TY - JOUR
T1 - Three-point fix tympanoplasty
AU - Shim, Dae Bo
AU - Kim, Hyun Ji
AU - Kim, Mi Joo
AU - Moon, In Seok
N1 - Publisher Copyright:
© 2015 Informa Healthcare.
Copyright:
Copyright 2016 Elsevier B.V., All rights reserved.
PY - 2015/5/1
Y1 - 2015/5/1
N2 - Conclusion: The three-point fix tympanoplasty procedure is a stable and effective technique - with a high degree of graft take and satisfactory hearing results - for reconstruction of most tympanic membrane (TM) perforations. Objective: It is difficult to repair a TM perforation, including subtotal perforation, involving the anterior part of the annulus. Reperforation can occur when an underlay graft technique is used. An overlay graft technique may result in anterior blunting/lateralization. We introduce a three-point fix tympanoplasty procedure, which can provide additional support to yield a stable graft. Methods: The study enrolled a total of 234 patients who underwent a three-point fix tympanoplasty procedure from November 2005 to June 2011. Anatomic success was defined as an intact, repaired TM, while functional success was defined as a significant decrease in the air - bone gap at the end of follow-up compared with preoperative hearing (air - bone gap). The complication rate was also analyzed. Results: The anatomic success rate was 93.2% (218/234 patients). The functional success rate after an average of 1 year was 73.5%. The postoperative average pure-tone air - bone gap (15.4 ± 11.4 dB) decreased successfully in comparison with the preoperative average air - bone gap (20.6 ± 12.1 dB). There were few postoperative complications (7.7%).
AB - Conclusion: The three-point fix tympanoplasty procedure is a stable and effective technique - with a high degree of graft take and satisfactory hearing results - for reconstruction of most tympanic membrane (TM) perforations. Objective: It is difficult to repair a TM perforation, including subtotal perforation, involving the anterior part of the annulus. Reperforation can occur when an underlay graft technique is used. An overlay graft technique may result in anterior blunting/lateralization. We introduce a three-point fix tympanoplasty procedure, which can provide additional support to yield a stable graft. Methods: The study enrolled a total of 234 patients who underwent a three-point fix tympanoplasty procedure from November 2005 to June 2011. Anatomic success was defined as an intact, repaired TM, while functional success was defined as a significant decrease in the air - bone gap at the end of follow-up compared with preoperative hearing (air - bone gap). The complication rate was also analyzed. Results: The anatomic success rate was 93.2% (218/234 patients). The functional success rate after an average of 1 year was 73.5%. The postoperative average pure-tone air - bone gap (15.4 ± 11.4 dB) decreased successfully in comparison with the preoperative average air - bone gap (20.6 ± 12.1 dB). There were few postoperative complications (7.7%).
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U2 - 10.3109/00016489.2014.985800
DO - 10.3109/00016489.2014.985800
M3 - Article
C2 - 25739416
AN - SCOPUS:84928311195
VL - 135
SP - 429
EP - 434
JO - Acta Oto-Laryngologica
JF - Acta Oto-Laryngologica
SN - 0001-6489
IS - 5
ER -