Subscribe to RSS
DOI: 10.1055/s-0043-1778676
Statistical Evaluation of 231 Ears That Received Tympanic Membrane Perforation Closure Using Carbon Dioxide Laser and Collagen Sponge
Funding None.
Abstract
The tympanoplasty technique reported by Yuasa et al, wherein autologous tissue is fixed to the perforated tympanic membrane using fibrin glue, is widely used. This technique has also led to the development of several simpler surgical methods using artificial materials not involving the use of fibrin glue. We used a carbon dioxide laser device (OtoLAM, Lumenis Be Japan Inc.) during tympanoplasty to refresh the perforation margin of the tympanic membrane and a collagen sponge with a silicone membrane (Terudermis, Alcare Inc.) as the closure material for tympanoplasty. OtoLAM is used to refresh the perforation margin in a short time. By simply fixing Terudermis to the perforated area using the attached silicone membrane, the surgery can be performed in a short time without the need for autologous tissue collection. For the past 9 years and 5 months, from June 2013 to November 2022, we used this method for tympanic membrane perforation closure in 231 ears. The closure rate after a single operation was not high (78/231; 33.8%) but significantly improved with multiple attempts (161/231; 69.7%). The advantages of this technique are that it is simple, can be performed quickly, is economical as it does not involve the use of fibrin glue, and there is no possibility of blood infection, eliminating the need for a detailed explanation to the patient.
Publication History
Received: 19 June 2023
Accepted: 29 September 2023
Article published online:
29 January 2024
© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany
-
References
- 1 Yuasa R, Saijo S, Tomioka S. et al. Office closure of eardrum perforations with fibrin glue. Jibi Inkōka Tokeibu Geka 1989; 61: 1117-1122
- 2 Sasaki A, Kakehata S, Hirose Y. et al. Closing tympanic membrane perforations by autologous serum eardrops therapy with a chitin membrane and a collagen sponge. Otol Jpn 2014; 24: 200-208
- 3 Shinohara H. Autologous serum ear drop therapy (ASET) for closing tympanic membrane perforations. Jibi Inkōka Tokeibu Geka 2012; 84: 65-70
- 4 Nakashima M, Matsuda H, Shindo S. et al. A novel method for myringoplasty: multi-layered connective tissue underlay technique. J Saitama Med Univ 2021; 47: 82-89
- 5 Fukami S, Hirabayashi H, Baba K. et al. Clinical study of tympanic perforation closure technique using collagen sponge (Terudermis®). Otol Jpn 2007; 17: 638-643
- 6 Omotehara Y, Hakuba N, Gyo K. Regenerative ear drum therapy in outpatient clinic. J Jpn Soc Head Neck Surg 2013; 23: 55-60
- 7 Shiomi Y, Shiomi Y. Surgical outcomes of myringoplasty using platelet-rich plasma and evaluation of the outcome-associated factors. Auris Nasus Larynx 2020; 47 (02) 191-197
- 8 Sakoda T, Shibano A, Saitoh Y. et al. An office technique for myringoplasty without the use of fibrin glue. Nippon Jibiinkoka Gakkai Kaiho 2000; 103 (07) 836-839
- 9 Shimogori H, Miura M, Sugahara K. et al. Treatment for post-operative tympanic perforation using Terudermis(R). Otol Jpn 2000; 10: 198-200
- 10 Kanemaru S-i. In-office patch myringoplasty. Oper Tech Otolaryngol 2021; 32: 111-115