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The effect of anterior tab flap technique on graft success rate in large tympanic membrane perforation

  • Otology
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

Purpose

Questions have been raised about the effectiveness of myringoplasty techniques for the large tympanic membrane perforation. Various surgical approaches have been recommended to achieve a satisfactory graft success rate in large tympanic membrane perforations. Consequently, there is a growing body of literature that recognizes this controversial topic in otology. The aim of the present research was to investigate the graft success rate in the anterior tab flap technique in ears with large tympanic membrane perforations.

Methods

In this retrospective study, we analyzed 157 ears (belong to 157 patients) which underwent tympanoplasty, intact canal wall mastoidectomy or canal wall down mastoidectomy with anterior tab flap method. Our primary outcome was graft success rate.

Results

We achieved a graft success rate of 89.8% (141 ears from a total of 157 ears) by the usage of anterior tab flap method.

Conclusion

We suggest anterior tab flap as a safe and effective surgical technique for large tympanic membrane perforations.

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Acknowledgements

The present article was extracted from the thesis presented for obtaining the specialty of otolaryngology degree by Sepideh Atashi, MD and the fellowship degree of otology by Mohsen Edalatkhah, MD.

Funding

The authors declare that no funding was received for this study. We carried out this study and wrote this article independent from assistance or support of any company.

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Authors and Affiliations

  1. Otolaryngology Research Center, Department of Otolaryngology, Shiraz University of Medical Sciences, Shiraz, Iran

    Mohammad Faramarzi, Sepideh Atashi, Mohsen Edalatkhah & Sareh Roosta

Authors
  1. Mohammad Faramarzi
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  2. Sepideh Atashi
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  3. Mohsen Edalatkhah
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  4. Sareh Roosta
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Contributions

Mohammad Faramarzi designed the study and performed the surgical operations. Data collection was accomplished by Mohsen Edalatkhah and Sepideh Atashi. Data analysis and interpretation of data were performed by Sareh Roosta. The first draft of the manuscript was written by Mohammad Faramarzi, Sareh Roosta, Sepideh Atashi, and Mohsen Edalatkhah. All authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Sareh Roosta.

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Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in this study were in accordance with the ethical standards of the local Ethics Committee of Shiraz University of Medical Sciences review board and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Informed consent

The board waived the need for informed consent, since the subject’s records and information were anonymized and de‐identified prior to the analysis.

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Cite this article

Faramarzi, M., Atashi, S., Edalatkhah, M. et al. The effect of anterior tab flap technique on graft success rate in large tympanic membrane perforation. Eur Arch Otorhinolaryngol 278, 1765–1772 (2021). https://doi.org/10.1007/s00405-020-06222-1

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  • DOI: https://doi.org/10.1007/s00405-020-06222-1

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