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Overlay Versus Underlay Tympanoplasty. Part II: The Study
Author(s) -
Rizer Franklin M.
Publication year - 1997
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1097/00005537-199712001-00002
Subject(s) - tympanoplasty , underlay , overlay , visibility , annulus (botany) , medicine , computer science , surgery , telecommunications , materials science , optics , physics , programming language , signal to noise ratio (imaging) , composite material
This report compares two contemporary techniques of tympanic membrane repair. The prospective comparison study included 712 cases over 9 years. Whether the tympanic membrane was repaired by an underlay or an overlay technique, results were reliable. By making a postauricular incision, greater visibility of the operative site can be obtained. Larger perforations can be closed more reliably when greater exposure is obtained. The placement of the graft above or below the annulus is not the issue. Careful technique and precise work are the keys to successful tympanoplasty. Thus otologic surgeons should cultivate effective techniques, attempting to continuously improve their results to achieve perfection.