Research Article
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Comparison of anterior tab flap and underlay tympanoplasty techniques in anterior tympanic membrane perforations

Year 2021, Volume 5, Issue 9, 917 - 920, 01.09.2021
https://doi.org/10.28982/josam.982871

Abstract

Background/Aim: Closure of anterior tympanic membrane perforation is surgically demanding with high rates of graft failure. The anterior tab flap (ATF) technique is a modification of underlay tympanoplasty which claims higher success rates for repairing anterior and subtotal perforations. Our main aim was to compare graft take rates of ATF and underlay techniques in anterior tympanic membrane perforations. Method: In this retrospective cohort study, 41 patients with anterior tympanic membrane perforations who underwent tympanoplasty at a tertiary referral center were analyzed. The patients were grouped according to the technique used. Demographic, clinical, and follow-up information as well as preoperative and postoperative 6th-month audiometric data were collected and compared between the groups. Results: Four patients were lost to follow-up. Eighteen patients in the ATF arm and 19 patients in the underlay arm were compared. Graft take rates were 94.4% in the ATF group and 73.7% in the underlay group (P=0.180). An air conduction threshold average of <30 dB was observed in 76.5% in the ATF group and 63.1% in the underlay tympanoplasty group (P>0.05). The postoperative ABG of the ATF and underlay group patients were less than 20 dB in 76.5% and 78.9%, respectively (P>0.05). No graft lateralization, anterior blunting, or cholesteatoma were observed. Conclusion: ATF is a safe and effective technique with a higher success rate for repairing anterior tympanic membrane perforation.

References

  • 1. Baba S, Fujikura T, Pawankar R, Yagi T.Subjective evaluation of post-tympanoplasty hearing in relation to the pure tone threshold. AurisNasus Larynx.2004 Dec;31(4):347-51.
  • 2. Barake R, El Natout T, Bassim M, El Natout MA. Loop underlay tympanoplasty for anterior, subtotal and total tympanic membrane perforations: a retrospective review. J Otolaryngol Head Neck Surg. 2019;48:12.
  • 3. FischU, May JS, Linder T. Tympanoplasty, Mastoidectomy and Stapes Surgery. Second Edition.Thieme Group. 2008: page 45.
  • 4. Faramarzi A, Hashemi SB, Rajaee A. “Mucosal pocket" myringoplasty: a modification of underlay technique for anterior or subtotal perforations. Am J Otolaryngol. Nov-Dec 2012;33(6):708-13.
  • 5. Harris JP, Wong YT, Yang TH, Miller M. How I do it: Anterior pull-through tympanoplasty for anterior eardrum perforations. Acta Otolaryngol. 2016;136(4):414-9.
  • 6. Bailey HAT Jr. Symposium: Methods of reconstruction in tympanoplasty. II. Maintenance of the anterior sulcus-tympanic membrane relationships in tympanoplastic surgery. Laryngoscope. 1976 Feb;86(2):179-84.
  • 7. Primrose WJ, Kerr AG. The anterior marjinal perforation. Clin Otolaryngol Allied Sci. 1986 Jun;11(3):175-6.
  • 8. Sharp JF, Terzis TF, Robinson J. Myringoplasty for the anterior perforation: experience with the Kerr flap. J Laryngol Otol .1992 Jan;106(1):14-6.
  • 9. Scally CM, Allen L, Kerr AG. The anterior hitch method of tympanic membrane repair. Ear Nose Throat J. 1996 Apr;75(4):244-7.
  • 10. Faramarzi M, Atashi S, Edalatkhah M, Roosta S. The effect of anterior tab flap technique on graft success rate in large tympanic membrane perforation. Eur Arch Otorhinolaryngol. 2020 Jul 27. Online ahead of print.
  • 11. D'Eredità R, Lens MB. Anterior tab flap versus standard underlay myringoplasty in children. Otol Neurotol. 2009 Sep;30(6):777-81.

Year 2021, Volume 5, Issue 9, 917 - 920, 01.09.2021
https://doi.org/10.28982/josam.982871

Abstract

References

  • 1. Baba S, Fujikura T, Pawankar R, Yagi T.Subjective evaluation of post-tympanoplasty hearing in relation to the pure tone threshold. AurisNasus Larynx.2004 Dec;31(4):347-51.
  • 2. Barake R, El Natout T, Bassim M, El Natout MA. Loop underlay tympanoplasty for anterior, subtotal and total tympanic membrane perforations: a retrospective review. J Otolaryngol Head Neck Surg. 2019;48:12.
  • 3. FischU, May JS, Linder T. Tympanoplasty, Mastoidectomy and Stapes Surgery. Second Edition.Thieme Group. 2008: page 45.
  • 4. Faramarzi A, Hashemi SB, Rajaee A. “Mucosal pocket" myringoplasty: a modification of underlay technique for anterior or subtotal perforations. Am J Otolaryngol. Nov-Dec 2012;33(6):708-13.
  • 5. Harris JP, Wong YT, Yang TH, Miller M. How I do it: Anterior pull-through tympanoplasty for anterior eardrum perforations. Acta Otolaryngol. 2016;136(4):414-9.
  • 6. Bailey HAT Jr. Symposium: Methods of reconstruction in tympanoplasty. II. Maintenance of the anterior sulcus-tympanic membrane relationships in tympanoplastic surgery. Laryngoscope. 1976 Feb;86(2):179-84.
  • 7. Primrose WJ, Kerr AG. The anterior marjinal perforation. Clin Otolaryngol Allied Sci. 1986 Jun;11(3):175-6.
  • 8. Sharp JF, Terzis TF, Robinson J. Myringoplasty for the anterior perforation: experience with the Kerr flap. J Laryngol Otol .1992 Jan;106(1):14-6.
  • 9. Scally CM, Allen L, Kerr AG. The anterior hitch method of tympanic membrane repair. Ear Nose Throat J. 1996 Apr;75(4):244-7.
  • 10. Faramarzi M, Atashi S, Edalatkhah M, Roosta S. The effect of anterior tab flap technique on graft success rate in large tympanic membrane perforation. Eur Arch Otorhinolaryngol. 2020 Jul 27. Online ahead of print.
  • 11. D'Eredità R, Lens MB. Anterior tab flap versus standard underlay myringoplasty in children. Otol Neurotol. 2009 Sep;30(6):777-81.

