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Nasal septal perichondrium versus temporalis fascia in transmeatal myringoplasty
Joint Authors
Hammad, Mustafa
Jumah, Muhammad
Source
Egyptian Journal of Ear, Nose, Throat and Allied Sciences
Issue
Vol. 12, Issue 1 (31 Mar. 2011), pp.1-6, 6 p.
Publisher
Egyptian Society of Ear Nose Throat and Allied Science
Publication Date
2011-03-31
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Topics
Abstract EN
Objective: The aim of this study was to compare between nasal sepal perichondrium and temporalis fascia in surgical repair of tympanic membrane perforation.
Patients and methods: A prospective study was done on 40 patients from the out-patient clinics of otorhinolaryngology department of El-Minia University Hospital with ages ranging between 18 and 54.
All patients had a persistent, symptomatic tympanic membrane perforation, and 20 patients out of 40 had nasal obstruction due to nasal septal deviation.
All patients were scheduled for myringoplasty by a transmeatal approach in combination with septoplasty – for the patients with deviated nasal septum – under general anesthesia.
In 20 patients, nasal septal perichondrium was taken and used as a graft for transmeatal myringoplasty.
In the remainder 20 patients, myringoplasty was done by using temporalis fascia as a graft.
Results: Sixteen out of 20 patients (80%) nasal septal perichondrium grafts were successfully uptaken.
In temporalis fascia group, 17 out of 20 (85%) perforations had been successfully closed.
As regards hearing, all patients of both groups had more than 5 dB HL improvement in conductive hearing thresholds of at least three frequencies.
An overall success rate of 92% was recorded in terms of hearing improvement.
No significant differences were present between both groups as regards healing and hearing improvement.
Conclusion: In patients with simultaneous myringoplasty and septoplasty nasal septal perichondrium was better to be used as a graft material for repair of tympanic membrane perforation to avoid the post-auricular incision to obtain temporalis fascia.
In addition, nasal septal perichondrium has other advantages, it is easily accessible, cost-effective, time saving and is sufficiently large.
American Psychological Association (APA)
Hammad, Mustafa& Jumah, Muhammad. 2011. Nasal septal perichondrium versus temporalis fascia in transmeatal myringoplasty. Egyptian Journal of Ear, Nose, Throat and Allied Sciences،Vol. 12, no. 1, pp.1-6.
https://search.emarefa.net/detail/BIM-375008
Modern Language Association (MLA)
Hammad, Mustafa& Jumah, Muhammad. Nasal septal perichondrium versus temporalis fascia in transmeatal myringoplasty. Egyptian Journal of Ear, Nose, Throat and Allied Sciences Vol. 12, no. 1 (Mar. 2011), pp.1-6.
https://search.emarefa.net/detail/BIM-375008
American Medical Association (AMA)
Hammad, Mustafa& Jumah, Muhammad. Nasal septal perichondrium versus temporalis fascia in transmeatal myringoplasty. Egyptian Journal of Ear, Nose, Throat and Allied Sciences. 2011. Vol. 12, no. 1, pp.1-6.
https://search.emarefa.net/detail/BIM-375008
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 5-6
Record ID
BIM-375008