch or fat graft closures, with a 90.8% success rate (P = .001). Myringoplasty should not be deferred during the winter months as the season of procedure does appear to not affect the success of closure (P = .60). Similarly, the presence or absence of adenoid tissue did not affect the success of closure (P = .91).

Pediatric myringoplasty: A study of factors affecting outcome

“…We believe that the high anatomical failure rates at 2 years are no longer solely related to the surgery, and that extrinsic factors to the myringoplasty come to play after 12 months of postoperative follow-up. Our results parallel favourably with recently published studies [8,9,[11][12][13][14][15]. We believe that it is important to standardize the criteria of anatomical success in order to be able to critically compare published results.…”

Influence of size and site of perforation on fat graft myringoplasty

“…Many studies have sought to determine the ideal age for performing myringoplasty. Some authors prefer postponing the procedure but others oppose this because early closure of the tympanic membrane in children allows rapid restoration of middle ear function and helps to prevent deterioration and further complications, such as tympanosclerosis [16,19].…”

Hyaluronic acid fat graft myringoplasty: A minimally invasive technique

“…1 Large varieties of tympanoplasty have been described in the modern literature, including use of a paper patch, gelfoam patch, autologous fat graft, in addition to the underlay and overlay techniques. 2 Tympanic membrane repair performed as an isolated surgical procedure (myringoplasty or type I tympanoplasty) or during a tympano-mastoidectomy yields variable success rates, with most of the reported scores higher than 80%. 1,[3][4][5] Fat graft myringoplasty (FGM) has been employed since 1962 for repairing small TM perforations.…”