Details

Primary Language English
Subjects Otorhinolaryngology
Journal Section Research article
Authors

Fatih MUTLU (Primary Author)
KOCAELI UNIVERSITY, SCHOOL OF MEDICINE
0000-0003-4831-9582
Türkiye


Kasım DURMUŞ This is me
Babaeski State Hospital
0000-0003-1013-067X
Türkiye


Murat ÖZTÜRK
KOCAELI UNIVERSITY, SCHOOL OF MEDICINE
0000-0002-3340-9975
Türkiye


Hasan Mervan DEĞER
KOCAELI UNIVERSITY, SCHOOL OF MEDICINE
0000-0002-7415-5465
Türkiye

Publication Date September 1, 2021
Published in Issue Year 2021, Volume 5, Issue 9

Cite

Bibtex @research article { josam982871, journal = {Journal of Surgery and Medicine}, issn = {}, eissn = {2602-2079}, address = {jsurgmed@gmail.com}, publisher = {Fatih BAŞAK}, year = {2021}, volume = {5}, pages = {917 - 920}, doi = {10.28982/josam.982871}, title = {Comparison of anterior tab flap and underlay tympanoplasty techniques in anterior tympanic membrane perforations}, key = {cite}, author = {Mutlu, Fatih and Durmuş, Kasım and Öztürk, Murat and Değer, Hasan Mervan} }
APA Mutlu, F. , Durmuş, K. , Öztürk, M. & Değer, H. M. (2021). Comparison of anterior tab flap and underlay tympanoplasty techniques in anterior tympanic membrane perforations . Journal of Surgery and Medicine , 5 (9) , 917-920 . DOI: 10.28982/josam.982871
MLA Mutlu, F. , Durmuş, K. , Öztürk, M. , Değer, H. M. "Comparison of anterior tab flap and underlay tympanoplasty techniques in anterior tympanic membrane perforations" . Journal of Surgery and Medicine 5 (2021 ): 917-920 <http://jsurgmed.com/en/pub/issue/64812/982871>
Chicago Mutlu, F. , Durmuş, K. , Öztürk, M. , Değer, H. M. "Comparison of anterior tab flap and underlay tympanoplasty techniques in anterior tympanic membrane perforations". Journal of Surgery and Medicine 5 (2021 ): 917-920
RIS TY - JOUR T1 - Comparison of anterior tab flap and underlay tympanoplasty techniques in anterior tympanic membrane perforations AU - Fatih Mutlu , Kasım Durmuş , Murat Öztürk , Hasan Mervan Değer Y1 - 2021 PY - 2021 N1 - doi: 10.28982/josam.982871 DO - 10.28982/josam.982871 T2 - Journal of Surgery and Medicine JF - Journal JO - JOR SP - 917 EP - 920 VL - 5 IS - 9 SN - -2602-2079 M3 - doi: 10.28982/josam.982871 UR - https://doi.org/10.28982/josam.982871 Y2 - 2021 ER -
EndNote %0 Journal of Surgery and Medicine Comparison of anterior tab flap and underlay tympanoplasty techniques in anterior tympanic membrane perforations %A Fatih Mutlu , Kasım Durmuş , Murat Öztürk , Hasan Mervan Değer %T Comparison of anterior tab flap and underlay tympanoplasty techniques in anterior tympanic membrane perforations %D 2021 %J Journal of Surgery and Medicine %P -2602-2079 %V 5 %N 9 %R doi: 10.28982/josam.982871 %U 10.28982/josam.982871
ISNAD Mutlu, Fatih , Durmuş, Kasım , Öztürk, Murat , Değer, Hasan Mervan . "Comparison of anterior tab flap and underlay tympanoplasty techniques in anterior tympanic membrane perforations". Journal of Surgery and Medicine 5 / 9 (September 2021): 917-920 . https://doi.org/10.28982/josam.982871
AMA Mutlu F. , Durmuş K. , Öztürk M. , Değer H. M. Comparison of anterior tab flap and underlay tympanoplasty techniques in anterior tympanic membrane perforations. J Surg Med. 2021; 5(9): 917-920.
Vancouver Mutlu F. , Durmuş K. , Öztürk M. , Değer H. M. Comparison of anterior tab flap and underlay tympanoplasty techniques in anterior tympanic membrane perforations. Journal of Surgery and Medicine. 2021; 5(9): 917-920.
IEEE F. Mutlu , K. Durmuş , M. Öztürk and H. M. Değer , "Comparison of anterior tab flap and underlay tympanoplasty techniques in anterior tympanic membrane perforations", Journal of Surgery and Medicine, vol. 5, no. 9, pp. 917-920, Sep. 2021, doi:10.28982/josam.982871

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