A randomised controlled trial comparing fresh, dried, and dried-then-rehydrated temporalis fascia in myringoplasty

Clinical Otolaryngology : Official Journal of ENT-UK ; Official Journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery
J W Loock, N Naude

Abstract

To determine whether the way in which temporalis fascia is treated during myringoplasty affects the rate of successful perforation closure. A randomised controlled trial. A tertiary ENT Department within the Tygerberg Academic Hospital. One hundred and fifty patients with perforations between 30% and 70% of the surface area of the eardrum undergoing elective myringoplasty were randomised into three groups by the way in which the temporalis fascia used was treated prior to insertion: fresh fascia; dried fascia; and fascia which was dried and then rehydrated. The outcome measure was intactness of the tympanic membrane 6 weeks after surgery. Preoperative and follow-up audiometry was obtained, but was not evaluated as an outcome measure. Successful closure of the perforation was achieved in 89% in the dried fascia group (42 of 47 patients), 84% in the fresh fascia group (37 of 44 patients), and 85% in the dried and rehydrated group (39 of 46 patients). The study showed no statistically significant difference between the three groups (P = 0.728). The study would have to had more than 800 patients in each group to have the power to show a 5% difference in take rates. While the dessication of temporalis fascia prior to use in myringop...Continue Reading

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Citations

Mar 1, 2012·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Zhipeng YanXiujun Song
Jan 11, 2017·The Journal of Laryngology and Otology·G B SinghS Kumar
Mar 21, 2017·The Journal of Laryngology and Otology·Z Jiang, Z Lou
Jul 28, 2016·The Journal of Laryngology and Otology·G B SinghS Kumar
Nov 6, 2008·Clinical Otolaryngology : Official Journal of ENT-UK ; Official Journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery·N SethiA Coatesworth
May 19, 2009·Acta Oto-laryngologica·Sundus AslanSafak Dagli

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