Our experience with myringoplasty by the transtympanic 'push through'
technique in paediatric patients is described. We have used this metho
d in 40 children utilizing autologous temporalis fascia as the graft m
aterial. The procedures were all performed as day cases under general
anaesthesia. The overall success rate for perforation closure was 77.5
% at 6 months which is comparable to conventional methods. We conclude
that the 'push-through' technique is a safe, simple, reliable and cos
t-effective procedure that can be performed as a day case in paediatri
c patients. It avoids the necessity for pressure bandaging or formal e
ar packing. To our knowledge this is the first paper evaluating this t
echnique in children. (C) 1997 Elsevier Science Ireland Ltd.