Hostname: page-component-848d4c4894-2pzkn Total loading time: 0 Render date: 2024-05-31T12:40:01.260Z Has data issue: false hasContentIssue false
  • English
  • Français

Myringoplasty for the anterior perforation: experience with the Kerr flap

Published online by Cambridge University Press:  29 June 2007

J. F. Sharp ,
T. F. Terzis  and
J. Robinson
J. F. Sharp
Affiliation:
Gloucester
T. F. Terzis
Affiliation:
Gloucester
J. Robinson*
Affiliation:
Gloucester
*
Mr J. Robinson, F.R.C.S., Gloucester Royal Hospital, Great Western Road, Gloucester
Get access Rights & Permissions [Opens in a new window]

Abstract

Surgical closure of the anteriorly located tympanic membrane perforation can present a problem. The lack of anterior support for the graft frequently leads to graft failure if an underlay method is used whereas anterior blunting is a complication of onlay techniques in this situation. The experience with the Kerr flap, an underlay graft fashioned to include a tab of fascia which is placed laterally under the annulus and the anterior meatal skin, is presented. This method gave a 97.5 per cent closure rate with no cases of anterior marginal blunting and a mean auditory threshold gain of 8.5 dB (95 per cent confidence limits 5 to 11.9 dB, P<O.O1) was achieved at the frequencies tested. The use of the Kerr flap is recommended when repairing the anteriorly placed tympanic membrane perforation

Keywords

Myringoplasty
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 106 , Issue 1 , January 1992 , pp. 14 - 16
Copyright
Copyright © JLO (1984) Limited 1992

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Heermann, H. (1961) Trommelfellplastik mit Fasciengewebe vom Musculus temporalis nach Begradigung der vorderen Gehörgangswand. Hals Nasen und Ohren, 9: 136–137.Google Scholar
Kley, W. (1982) In Head and Neck Surgery Indications, Techniques and Pitfalls, Vol. 3. The Ear (Naumann, H. H., ed.) W. B. Saunders Company: Philadelphia. p. 171–265.Google Scholar
Primrose, W. J., Kerr, A. G. (1986) The anterior perforation. Clinical Otolaryngology, 11: 175–176.CrossRefGoogle Scholar
Storrs, L. A. (1961) Myringoplasty with the use of fascia grafts. Archives of Otolaryngology, 74: 45–49.CrossRefGoogle Scholar
Wullstein, H. L. (1952) Funktionel Operation im Mittelohr mit Hilfe des frerien Splatlappen–Transplantates. Arkiv von Ohren, Nasen und Kehlkopfheilkunde, 161, 422–435.CrossRefGoogle Scholar
Wullstein, H. L. (1956) Theory and Practice of Tympanoplasty. Laryngoscope, 66: 1076–1093.CrossRefGoogle ScholarPubMed
Zöllner, F. (1951) Die Radikal Operation mit Besonderem Bezug auf die Höorfunktion. Zeitschrift für Laryngologie Rhinologie und Otologie, 30: 104–111.Google Scholar
Zöllner, F. (1963) Panel on Myringoplasty methods (2nd workshop, reconstructive middle ear surgery). Archives of Otolaryngology, 78: 301–302.Google Scholar