Key Points
- Endoscopic myringoplasty with cartilage perichondrium complex has been
considered an effective and well-developed surgery method to repair
tympanic membrane perforation.
- Patients with eustachian tube dysfunction, large perforations,
sub-total or marginal perforations still suffer from lower healing
rate than patients without these poor prognostic factors.
- We further enhanced the contact between graft and tympanic membrane
remnant by adding an extra perichondrium patch anterior-inferior to a
graft made of tragal cartilage perichondrium complex.
- At six months follow-up, all 80 patients exhibited good healing and
significant hearing improvement without major complications.
- An extra patch during endoscopic cartilage myringoplasty has been
proven to have promising potential to benefit patients with eustachian
tube dysfunction, large perforations, sub-total or marginal
perforations.