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Anales de Otorrinolaringología Mexicana

2013, Number 2

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Otorrinolaringología 2013; 58 (2)

A prospective study of tympanic perforations with the use of trichloroacetic acid and rice paper as a treatment

Reynoso OJ, Sandoval AÁ, Montero MMÁ, Jiménez XRME

Language: Spanish
References: 16
Page: 87-90
PDF size: 205.56 Kb.


ABSTRACT

Objective To demonstrate that the application of trichloroacetic acid (TA ) plus rice paper remains an option in the treatment of tympanic perforations in patients at risk for surgery.
Material and method In a seven-month period 16 patients were selected in the Department of Otorhinolaryngology, Hospital General de Sonora with chronic middle otitis. All patients who met inclusion criteria underwent myringoplasty chemistry with two different techniques: in nine patients were revived edges of the perforations with trichloroacetic acid; in seven patients, trichloroacetic acid and paper patch were applied in the area of the perforation.
Results Eleven of the sixteen patients with perforated eardrum fully closed. In the first group where trichloroacetic acid was used only, seven of the nine perforations closed. In the second group, where trichloroacetic acid and rice paper were applied, four of seven cases closed.
Conclusion The rice paper and trichloroacetic acid are effective and safe means of closure of the tympanic membrane in selected patients, since they reduce the waiting list for surgery, benefiting the patient, the doctor and hospital in time surgical, economics and risks of anesthesia and surgery.


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