PubMed · 7373754
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A S Deinard, D Dassenko, B Kloster, P Welle, J Zavoral. 1980-06-06. Otogenous tetanus.. https://pubmed.ncbi.nlm.nih.gov/7373754/
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Postoperative care is as important as the actual surgical procedure, if not more important. Thiersch skin grafting remains an excellent technique to ensure proper healing in the mastoid cavity and ear canal. Successful surgical outcomes depend on a well-coordinated effort by the surgical team and the patient. Preoperative planning, intraoperative surgical technique, and postoperative care and follow-up are discussed in this article.
Seventy-three surgeons participated in a prospective audit of myringoplasty. They returned data on 1070 individual patients. Up to 12 months follow-up information was obtained. The mean number of myringoplasties performed per consultant in 1 year (1995) was 14.7 (95% confidence intervals (CI) 12.1 17.2). The main indication for performing the operation was to achieve an intact tympanic membrane. The mean graft take rate was 82.2%. When hearing improvement was the main indication for surgery it was improved in 67%. The use, or not, of an antibiotic had no significant influence on the graft take rate or the complication rate. Most complications reported were minor in nature.