Section: 
Otiology
OtiologyMyringoplasty with frustoconical-shaped chondro-perichondrial autograft
N. A. Daikhes (1), S. N. Kocherov (2)
(1), (2) National Medical Research Center for Otorhinolaryngology, Federal Medico-Biological Agency of Russia, Moscow, 123182, Russian Federation
UDK: УДК 616.285-001.4-089.844
DOI: https://doi.org/10.18692/1810-4800-2025-6-52-60
ABSTRACT
Abstract. Over the past three years, the incidence of mine blast injuries, particularly traumatic tympanic membrane ruptures, has increased significantly due to the Special Military Operation. In most cases, traumatic tympanic membrane perforations heal spontaneously. However, if the defect persists for more than 12 weeks, these patients develop chronic otitis media, which leads to persistent hearing loss in the affected ear and chronic inflammation in the middle ear cavities. Since the mid-20th century, when Horst Ludwig Wullstein developed the fundamentals of otosurgery and the principles of tympanoplasty, to the present, the problem of closure of persistent tympanic membrane perforations remains highly relevant. In reconstructive surgery of the middle ear, myringoplasty is the most common and often complex surgical procedure. The complexity and unpredictability of results as well as the impossibility of assessing the regenerative process on a daily basis are reflected in the significant number of unsatisfactory clinical, morphological, and functional outcomes. Therefore, there is an active search for optimal plastic materials and improved treatment methods for eardrum perforations. The primary focus is on stimulating regeneration and providing nutritional support for the regenerative process to create favorable conditions for rapid healing.
Publication date:
23.12.2025
Keywords:
tympanic membrane perforation, hearing loss, myringoplasty, graft, tympanic cavity tamponade For citation:
Daikhes N. A., Kocherov S. N. Myringoplasty with frustoconical-shaped chondro-perichondrial autograft. Russian Otorhinolaryngology. 2025;24(6):52-60. (In Russ.) https://doi.org/10.18692/1810-4800-2025-6-52-60