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Ventilation Tube RemovalIndications for Paper Patch Myringoplasty
Edmund A. Pribitkin, MD;
Steven D. Handler, MD;
Lawrence W. C. Tom, MD;
William P. Potsic, MD;
Ralph F. Wetmore, MD
Arch Otolaryngol Head Neck Surg. 1992;118(5):495-497.
Abstract
• Paper patch myringoplasties are commonly performed in children at the time of ventilation tube removal, yet no series documenting their efficacy appears in the otolaryngology literature. Over an 18-month period at the Children's Hospital of Philadelphia (Pa), 163 ventilation tube removals were performed on 131 children aged 1 to 18 years. In 95 of these ears, a paper patch myringoplasty was performed after tube removal. No significant difference (87% vs 85%) in the overall healing rate at 6 months was shown between these two groups. An analysis of the variables potentially affecting outcome revealed that healing following simple tube removal was influenced by the frequency of tube placement and by tube size. Paper patch myringoplasty significantly improved outcome (93% vs 61%) in ears with more than three previous tube placements.
(Arch Otolaryngol Head Neck Surg. 1992;118:495-497)
Author Affiliations
From the Division of Otolaryngology, Children's Hospital of Philadelphia and University of Pennsylvania School of Medicine, Philadelphia.
Footnotes
Accepted for publication December 5, 1991.
Presented at the annual meeting of the Pennsylvania Academy of Ophthalmology and Otolaryngology, Hershey, Pa, May 1990.
Reprint requests to the Department of Otolaryngology, Children's Hospital of Philadelphia, 34th St and Civic Center Blvd, Philadelphia, PA 19104 (Dr Handler).
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