This prospective study compared the surgical outcomes of 35 patients who underwent myringoplasty—16 who were treated as outpatients and 19 who were admitted as inpatients. The outpatient technique involved a free skin graft, with the temporalis fascia placed as an underlay graft. The inpatients underwent the standard myringoplasty procedure.
Postoperatively, 14 of the 16 outpatients (87.5%) and 17 of the 19 inpatients (89.5%) were completely healed within 2 weeks. The results of this study indicate that outpatient myringoplasty with a free skin graft is as safe and effective as standard myringoplasty for most patients.
References
1.
MendelL., KuylenstiernaR.A clinical comparison of the results of two different methods of closing tympanic membrane perforations. J Laryngol Otol1985; 99: 339–42.
SpandowO., HellstromS., DahlstromM., BohlinL.Comparison of the repair of permanent tympanic membrane perforations by hydrocolloidal dressing and paper patch. J Laryngol Otol1995; 109: 1041–7.
4.
PfleidererA.G., MoffatD.A.The fasciaform graft: A technique for the repair of large perforations of the tympanic membrane. Clin Otolaryngol1988; 13: 427–34.
MitchellR.B., PereiraK.D., LazarR.H.Fat graft myringoplasty in children—a safe and successful day-stay procedure. J Laryngol Otol1997; 111: 106–8.
7.
TruyE., DisantF., TiollierJ.A clinical study of human type IV collagen as tympanic membrane grafting material: Preliminary noncomparative study. Arch Otolaryngol Head Neck Surg1994; 120: 1329–32.
8.
CallananV.P., CurranA.J., GormleyP.K.Xenograft versus autograft in tympanoplasty. J Laryngol Otol1993; 107: 892–4.
9.
EnsariS., SelampinarF., AkalinY.The use of molded tympanic heterograft (lamb peritoneum). Ear Nose Throat J1995; 74: 487–9.
10.
GibbA.G., ChangS.K.Myringoplasty (A review of 365 operations). J Laryngol Otol1982; 96: 915–30.
11.
VartiainenE., NuutinenJ.Success and pitfalls in myringoplasty: Follow-up study of 404 cases. Am J Otol1993; 14: 301–5.
