Paper patching for chronic tympanic membrane perforations

Avishay Golz, David Goldenberg, Aviram Netzer, Milo Fradis, S. Thomas Westerman, Liane M. Westerman, Henry Z. Joachims

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Abstract

OBJECTIVE: This study was designed to evaluate the results of paper-patch myringoplasty in patients with chronic perforations of the tympanic membrane of different sizes. STUDY DESIGN AND SETTING: A retrospective survey of paper-patch myringoplasties performed in a tertiary referral academic medical center on 77 patients with chronic perforations of the eardrum was carried out. Data consisted of the causes of the perforations, time the perforations had been present, their size, number of patch applications, duration of application, and number of successfully closed perforations. RESULTS: Closure rate was 63.2%, 43.5%, and 12.5% for small, medium, and large perforations, respectively. Small perforations needed the least number of repeated applications and the least time for closure. CONCLUSIONS AND SIGNIFICANCE: Paper patching is technically simple, time saving, safe to perform, cost effective, and suitable as an outpatient procedure and has a good success rate, It should be tried in perforations smaller than 5 mm before a patient is referred for surgery.

Original languageEnglish (US)
Pages (from-to)565-570
Number of pages6
JournalOtolaryngology - Head and Neck Surgery
Volume128
Issue number4
DOIs
Publication statusPublished - Apr 1 2003

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All Science Journal Classification (ASJC) codes

  • Surgery
  • Otorhinolaryngology

Cite this

Golz, A., Goldenberg, D., Netzer, A., Fradis, M., Westerman, S. T., Westerman, L. M., & Joachims, H. Z. (2003). Paper patching for chronic tympanic membrane perforations. Otolaryngology - Head and Neck Surgery, 128(4), 565-570. https://doi.org/10.1016/S0194-5998(03)00124-4