Hostname: page-component-8448b6f56d-dnltx Total loading time: 0 Render date: 2024-04-23T17:51:02.201Z Has data issue: false hasContentIssue false

Day-stay myringoplasty

Published online by Cambridge University Press:  29 June 2007

R. Benson-Mitchell*
Affiliation:
Department of Otolaryngology, Royal London Hospital, Whitechapel, London El 1BB, UK.
G. S. Kenyon
Affiliation:
Department of Otolaryngology, Royal London Hospital, Whitechapel, London El 1BB, UK.
Q. Gardiner
Affiliation:
Department of Otolaryngology, Royal London Hospital, Whitechapel, London El 1BB, UK.
*
Address for correspondence: R. Benson-Mitchell, Otolaryngology Consultants of Memphis, PC 777 Washington Avenue, P240 Memphis, Tennessee 38105, USA. Fax: 001 (901) 821 4313.

Abstract

Grafting of the tympanic membrane (myringoplasty) has traditionally been performed as an in-patient procedure in the UK. We have performed day-stay myringoplasty on 21 consecutive patients (15 adults and six children) under general anaesthesia using an underlay temporalis fascia graft. In 18 cases there was complete healing of the tympanic membrane and in three cases the patients developed perforations at four weeks. This success rate is consistent with previously reported studies. All patients were discharged on the day of admission with no major complications.

We have compared the results with a group of patients having the same operation as an in-patient and have concluded that day-stay myringoplasty under general anaestheia is as safe and effective as in-patient surgery for the majority of patients.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1996

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

Audit Commission (1991) Measuring quality: the patients view of day surgery. HMSO, London.Google Scholar
Buckley, J. G., Mitchell, D. B., Hickey, S. A., O'Connor, A. F. F. (1991) Submucous resection of the nasal septum as an out-patient procedure. Journal of Laryngology and Otology 105: 544546.CrossRefGoogle Scholar
Fenton, J. E., O'Dwyer, T. P. (1994) Adult day case tonsillectomy: a safe and viable option. Clinical Otolaryngology 19: 470472.Google Scholar
Gibb, A. G., Chang, S. K. (1982) Myringoplasty (a review of 365 operations). Journal of Laryngology and Otology 96: 915930.CrossRefGoogle ScholarPubMed
Hill, J., Allan, W., Malhan, D., Williams, E. D. (1993) Pressure exerted by head-bandages used in otological surgery. Journal of Laryngology and Otology 107: 11101112.Google Scholar
Kaddour, H. S. (1992) Myringoplasty under local anaesthesia: day case surgery. Clinical Otolaryngology 17: 576–568.CrossRefGoogle ScholarPubMed
Kane, R. J., Moffat, D. A., O'Connor, A. F. F. (1980) Outpatient myringoplasty. Journal of Laryngology and Otology 94: 13871393.CrossRefGoogle ScholarPubMed
Leighton, S. E. J., Rowe-Jones, J. M., Knight, J. R., Moore-Gillon, V. L. (1993) Day case adenoidectomy. Clinical Otolaryngology 18: 215219.CrossRefGoogle ScholarPubMed
Maniglia, A. J., Kushner, H., Cozzi, L. (1989) Adenotonsil lectomy: A safe out-patient procedure. Archives of Otolaryngology, Head and Neck Surgery 115: 9294.CrossRefGoogle Scholar
McRae, D., Dukes, M. G., Kenyon, G. S. (1992) The pope wick as a myringoplasty ear canal dressing. Journal of Laryngology and Otology 106: 327328.CrossRefGoogle ScholarPubMed