Repair of chronic central perforations of the tympanic membrane: By repeated acid cautery; by skin grafting

Wright, William K.

doi:10.1002/lary.5540661104

Cited by 44 publications

(11 citation statements)

References 21 publications

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“…Regarding the closure of perforation and in the study of Write [2] period of treatment that extended to a couple of years may explain the proportion of success achieved in these studies is higher than that of (70.7 %) achieved in our studies.…”

Section: Discussioncontrasting

confidence: 70%

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Closure of tympanic membrane perforations using repeated trichloracetic acid

Gür¹,

Ensarı²,

Sonbay³

et al. 2016

Med-Science

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Our aim in this study is to show the efficacy of trichloracetic acid cauterization in the tympanic membrane perforations. Between January 2002 and January 2012 central perforations in 160 ears of 142 cases were tried to be closed by repeated trichloracetic acid cauterization in one week interval followed by the placement of a piece of cigarette paper to the perforation site. In 98 of 137 ears (71.5 %) that followed-up for a desired period of time, perforation was closed after an average of 4.2 applications. No statistical relation was found between the success of treatment, and the age of patient, the site of perforation and previous history of otorrhea. It was shown that the width of perforation is an important factor in the success of treatment.

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Section: Discussioncontrasting

confidence: 70%

“…The cauterization of the edges of perforation with TCA followed by the closure of perforation with a support and the repetition of this procedure at regular intervals have been frequently used [1][2][3].…”

Section: Introductionmentioning

confidence: 99%

Closure of tympanic membrane perforations using repeated trichloracetic acid

Gür¹,

Ensarı²,

Sonbay³

et al. 2016

Med-Science

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“…Different patching materials have also been used. Wright (1956) used cotton patch with neomycin ear drops, while Mitchell (1958) used sterispon gelatin sponge soaked in patient's own blood [4]. Juers reported an 88% success with an average of 3.7 applications.…”

Section: Discussionmentioning

confidence: 99%

“…In some cases, tinnitus gets relieved. Also, the patient gets a discharge free ear [5]. While surgical closure of tympanic membrane perforation still remains the choice of management, effective closure of tympanic membrane perforation can be achieved by using chemical cautery and patch technique together for small and moderate sized perforations.…”

Section: Introductionmentioning

confidence: 99%

A Study of Closure of Tympanic Membrane Perforations by Chemical Cauterisation

Santhi

Rajan

2011

Indian J Otolaryngol Head Neck Surg

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To study the effectiveness of chemical cautery with patching on chronic tympanic membrane perforations of the pars tensa. Thirty-eight patients with dry tympanic membrane perforations due to inflammatory or traumatic etiology were selected after treating the primary etiological factors like septal deviation and allergic rhinitis. Fifty percentage silver nitrate was used to cauterize the margin and the perforation was covered with thin sterile aluminium foil as a patch. A maximum number of five applications were made, and the patients were followed up for the next 5 years. In this series of 38 patients, highest success was noted among those patients with traumatic perforation, while larger perforations were reduced to small pinhole sizes which were successfully closed by myringoplasty. An overall success rate of 73.75% was achieved. This is a time tested useful method which was popularized by Derlacki (1953), to close small to moderate sized tympanic membrane perforation and should be considered as a first line management in the treatment of tympanic membrane perforation prior to any surgical intervention. Apart from being a simple and economical mode of treatment, it is associated with minimal complications. Though various materials have been used to modify this technique, the principle remains the same and the results obtained in this study is comparable with the previous ones.

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“…These perforations may also occur as a complication after other ear operations, including failed myringoplasty. Additionally, the perforations may resist conservative measures and require surgical intervention by different means of invasive myringoplasties.In managing small perforations, many surgeons have tried to avoid the usual methods of myringoplasty, namely the under and overlay techniques, using less invasive techniques, including repeated acid cauterisation, autologous fat grafts, hyaluronic acid, AlloDerm, inlay butterfly grafts and the use of bivalve cartilage, which was modified by other authors . Most of these techniques avoid skin incision and elevation of the annulus by performing the repair using transcanal approach.…”

Section: Objectivesmentioning

confidence: 99%