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Published in: European Archives of Oto-Rhino-Laryngology 6/2021

01-06-2021 | Cholesteatoma | Otology

The effect of anterior tab flap technique on graft success rate in large tympanic membrane perforation

Authors: Mohammad Faramarzi, Sepideh Atashi, Mohsen Edalatkhah, Sareh Roosta

Published in: European Archives of Oto-Rhino-Laryngology | Issue 6/2021

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Abstract

Purpose

Questions have been raised about the effectiveness of myringoplasty techniques for the large tympanic membrane perforation. Various surgical approaches have been recommended to achieve a satisfactory graft success rate in large tympanic membrane perforations. Consequently, there is a growing body of literature that recognizes this controversial topic in otology. The aim of the present research was to investigate the graft success rate in the anterior tab flap technique in ears with large tympanic membrane perforations.

Methods

In this retrospective study, we analyzed 157 ears (belong to 157 patients) which underwent tympanoplasty, intact canal wall mastoidectomy or canal wall down mastoidectomy with anterior tab flap method. Our primary outcome was graft success rate.

Results

We achieved a graft success rate of 89.8% (141 ears from a total of 157 ears) by the usage of anterior tab flap method.

Conclusion

We suggest anterior tab flap as a safe and effective surgical technique for large tympanic membrane perforations.
Literature
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go back to reference Dhungana S, Rayamajhi P, Shrivastav RP (2018) Outcome of graft uptake and hearing results between 'U' Flap technique and conventional tympanomeatal flap technique for anterior and subtotal tympanic membrane perforation. J Nepal Health Res Counc 16(3):297–301CrossRefPubMed Dhungana S, Rayamajhi P, Shrivastav RP (2018) Outcome of graft uptake and hearing results between 'U' Flap technique and conventional tympanomeatal flap technique for anterior and subtotal tympanic membrane perforation. J Nepal Health Res Counc 16(3):297–301CrossRefPubMed
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go back to reference Faramarzi M, Dehbozorgi MM, Heydari ST (2015) Is cholesteatoma a risk factor for graft success rate in chronic otitis media surgery? Iran J Otorhinolaryngol 27(83):417–422PubMedPubMedCentral Faramarzi M, Dehbozorgi MM, Heydari ST (2015) Is cholesteatoma a risk factor for graft success rate in chronic otitis media surgery? Iran J Otorhinolaryngol 27(83):417–422PubMedPubMedCentral
Metadata
Title
The effect of anterior tab flap technique on graft success rate in large tympanic membrane perforation
Authors
Mohammad Faramarzi
Sepideh Atashi
Mohsen Edalatkhah
Sareh Roosta
Publication date
01-06-2021
Publisher
Springer Berlin Heidelberg
Published in
European Archives of Oto-Rhino-Laryngology / Issue 6/2021
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI
https://doi.org/10.1007/s00405-020-06222-1

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