Myringoplasty with temporalis fascia


Saleh A. Tawfique1,Abdulla Alnakshabandi2

Kurdistan Board for Medical specialties, 2 ENT Department, Alain hospital, Alain city, UAE



Abstract
          A retrospective study for myringoplasty operations at ENT department, Alain hospital, Alain city-UAE for the last 5 years (2004-2009) done. Total 64 patients with central tympanic membrane perforation were operated by one surgeon using Temporalis fascia graft for repair and using underlay technique. In 56 cases (87%) graft were taken completely while in 8 (13%) cases graft, were partially taken and patients had smaller residual perforation. 39 ears (60%) had normal hearing or improved hearing up to 15 dB air-bone gape. The average time for follow up was 37 months (2-72 months). 
Keywords: Myringoplasty, Temporalis fascia graft. 

References:
1- Wullstein H. Theory and practice of tympanoplasty. Laryngoscope; 66:1076-1095, (1956). 
2- Brain J. Bingham Maurice R. Hawthorne-Synopsis of operative ENT surgery; 84-85, (1999). 
3- Browning GG, Merchant SN, Kelly G et al. Chronic otitis media. In: Gleeson M, ed. Scott-Brown's Otorhinolaryngology Head and Neck Surgery. London: Hodder Arnold, 3395-445, (2008). 
4- Peter A.W episcope (MD) &Anurag Jain (FRCS, DLO) Middle Ear, CSOM,  Surgical treatment, emedicine, (2006). 
5- Mompó Romero L, Dalai Galore J, Pons Rocher F, Ferrandis Perepérez E, Guallart Doménech F, Serrano Badía E survey of 80S myringoplasty.n Otorrinolaryngol Ibero Am, 23:565-76, (1996).  
6- Jurovitzki I, Sadé J Myringoplasty: long-term follow-up Am J Otol; 9:52-5, (1988). 
7- Vartiainen E, Nuutinen J Success and pitfalls in myringoplasty: follow-up study of 404 cases.Am J Otol; 14:301-5, (1993).  
8- Tympanoplasty,editorial staff aurorahealth care 1/12/2010. www.aurorahealthcare.org 
9- Saleh A. Tawfique, Myringoplasty with temporalis fascia. Ann coll Med Mosul; 16: 23-30, (1990).  
10- Onal K, Uguz MZ, Kazikdas KC, Gursoy ST, Gokce H A multivariate analysis of otological, surgical and patient-related factors in determining success in myringoplasty. Clin Otolaryngol; 30: 115-20, (2005). 
11- Ear drum & middle ear surgery –tympanoplasty, ENT USA website 20 July 2011, www.entusa.com 
12- Frade Gonzalez, Castro Vilas, Rodriguez E, Elhendi W. Prognostic factors influencing anatomical and functional outcome in  myringoplasty. Acta oto. ESP: 53(10): 729-35, (2002). 
13- Singh GB, Sharma A., Singh N. Role of transtympanic myringoplasty in modern otology.JLO:35(6); 408, (2006).