Abstract
The present paper deals with the experience of the author with myringoplasty with tragal peri-chondrial graft in 650 cases. Following conclusions were reached:
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1.
Delayed epithelisation of grafted tympanic membrance is seen in rainy season with external otitis and wrong placement of graft. It is facilitated with meatal skin grafting.
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2.
Acute middle ear infection is easily controlled and the peri-chondrial graft offers good resistence.
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3.
Epithelial pearls occur most commonly round the handle of malleus and should be excised. Inlay graft in cases with large perforation is recommended.
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4.
Rounding off of the anterior canal recess can be avoided by removing the anterior canal bulge, skin grafting and adequate packing of canal.
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5.
Lateralisation is often a displacement of graft rather than misplacement at surgery.
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6.
Thick opaque looking tympanic membrane may have fluid or cholesteatoma behind it and tympanotomy should be done in such cases.
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References
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Paper read at the 28th Annual Conference of the Association of Otolaryngologists of India held in Calcutta in January 1976.
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Kacker, S.K. Suggestions for Improving Results in Myringoplasty. Indian J Otolaryngol 28, 73–75 (1976). https://doi.org/10.1007/BF02990582
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DOI: https://doi.org/10.1007/BF02990582