Article
Periosteal graft myringoplasty: our experience
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Published: | April 13, 2017 |
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Introduction: Different types of autologous graft materials are used for myringoplasty with temporalis fascia and cartilage being the most frequently used tissues. Periosteal tissue has been used for long time in our department with many advantages which support its use in myringoplasty. To the best of our knowledge, this issue was scarcely discussed in previous literature.
Objective: Is to present our experience of periosteal graft myringoplasty as regard the technique and anatomical and functional outcome.
Methods: A prospective clinical study involving 88 (72 females and 16 males) patients with a mean age 26.9 years. Patients underwent myringoplasty using mastoid cortex periosteum, all patients were operated using postauricular approach, and graft applied by underlay technique. They had done pre and postoperative pure tone audiometry for tested frequencies (0.5, 1, 2, 4 kHz). All patients were followed up for at least 12 months after operation.
Results: The anatomical success rate among all patients was 93% which is comparable to other usual grafting materials. In addition, there was a highly significant postoperative improvement in pure tone audiometry results as compared to the preoperative ones (the main hearing gain is 11 dB, P-value <0.001).
Conclusion: Periosteal graft is easily harvested, easy in application, with excellent anatomical and functional success.
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