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Overlay versus underlay myringoplasty: report of outcomes considering closure of perforation and hearing function

In this series of patients, the underlay or overlay positioning of a graft achieves successful outcome for both repair of perforation and hearing function, with better hearing gain in the underlay group. In myringoplasty, the two most common techniques for positioning the graft relative to the remna...

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Autores principales: SERGI, B., GALLI, J., DE CORSO, E., PARRILLA, C., PALUDETTI, G.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Pacini Editore SpA 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3272871/
https://www.ncbi.nlm.nih.gov/pubmed/22323847
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author SERGI, B.
GALLI, J.
DE CORSO, E.
PARRILLA, C.
PALUDETTI, G.
author_facet SERGI, B.
GALLI, J.
DE CORSO, E.
PARRILLA, C.
PALUDETTI, G.
author_sort SERGI, B.
collection PubMed
description In this series of patients, the underlay or overlay positioning of a graft achieves successful outcome for both repair of perforation and hearing function, with better hearing gain in the underlay group. In myringoplasty, the two most common techniques for positioning the graft relative to the remnant of both the tympanic membrane and the annulus are the "overlay" and the "underlay" techniques. 115 patients who underwent myringoplasty for tympanic membrane perforation secondary to chronic otitis media and/or trauma were included, and hearing function was evaluated. We prefer an overlay technique in subtotal perforations, in those involving the anterior and antero-inferior parts of the ear drum with respect to the handle of the malleus and in revision surgery. We reserve an underlay technique for smaller perforations and for those limited to the posterior part of the tympanic membrane. Of 115 cases, 63 underwent an overlay myringoplasty and 52 underlay myringoplasty. In the former group, five cases were anatomically unsuccessful, whereas in the second group there were three failures. The air bone gap improved significantly in both groups with a better hearing gain in the underlay group.
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spelling pubmed-32728712012-02-09 Overlay versus underlay myringoplasty: report of outcomes considering closure of perforation and hearing function SERGI, B. GALLI, J. DE CORSO, E. PARRILLA, C. PALUDETTI, G. Acta Otorhinolaryngol Ital Otology In this series of patients, the underlay or overlay positioning of a graft achieves successful outcome for both repair of perforation and hearing function, with better hearing gain in the underlay group. In myringoplasty, the two most common techniques for positioning the graft relative to the remnant of both the tympanic membrane and the annulus are the "overlay" and the "underlay" techniques. 115 patients who underwent myringoplasty for tympanic membrane perforation secondary to chronic otitis media and/or trauma were included, and hearing function was evaluated. We prefer an overlay technique in subtotal perforations, in those involving the anterior and antero-inferior parts of the ear drum with respect to the handle of the malleus and in revision surgery. We reserve an underlay technique for smaller perforations and for those limited to the posterior part of the tympanic membrane. Of 115 cases, 63 underwent an overlay myringoplasty and 52 underlay myringoplasty. In the former group, five cases were anatomically unsuccessful, whereas in the second group there were three failures. The air bone gap improved significantly in both groups with a better hearing gain in the underlay group. Pacini Editore SpA 2011-12 /pmc/articles/PMC3272871/ /pubmed/22323847 Text en © Copyright by Società Italiana di Otorinolaringologia e Chirurgia Cervico-Facciale http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License, which permits for noncommercial use, distribution, and reproduction in any digital medium, provided the original work is properly cited and is not altered in any way. For details, please refer to http://creativecommons.org/licenses/by-nc-nd/3.0/
spellingShingle Otology
SERGI, B.
GALLI, J.
DE CORSO, E.
PARRILLA, C.
PALUDETTI, G.
Overlay versus underlay myringoplasty: report of outcomes considering closure of perforation and hearing function
title Overlay versus underlay myringoplasty: report of outcomes considering closure of perforation and hearing function
title_full Overlay versus underlay myringoplasty: report of outcomes considering closure of perforation and hearing function
title_fullStr Overlay versus underlay myringoplasty: report of outcomes considering closure of perforation and hearing function
title_full_unstemmed Overlay versus underlay myringoplasty: report of outcomes considering closure of perforation and hearing function
title_short Overlay versus underlay myringoplasty: report of outcomes considering closure of perforation and hearing function
title_sort overlay versus underlay myringoplasty: report of outcomes considering closure of perforation and hearing function
topic Otology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3272871/
https://www.ncbi.nlm.nih.gov/pubmed/22323847
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