Hostname: page-component-8448b6f56d-sxzjt Total loading time: 0 Render date: 2024-04-24T12:25:53.957Z Has data issue: false hasContentIssue false

Ten years’ experience with Felix tympanoplasty: analysis of anatomical and functional results

Published online by Cambridge University Press:  22 September 2015

M L Castelli*
Affiliation:
Otorhinolaryngology Department, Ospedale Santissima Annunziata, Savigliano, Azienda Sanitaria Locale CN1, Italy
R Vitiello
Affiliation:
Otorhinolaryngology Department, Ospedale Santa Croce, Cuneo, Italy
S Ponzo
Affiliation:
Otorhinolaryngology Department, Ospedale Santa Croce, Cuneo, Italy
A Evangelista
Affiliation:
Unit of Clinical Epidemiology, Town of Health and Science, and Piedmont Reference Centre for Epidemiology and Cancer Prevention, Turin, Italy
*
Address for correspondence: Dr Marco Luigi Castelli, Via Barbacana 18 A, Cavallermaggiore, 12038 Savigliano, Italy E-mail: casterr@infinito.it

Abstract

Objective:

This paper presents our 10 years’ experience with Felix tympanoplasty. This surgical procedure is designed to repair large perforations of unhealthy tympanic membranes, providing good graft stability without blunting of the anterior tympanomeatal angle.

Methods:

From January 2001 to December 2011, 64 Felix tympanoplasties were performed, conducted as the only surgical procedure. This paper describes the surgical technique and analyses the functional results.

Results:

Graft take was achieved in 61 ears (95.31 per cent). There was air–bone gap improvement in 84.6 per cent of cases.

Conclusion:

Felix tympanoplasty was effective in repairing unhealthy tympanic membranes with large perforations; the avoidance of blunting at the anterior tympanomeatal angle achieved good functional results.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 2015 

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

1Sheehy, JL, Glasscock, ME. Tympanic membrane grafting with temporalis fascia. Arch Otolaryngol 1967;86:391402CrossRefGoogle ScholarPubMed
2Glasscock, ME. Tympanic membrane grafting: overlay vs. undersurface technique. Laryngoscope 1973;83:754–70CrossRefGoogle ScholarPubMed
3Palva, T, Virtanen, H. Pitfalls in myringoplasty. Acta Otolaryngol 1982;93:441–6CrossRefGoogle ScholarPubMed
4Gersdorf, M, Garin, P, Decat, M, Juantegui, M. Myringoplasty: long-term results in adults and children. Am J Otol 1995;16:532–5Google Scholar
5Farrior, JB. The anterior tympanomeatal angle in tympanoplasty: surgical techniques for the prevention of blunting. Laryngoscope 1983;93:992–7CrossRefGoogle ScholarPubMed
6Pappas, DG, Sympson, LC. Annular wedge tympanoplasty. Laryngoscope 1992;102:1192–7CrossRefGoogle ScholarPubMed
7American Academy of Otolaryngology - Head and Neck Surgery Foundation. Committee on Hearing and Equilibrium Guidelines for the evaluation of results of treatment of conductive hearing loss. Otolaryngol Head Neck Surg 1995;113:186–7CrossRefGoogle Scholar
8White, H. A heteroskedasticity-consistent covariance matrix estimator and a direct test for heteroskedasticity. Econometrica 1980;48:817–30CrossRefGoogle Scholar