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Perbandingan Miringaplasti Medolaterial dengan Medial dan Lateral
Miringoplasty is a reconstructive operatif procedure limited to repair timpanic memberane perforation, with mobile ossicular chain, and no pathological tissue in the middle ear cavity. Myringoplasty using lateral graft, the failure cause by reperforation of the tympanic membrane. Mediolateral gfat technique, as a hybrid from medial and lateral technique, could decrease the failure of the myringoplasty. The objective of this research is to know the comparison of myringoplasty using mediolateral graft with medial graft and lateral graft in anterior and subtotal perforation using transcanal approach in local anethesia. This study was using clinical trial and parallel design with three tratments. Data were taken from Eye-ENT Private Clinic in Bandung, from January to November 2006. The result of miringoplasty with mediolateral graft compared with medial graft, will be achieved ifvthe graft grwo completely and increasing of conductive hearing ability ≥ 10 dB. The seccessful rate of myringoplasty using mediolateral graft was 100% medial graft 90,3% and lateral graft 81,8%. Conclusion of this research was mediolateral technique is better than lateral technique, but as good as medial technique.
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