Miringoplasti

Miringoplasti, timpanik membranın rekonstrüksiyonu amacıyla yapılan ameliyattır. Bu ameliyatta birçok greft materyali ve cerr ahi teknik uygulanmaktadır. Greft materyali olarak sıklıkla otojen greftler tercih edilmektedir. Uygulanan cerrahi tekniklerin greft başarı oranları benzer olmasına rağmen fonksiyonel sonuçlar farklılık göstermektedir. Son dönemde endoskopik inlay kartilaj butterfly teknik, iyi iş itme sonuçları, postoperatif hasta konforunun iyi olması, operasyon süresinin kısalığı ve operasyonun maliyetinin düşük olması gibi avantajlar sunmaktadır.

Myringoplasty

Myringoplasty is an operation which is performed for the reconstruction of tympanic membrane. Various graft materials and surgical techniques are used for this operation. Autogenous graft materials are generally preferred. Despite the graft survival rates are similiar for the various surgical techniques, the functional results vary. It has been recently reported that endoscopic inlay butterfly technique has some adva ntages as good hearing results and postoperative patient comfort, lower operation time and cost.

PDF

___

Tos M. Manual of Middle Ear Surgery: Approaches, myringoplasty, ossiculoplasty, tympanoplasty. 1st ed. New York: Thieme Medical Publishers, 1993: 1-6.
Devranoğlu İ. Timpanoplasti. Dış ve Orta Kulak Cerrahisi, Editör: İrfan Devranoğlu, İstanbul: Deomed, 2011: 274-86.
She W, Dai Y, Chen F, Qin D, Ding X. Comparative Evaluation Of Over-Under Myringoplasty And Underlay Myringoplasty For Repairing Tympanic Membrane Perforation. Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2008; 22: 433-5.
Eavey RD. Inlay tympanoplasty: cartilage butterfly technique. Laryngoscope 1998; 108: 657-61.
Browning GG, Merchant SN, Kelly G, Swan IR, Canter R, McKerrow WS. Chronic otis media. in: Gleeson M, editor. Scott-Brown's Otolaryngology, 7th ed. London: Hodder Arnold, 2008: 3396-401.
Brain J. Bingham Maurice R. Hawthorne-Synopsis of operative London: Butterworth Heinemann Publishers, 1992: 84-5.
Aggarwal R. Myringoplasty. J Laryngol Otol 2006; 120: 429-32.
Goycoolea MV: Mastoid and tympanomastoid procedures in otitis media: classic mastoidectomy (simple, modified, and radical) and current adaptations; open-cavity, closed-cavity, and intact-bridge tympanomastoidectomy. Otolaryngol Clin North Am 1999; 32: 513-23.
Vartiainen E, Virtaniemi J. Findings in revision operations for failures after cholesteatoma surgery. Am J Otol 1994; 15: 229- 32.
Rizer FM. Overlay versus underlay tympanoplasty. Part I: historical review of the literature. Laryngoscope 1997; 107: 1- 25.
Kartush JM, Michaelides EM, Becvarovski Z, La Rouere MJ. Over under tympanoplasty. Laryngoscope 2002; 112: 802-7.
Ghanem MA, Monroy A, Alizade FS, Nicolau Y, Eavey RD. Butterfly cartilage graft inlay tympanoplasty for large perforations. Laryngoscope 2006; 116: 1813-6.
Yu MS, Yoon TH. Bilateral same-day surgery for bilateral perfo- rated myringoplasty. Otolaryngol Head Neck Surg 2010; 143: 669-72. Inlay butterfly cartilage
Lubianca-Neto JF. Inlay butterfly cartilage tympanoplasty (Eavey technique) modified for adults. Otolaryngol Head Neck Surg 2000; 123: 492-4.
Zhang ZG, Huang QH, Zheng YQ, Sun W, Chen YB, Si Y. Three autologous substitutes for myringoplasty: a comparative study. Otol Neurotol 2011; 32: 1234-8.
Yung M, Vivekanandan S, Smith P. Randomized study comparing fascia and cartilage grafts in myringoplasty. Ann Otol Rhinol Laryngol 2011; 120: 535-41.
Nardone M, Sommerville R, Bowman J, Danesi G. Myringoplasty in Simple Chronic Otitis Media: Crinical Analysis of Longterm Results in a 1000-Adult Patient Series. Otology Neurotology 2011; 33: 48-53.
Singh M, Rai A, Bandyopadhyay S, Gupta SC. Comparative study of the underlay and overlay techniques of myringoplasty in large and subtotal perforations of the tympanic membrane. J Laryngol Otol 2003; 117: 444-8.
Albera R, Ferrero V, Lacilla M. Tympanic reperforation in myringoplasty: evaluation of prognostic factors. Ann Otol Rhinol Laryngol 2006; 115: 875-9.
Sergi B, Galli J, De Corso E, Parrilla C, Paludetti G. Overlay versus underlay myringoplasty: report of outcomes considering closure Otorhinolaryngol Ital 2011; 31: 366-71. hearing function. Acta
Wang WH, Lin YC. Minimally invasive inlay and underlay myringoplasty. Am J Otolaryngol 2008; 29: 363-6.
Packer P, Mackendrick A, Solar M. What's best in myringoplasty: underlay or overlay, dura or fascia. J Laryngol Otol 1982; 96: 25-41.
Couloigner V, Baculard F, Bakkouri W. Inlay butterfly cartilage tympanoplasty in children. Otol Neurotol 2005; 26: 247-51.
Özgür A, Dursun E, Terzi S, et al. Endoscopic butterfly cartilage myringoplasty. Acta Otolaryngol 2015; 23: 1-5.