Perforations of Tympanic Membrane and Tympanoplasty

Trombetta, Alessandro

doi:10.1001/archotol.77.1.95

Cited by 3 publications

(2 citation statements)

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“…Among those in use are: free full-thickness skin graft, 1 meatal skin graft 2 (either free, sliding or pedunculated), vein graft 3 ' 4 fascia, 5 fat, 6 cornea 7 and pericardium. 8 Since few surgeons use cornea, fat or pericardium, it is difficult to evaluate the results of these techniques. As to the other tissues, each has its advantages and disadvantages.…”

mentioning

confidence: 99%

Combined Fascia-thin Split Skin Graft for Myringoplasty

Kraus¹,

Leventon²,

Man³

1964

J. Laryngol. Otol.

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mentioning

confidence: 99%

Combined Fascia-thin Split Skin Graft for Myringoplasty

Kraus¹,

Leventon²,

Man³

1964

J. Laryngol. Otol.

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“…Πολλοί ώτοχειρουργοί αναφέρουν οτι έχρησιμοποίησαν, ώς μόσχευμα τοίχωμα φλεβός μέ πολύ καλά αποτελέσματα (Shea 1960, Tabb 1960, Mil ler 1961, Austin 1963). Ό Trombetta (1963) Wells (1965), έχρησιμοποίησαν περιόστεον τό όποιον έλάμβανον εκ τής μαστοειδούς χώρας. Ή περιτονία έχρησιμοποιήθη αρχικώς υπό τών Ortegren (1959), Heerman (1961) καί Storrs (1961).…”

Section: μεταμόσχευσις συνδετικού ίστοΰunclassified

Συμβολη Εις Την Χειρουργικην Αντιμετωπισιν Των Διατρησεων Του Τυμπανι- Κου Υμενοσ:παρουσιασις Των Αποτελεσματων Μιας Νεας Δια Πρωτην Φοραν Υφ'ημων Εφαρμοσθεισης Μεθοδου Μυριγγοπλαστικης

Καλημερακησ¹

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Tympanic Membrane Perforations in Children

Spector

1964

Clin Pediatr (Phila)

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ETIULt~~~T ~~'~D PATHOGEIVESIS hE EARDRUM is composed of three lay-H' E EARDRUM is composed of three layers-an outer epithelial layer, a middle fibrous layer, and an inner mucosal layer. Most persistent perforations are due most commonly to chronic infection, and in these the epithelium has grown over the edges and prevented closure. The edges of such perforations appear white and thickened. Perforations at the drum margin or at the limbus tend to be the most resistant to closure.Perforations of the eardrum are caused by trauma or infection. In children the chief cause is otitis media. Less frequently, trauma to the ear as by a direct blow, blast, concussion, or head injury is the causative mech-.anism. External otitis rarely leads to this complication. Perforations associated with cholesteatoma are usually at the postero-superior periphery of the drum, and ordinarily do not heal spontaneously.The majority of perforations, when not infected or after the infection has subsided, tend to heal spontaneously. Chronic perforations lead to trouble in two ways. Firstly, any ear with a perforated tympanic membrane is susceptible to infection, especially after water gets into the ear. Secondly, hearing may become impaired. Il'~T~IC~TID~~VS FOR SURGERYThe primary indication for surgical repair is a perforation which has persisted for three to six months after all infection has been cleared from the ear. A second factor which recommends repair is a loss of hearing. I hasten to add that a loss of hearing of more than 30 decibels is often due to ossicular discontinuity, and not to the perforation alone. However, a myringoplasty is part of the total rehabilitation of such an ear. A third indication for myringoplasty is recurrent infection whenever water gets into the ear, in order to protect such a middle ear.

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Perforations of Tympanic Membrane and Tympanoplasty

Cited by 3 publications

References 0 publications

Combined Fascia-thin Split Skin Graft for Myringoplasty

Combined Fascia-thin Split Skin Graft for Myringoplasty

Tympanic Membrane Perforations in Children

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