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KMID : 0378019630060030085
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New Medical Journal
1963 Volume.6 No. 3 p.85 ~ p.92
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Tympanoplasty Performed at Our Institution
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Abstract
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For the past 10 years, the surgical problems of tympanoplasty have been discussed by many otolaryngologists :n various countries, but the result was not always satisfactory, beeing less than theoreticalrequirement, because it is difficult to restore the ideal status of middle ear structure for a normal threshold of hearing besides doing radical surgery of chronic otitis media.
The selection of a satisfactory donor site for myringoplasty, and method to obliterate a large postoperative mastoid cavity are among the problems, encountered in this surgery, and have recieved considerable interest in the recent literature. For the past few years, I have used the skin of the external auditory canal(boney portion) for the myringoplasty, and post-auricular skin (Wullstein´s skin-graft) to repair ear canal skin defect (so called meatoplasty). This tends to avoid producing a large mastoid cavity.
150 cases of tympanoplasty operated at the Presbyterian Hospital Taegu, Korea, from January, 1960, through flay, 1962, were reviewed.
In 37 cases, postauricular skin was used for myringoplasty. While in 113 cases, ear canal slain with meatoplasty was used.
The results of the later technique were uniformly superior, resulting in better hearing, fewer post-operative complication (perforation of new tympanic membrane with or without cholesteatoma), and a greater tendency towards healing of otorrhea.
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