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Myringoplasty.

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Audiometry↗

Eustachian tube function and healing after myringoplasty.

The function of the eustachian tube (ET) was measured preoperatively among patients with dry, chronic, tympanic membrane perforations. Tympanograms were obtained 1 to 2 years postoperatively. A significantly better healing rate was found in the group classified as "good" ET-function. Also, a significantly greater number of tympanograms with no deflections were found in the "bad" ET-function group. Thus, the ET-testing allows an identification of patients who must be followed up with extra care during the postoperative period, in order that complications such as reperforation of the tympanic membrane may be avoided.

Acoustic Impedance Tests↗

Myringoplasty.

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Humans↗

The homograft myringoplasty and the lamina propria of the tympanic membrane.

The lamina propria of the tympanic membrane is composed of a unique system of radial and nonradial fibers which contribute importantly to its function. Over 1000 patients have undergone operations for the transplantation of the homograft tympanic membrane. Animal experiments have been presented to determine whether or not the fiber system of the lamina propria of the tympanic membrane is preserved in the homograft tympanic membrane. In conjunction with this, a small series of experiments was conducted to determine the appearance of the fiber system in perforations that heal spontaneously. Current knowledge concerning the function of the fiber network is discussed. The results of the present study indicate that the lamina propria fiber network is at least partially preserved in the homograft tympanic membrane and that the fiber network of the lamina propria is not reconstituted in spontaneously healed tympanic membranes.

Animals↗