caa a22 4500 606186719 CHVBK 20210128100837.0 cr unu---uuuuu 210128e20150201xx s 000 0 eng 10.1007/s00405-013-2860-y doi (NATIONALLICENCE)springer-10.1007/s00405-013-2860-y Predictors for outcome of paper patch myringoplasty in patients with chronic tympanic membrane perforations [Elektronische Daten] [Shi-Nae Park, Hyo-Min Kim, Kyung-Suk Jin, Jae-Hoan Maeng, Sang-Won Yeo, So-Young Park] The purpose of the present study is to evaluate the outcome of paper patch myringoplasty for chronic tympanic membrane (TM) perforations and to explore the predictive factors for a successful closure. A retrospective study was performed in a tertiary referral center. Data of the patients who met the inclusion criteria were analyzed: the treatment outcomes and the potential predictive factors including age, sex, the affected ear, hearing level, duration of perforation, causes, location and size of perforations, relationship between the perforation border and the malleus, status of TM surface, and the number of patch applications. Complete closure was achieved in 27 of the total 43 subjects. Among the 11 clinical and TM factors, only the perforation size remained significant as the predictor after multivariable logistic regression (p=0.029, OR 4.4). The patients with perforation ≤5% of the TM showed higher closure rate (78.3%) than those with perforation >5% (45.0%). In conclusion, paper patch myringoplasty showed overall success rate of 62.8%. In patients with perforations smaller than 5% of the TM, the closure rate was 78.3%. The predictor of the treatment outcome was the perforation size. We can try paper patch myringoplasty first in patients who had dry chronic perforations smaller than 5% of the TM without middle ear disease. Springer-Verlag Berlin Heidelberg, 2013 Tympanic membrane perforation nationallicence Chronic otitis media nationallicence Paper patching nationallicence Myringoplasty nationallicence Park Shi-Nae Department of Otorhinolaryngology-Head and Neck Surgery, The Catholic University of Korea College of Medicine, 222 Banpo-daero, Seocho-gu, 137-701, Seoul, Korea aut Kim Hyo-Min Department of Otorhinolaryngology-Head and Neck Surgery, The Catholic University of Korea College of Medicine, 222 Banpo-daero, Seocho-gu, 137-701, Seoul, Korea aut Jin Kyung-Suk Department of Otorhinolaryngology-Head and Neck Surgery, The Catholic University of Korea College of Medicine, 222 Banpo-daero, Seocho-gu, 137-701, Seoul, Korea aut Maeng Jae-Hoan Department of Otorhinolaryngology-Head and Neck Surgery, The Catholic University of Korea College of Medicine, 222 Banpo-daero, Seocho-gu, 137-701, Seoul, Korea aut Yeo Sang-Won Department of Otorhinolaryngology-Head and Neck Surgery, The Catholic University of Korea College of Medicine, 222 Banpo-daero, Seocho-gu, 137-701, Seoul, Korea aut Park So-Young Department of Otorhinolaryngology-Head and Neck Surgery, The Catholic University of Korea College of Medicine, 222 Banpo-daero, Seocho-gu, 137-701, Seoul, Korea aut European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/2(2015-02-01), 297-301 0937-4477 272:2<297 2015 272 405 https://doi.org/10.1007/s00405-013-2860-y text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00405-013-2860-y text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Park Shi-Nae Department of Otorhinolaryngology-Head and Neck Surgery, The Catholic University of Korea College of Medicine, 222 Banpo-daero, Seocho-gu, 137-701, Seoul, Korea aut NATIONALLICENCE 700 1- Kim Hyo-Min Department of Otorhinolaryngology-Head and Neck Surgery, The Catholic University of Korea College of Medicine, 222 Banpo-daero, Seocho-gu, 137-701, Seoul, Korea aut NATIONALLICENCE 700 1- Jin Kyung-Suk Department of Otorhinolaryngology-Head and Neck Surgery, The Catholic University of Korea College of Medicine, 222 Banpo-daero, Seocho-gu, 137-701, Seoul, Korea aut NATIONALLICENCE 700 1- Maeng Jae-Hoan Department of Otorhinolaryngology-Head and Neck Surgery, The Catholic University of Korea College of Medicine, 222 Banpo-daero, Seocho-gu, 137-701, Seoul, Korea aut NATIONALLICENCE 700 1- Yeo Sang-Won Department of Otorhinolaryngology-Head and Neck Surgery, The Catholic University of Korea College of Medicine, 222 Banpo-daero, Seocho-gu, 137-701, Seoul, Korea aut NATIONALLICENCE 700 1- Park So-Young Department of Otorhinolaryngology-Head and Neck Surgery, The Catholic University of Korea College of Medicine, 222 Banpo-daero, Seocho-gu, 137-701, Seoul, Korea aut NATIONALLICENCE 773 0- European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/2(2015-02-01), 297-301 0937-4477 272:2<297 2015 272 405