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June 1991

Gelfilm Myringoplasty: A Technique for Residual Perforations

Author Affiliations

Galveston, Tex

Arch Otolaryngol Head Neck Surg. 1991;117(6):589-591. doi:10.1001/archotol.1991.01870180019003

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At the recent Southern Section Triological Society meeting in Williamsburg, Va, Dr Robert L. Baldwin, Birmingham, Ala, described a technique for the repair of small perforations using a Gelfilm stint. This is a retrospective chart review of 133 procedures performed on children who had undergone previous myringotomy and tympanostomy tube insertion. In 131 cases, the tubes had failed to extrude after being in place for a mean duration of 3.3 years, and were removed at the time of the Gelfilm myringoplasty. The author describes his technique, which is performed as an outpatient procedure under mask general anesthesia. The technique consists of rimming the tympanic membrane to remove all epithelium on the medial surface. A disk of Gelfilm is then cut slightly larger than the perforation. Two (Continued on p 591.) (Continued from p 589.) opposing tabs of Gelfilm are cut on the periphery of the disk and placed through the

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