Is external ear canal packing necessary following underlay myringoplasty?

IF 0.8 4区医学 Q3 OTORHINOLARYNGOLOGY Journal of Laryngology and Otology Pub Date : 2025-03-01 DOI:10.1017/S0022215124001762

Yajian Shen, Zhengcai Lou

{"title":"Is external ear canal packing necessary following underlay myringoplasty?","authors":"Yajian Shen, Zhengcai Lou","doi":"10.1017/S0022215124001762","DOIUrl":null,"url":null,"abstract":"Objective: The objective of this study was to evaluate graft success, hearing improvement, and complications following perichondrium-cartilage underlay myringoplasty without external auditory canal packing.Methods: In this prospective study, we examined 37 ears of 37 patients with large perforations who underwent endoscopic perichondrium-cartilage underlay myringoplasty without external auditory canal packing. Patients were followed up for six months.Results: At one week after the surgery, the graft was in situ in 35 (94.6 per cent) ears. At 2-3 weeks post-surgery, among the 35 ears without infection, the graft was in situ in 29 (82.9 per cent) ears, and the graft was bulging in 6 (17.1 per cent) ears. At six months post-surgery, the graft success rate was 94.6 per cent (35 of 37 ears). No graft lateralisation or graft medialisation was encountered during the follow-up period.Conclusion: The absence of external auditory canal packing did not affect the graft success or hearing improvement following underlay myringoplasty. Thus, external auditory canal packing does not appear to be necessary for underlay myringoplasty.","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"182-186"},"PeriodicalIF":0.8000,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Laryngology and Otology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1017/S0022215124001762","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"OTORHINOLARYNGOLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Objective: The objective of this study was to evaluate graft success, hearing improvement, and complications following perichondrium-cartilage underlay myringoplasty without external auditory canal packing.

Methods: In this prospective study, we examined 37 ears of 37 patients with large perforations who underwent endoscopic perichondrium-cartilage underlay myringoplasty without external auditory canal packing. Patients were followed up for six months.

Results: At one week after the surgery, the graft was in situ in 35 (94.6 per cent) ears. At 2-3 weeks post-surgery, among the 35 ears without infection, the graft was in situ in 29 (82.9 per cent) ears, and the graft was bulging in 6 (17.1 per cent) ears. At six months post-surgery, the graft success rate was 94.6 per cent (35 of 37 ears). No graft lateralisation or graft medialisation was encountered during the follow-up period.

Conclusion: The absence of external auditory canal packing did not affect the graft success or hearing improvement following underlay myringoplasty. Thus, external auditory canal packing does not appear to be necessary for underlay myringoplasty.

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

耳膜衬垫成形术后是否需要外耳道填料？

目的：本研究的目的是评估无外耳道填塞的软骨膜-软骨下膜成形术后的移植成功、听力改善和并发症。方法：在这项前瞻性研究中，我们检查了37只耳朵的37例大穿孔患者，他们接受了内窥镜下软骨膜-软骨下鼓膜成形术，没有外耳道填充物。患者随访6个月。结果：术后1周，35耳（94.6%）耳移植体在原位。术后2-3周，35只未感染的耳朵中，29只（82.9%）耳朵移植物原位，6只（17.1%）耳朵移植物膨出。术后6个月，移植成功率为94.6%（35 / 37耳）。随访期间未发生移植物侧化或移植物媒质化。结论：外耳道填充物的缺失不影响耳膜成形术后外耳道移植的成功或听力的改善。因此，外耳道填塞对于下垫鼓膜成形术似乎不是必需的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊

Journal of Laryngology and Otology 医学-耳鼻喉科学

CiteScore

3.20

自引率

11.80%

发文量

593

审稿时长

3-6 weeks

期刊介绍： The Journal of Laryngology & Otology (JLO) is a leading, monthly journal containing original scientific articles and clinical records in otology, rhinology, laryngology and related specialties. Founded in 1887, JLO is absorbing reading for ENT specialists and trainees. The journal has an international outlook with contributions from around the world, relevant to all specialists in this area regardless of the country in which they practise. JLO contains main articles (original, review and historical), case reports and short reports as well as radiology, pathology or oncology in focus, a selection of abstracts, book reviews, letters to the editor, general notes and calendar, operative surgery techniques, and occasional supplements. It is fully illustrated and has become a definitive reference source in this fast-moving subject area. Published monthly an annual subscription is excellent value for money. Included in the subscription is access to the JLO interactive web site with searchable abstract database of the journal archive back to 1887.