Abstract
SummaryThe treatment of tympanic membrane perforations in the pediatric population with sequelae of chronic otitis media represents a challenge to otolaryngologists. Aim: to assess the clinical and audiometric results of the inlay technique with a tragus cartilage plug. Materials and Methods: we assessed 23 patients (ages between 1 and 15 years) who underwent plug tympanoplasty. Study design: clinical retrospective. Results: repair success rate was of 82.6%, with audiometric parameters improvement in 87.5% of the patients. Complications were minimum. Conclusion: considering the results attained, this method of tympanoplasty should be considered a good treatment option for tympanic membrane perforation in children.
Highlights
The first known attempt to repair an ear drum perforation was allegedly made by Banzer, in 1640, using a swine bladder membrane graft[1]
In 1952, Zollner and Wullstein published their methods, using retroauricular skin grafts; they did not succeed in treating tympanic membrane perforations[1,2,4,5,6]
TECHNIQUE With the patient under general anesthesia and under microscopic view, we examined the tympanic membrane perforation (Fig.1)
Summary
The first known attempt to repair an ear drum perforation was allegedly made by Banzer, in 1640, using a swine bladder membrane graft[1]. In 1878, Berthold, used a skin graft and in 1887, Blake recommended the use of a piece of paper as a template to tympanic membrane regeneration[1]. Notwithstanding, it was only after 1944, with the beginning of antibiotics and with the improvement in surgical techniques that other materials were used as grafts in tympanoplasties[1,2]. After this time, in 1952, Zollner and Wullstein published their methods, using retroauricular skin grafts; they did not succeed in treating tympanic membrane perforations[1,2,4,5,6]. In 2003, Oliveira et al Observed that the use of synthetic biomaterial (latex biomembrane with polylysine) could contribute to a greater graft take rate of temporal fascia in tympanoplasties[9]
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