Effects of Sacrificing Tensor Tympani Muscle Tendon When Manubrium of Malleus Is Foreshortened in Type I Tympanoplasty

Abstract

The current study aims at observing effects of sacrificing the tensor tympani tendon when manubrium of malleus is foreshortened or retracted on graft uptake, hearing improvement, and occurrence of complications if any during type I tympanoplasty surgery for central perforations. 42 patients were included in group A where the tensor tendon was sectioned and 42 patients were included in group B where the tensor tympani tendon was retained and kept intact. Graft uptake rates are very good in both groups but hearing improvement was found significantly better in group A than group B. No unusual or undesired complications were seen in any of the cases. Sectioning of tensor tympani tendon is safe and effective procedure in cases where manubrium is foreshortened.

A Historical Review of Indian Perspectives on Techniques of Tympanoplasty

“…After postoperative evaluation, it was concluded that, though the graft take-up rates in both of the groups were the same, the hearing improvements were found to be significantly better in the group where correction of foreshortening was done. No other study from the Indian author under mentioned criteria of search was found to have published on this topic [44].…”