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Application of posterior canal skin flap for the repair of large tympanic membrane perforations

OBJECTIVE: Many methods have been described for the repair of the tympanic membrane, but there is no general consensus as to the standard method. The aim of this study was to evaluate the effect of the inferior base posterior canal skin flap on the graft success rate in large tympanic membrane perfo...

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Autores principales: Faramarzi, Mohammad, Bagheri, Fateme, Roosta, Sareh, Jahangiri, Reza
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley & Sons, Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9008177/
https://www.ncbi.nlm.nih.gov/pubmed/35434334
http://dx.doi.org/10.1002/lio2.756
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author Faramarzi, Mohammad
Bagheri, Fateme
Roosta, Sareh
Jahangiri, Reza
author_facet Faramarzi, Mohammad
Bagheri, Fateme
Roosta, Sareh
Jahangiri, Reza
author_sort Faramarzi, Mohammad
collection PubMed
description OBJECTIVE: Many methods have been described for the repair of the tympanic membrane, but there is no general consensus as to the standard method. The aim of this study was to evaluate the effect of the inferior base posterior canal skin flap on the graft success rate in large tympanic membrane perforations. METHODS: After the post‐auricular incision, the posterior canal skin flap with inferior pedicle was created by two vertical and one horizontal incisions. Then the flap was rotated over the temporalis fascia graft. The graft success rate and postoperation hearing test results were evaluated in 52 patients who suffered from large tympanic membrane perforations. RESULTS: We achieved a 92.3% total graft success rate with about 9 dB improvement in speech reception threshold (SRT). CONCLUSION: The rotational inferior base posterior canal skin flap tympanoplasty technique is simple, fast, safe, and effective for the repair of subtotal tympanic membrane perforations.
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spelling pubmed-90081772022-04-15 Application of posterior canal skin flap for the repair of large tympanic membrane perforations Faramarzi, Mohammad Bagheri, Fateme Roosta, Sareh Jahangiri, Reza Laryngoscope Investig Otolaryngol Otology, Neurotology, and Neuroscience OBJECTIVE: Many methods have been described for the repair of the tympanic membrane, but there is no general consensus as to the standard method. The aim of this study was to evaluate the effect of the inferior base posterior canal skin flap on the graft success rate in large tympanic membrane perforations. METHODS: After the post‐auricular incision, the posterior canal skin flap with inferior pedicle was created by two vertical and one horizontal incisions. Then the flap was rotated over the temporalis fascia graft. The graft success rate and postoperation hearing test results were evaluated in 52 patients who suffered from large tympanic membrane perforations. RESULTS: We achieved a 92.3% total graft success rate with about 9 dB improvement in speech reception threshold (SRT). CONCLUSION: The rotational inferior base posterior canal skin flap tympanoplasty technique is simple, fast, safe, and effective for the repair of subtotal tympanic membrane perforations. John Wiley & Sons, Inc. 2022-02-14 /pmc/articles/PMC9008177/ /pubmed/35434334 http://dx.doi.org/10.1002/lio2.756 Text en © 2022 The Authors. Laryngoscope Investigative Otolaryngology published by Wiley Periodicals LLC on behalf of The Triological Society. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Otology, Neurotology, and Neuroscience
Faramarzi, Mohammad
Bagheri, Fateme
Roosta, Sareh
Jahangiri, Reza
Application of posterior canal skin flap for the repair of large tympanic membrane perforations
title Application of posterior canal skin flap for the repair of large tympanic membrane perforations
title_full Application of posterior canal skin flap for the repair of large tympanic membrane perforations
title_fullStr Application of posterior canal skin flap for the repair of large tympanic membrane perforations
title_full_unstemmed Application of posterior canal skin flap for the repair of large tympanic membrane perforations
title_short Application of posterior canal skin flap for the repair of large tympanic membrane perforations
title_sort application of posterior canal skin flap for the repair of large tympanic membrane perforations
topic Otology, Neurotology, and Neuroscience
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9008177/
https://www.ncbi.nlm.nih.gov/pubmed/35434334
http://dx.doi.org/10.1002/lio2.756
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