360 Degree Subannular Tympanoplasty: A Retrospective Study

Moras, Kuldeep; Lasarado, Savita; Shivaraj, Rahul; Aramani, Anita; Pinto, George

doi:10.14260/jemds/2015/800

Cited by 3 publications

(2 citation statements)

References 10 publications

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“…16 Moras et al reported 3% of anterior blunting. 28 Mokhtarinejad et al, Pradhan et al did same flap technique as ours and didn't encounter any blunting or lateralization of graft. 15,3 Jung et al did mediolateral graft tympanoplasty and noticed one patient with anterior blunting.…”

Section: Anterior Bluntingmentioning

confidence: 58%

Outcomes of circumferential tympanomeatal flap tympanoplasty in large central perforation

Venkatesha

Yogeesha

khan

2018

Int J Otorhinolaryngol Head Neck Surg

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Background: Tympanoplasty is the commonest procedure performed in patients with chronic otitis media. Circumferential elevation of tympanomeatal flap and underlay graft placement is thought to be a good surgical technique as it ensures elevation of canal skin over the Eustachian tube area to form a good assemble between the temporalis graft and the flap to increase the success rate. In our study we intend to study the surgical and hearing outcome in patients undergoing tympanoplasty with circumferential tympanomeatal flap in large central perforations.Methods: A prospective study with 25 patients in a tertiary care hospital for a period of 2 years, who underwent circumferential tympanomeatal flap tympanoplasty. Patients were followed up on one month and two months. Graft outcomes and hearing outcomes were studied. Results: Graft uptake was 92%. Blunting was noticed in 4% and medialisation in 4% of patients in circumferential group. Average air-bone gap closure achieved was 17.468 dB.Conclusions: Circumferential flap elevation in tympanoplasty is an effective surgical technique in patients with anterior and large central perforations with satisfactory outcomes.

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Section: Anterior Bluntingmentioning

confidence: 58%

Outcomes of circumferential tympanomeatal flap tympanoplasty in large central perforation

Venkatesha

Yogeesha

khan

2018

Int J Otorhinolaryngol Head Neck Surg

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“…[15][16][17] There are numerous studies highlighting the problematic anterior quadrant perforation repair for which several modified techniques and methods have been incorporated like the Gerlach quilt method, anterior hitch method, Kerr flap technique, 360degree subannular tympanoplasty, anterior interlay myringoplasty, window shade technique, circumferential flap method and anterior tucking technique. [18][19][20][21][22][23][24] In the literature, tympanoplasty with anterior tucking by a microscopic postauricular approach using temporalis fascia had success rates varying from 88% to 98%. 25,26…”

Section: Introductionmentioning

confidence: 99%

Comparative study of outcomes of type 1 tympanoplasty with and without anterior tucking

Thingujam

Poduval

2021

Int J Otorhinolaryngol Head Neck Surg

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Background: Type-1 tympanoplasty is the functional restoration of the normal middle ear by repairing the tympanic membrane (TM). Different techniques are still evolving to devise a way to give optimal graft uptake and hearing improvement with minimal instrumentation. Various studies have been done to assess the role of anterior tucking in type-1 tympanoplasty and to assess its superiority over other methods in repairing subtotal perforations and large perforations involving the anterior quadrant.Methods: This study was done to compare the outcomes of endoscopic type-1 tympanoplasty with and without anterior tucking. 60 cases of chronic otitis media (COM) mucosal type were divided into 2 groups of 30 patients each. Group 1 underwent endoscopic type-1 tympanoplasty with anterior tucking and group 2 underwent endoscopic type-1 tympanoplasty without anterior tucking. The outcomes were evaluated after 6 months and compared in terms of graft uptake and hearing gain.Results: The mean air-bone gap improvement was 13.16±2.65 in group 1 and 12.90±3.78 in group 2, which had statistically insignificant differences indicating similar hearing outcomes in both the groups. 96.7% successful graft uptake was achieved in group 1 and 90% in group 2, showing statistically insignificant differences indicating similar graft uptake rates in both the groups.Conclusions: Anterior tucking with endoscopic type-1 tympanoplasty could provide good graft support and efficient hearing improvement but cannot be labelled as a mandatory step in repairing subtotal perforations or large perforations involving anterior quadrant as the outcomes are comparable to the endoscopic type-1 tympanoplasty done without anterior tucking.

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A Comparative Study of Full Cuff Underlay and Over-underlay Tympanoplasty

Pandey,

Barnwal,

Yadav

2023

Indian Journal of Otology

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Background: Various modifications in tympanomeatal flap elevation in tympanoplasty were described by otolaryngologist all over the world to achieve best surgical outcome. In this study, the surgical and audiological outcomes of circumferential (full cuffed) tympanomeatal flap elevation and over-under technique of flap elevation were compared in type 1 tympanoplasty. Objective: The aim of this study is to compare surgical outcomes of two techniques of tympanomeatal flap elevation in tympanoplasty. Materials and Methods: This prospective randomized study included 200 patients. Patients were randomly allocated in 2 groups. Patients were followed for 3 months and compared surgical and audiological outcomes in 2 groups. Results: In full-cuffed underlay (Group A) techniques, the overall success (97.3%) and anterior blunting (9.1%) were more, whereas residual perforation (2.7%), granulation formation (2.7%), and lateralization (0.0%) were less common as compared to over-underlay technique (Group B). In over-underlay technique (Group B), success, residual perforation, lateralization, and anterior blunting were seen in 82.2%, 17.8%, 4.4%, and 2.2%, respectively. Conclusion: Both full-cuffed underlay and over-underlay techniques of tympanoplasty are effective surgical technique with satisfactory outcome.

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360 Degree Subannular Tympanoplasty: A Retrospective Study

Cited by 3 publications

References 10 publications

Outcomes of circumferential tympanomeatal flap tympanoplasty in large central perforation

Outcomes of circumferential tympanomeatal flap tympanoplasty in large central perforation

Comparative study of outcomes of type 1 tympanoplasty with and without anterior tucking

A Comparative Study of Full Cuff Underlay and Over-underlay Tympanoplasty

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