Prospective study of myringoplasty using different approaches

Abstract

In repairing tympanic membrane perforations similar success rates are achieved with postaural or endaural approaches. A permeatal approach is most limited in the exposure obtained. What is important in choosing the appropriate approach is the location and size of the perforation and size of external auditory canal.

Our experience with single sitting bilateral myringoplasty

“…The post auricular route procedure is occasionally associated with post surgery itching, deformity of pinna, visible scar abnormal, or decreased sensation in post auricular region. [2] However, the mini-endaural route, permeatal or post auricular route apparently do not differ in terms of hospital stay or hearing gain.…”

“…The grafts were taken up successfully by majority (88% and 90%), irrespective of the surgical approach used and did not differ in terms of hearing gain; this is commensurate with what is already reported. [2] This is understandable as the hearing restoration depends on the graft being taken up successfully. Similar observation has been made by Sharma, et al [2] as well.…”

“…[2] This is understandable as the hearing restoration depends on the graft being taken up successfully. Similar observation has been made by Sharma, et al [2] as well. Apparently, our patients undergoing bilateral myringoplasty in single sitting felt more discomfort due to dressing, ear packs, and long hospital stay as compared to other patients who underwent surgery on one ear at a time.…”

“…Conventional myringoplasty is usually performed by post auricular route, per meatal or trans-canal route, per meatal with tympano-meatal flap raised, or mini-endaural route. [2] Different techniques like underlay, overlay and inlay (sandwich) are used for placing the graft. [3] The graft material used also varies from vein, fat, conchal cartilage, perichondrium to temporal fascia.…”

Effect of Type 1 Tympanoplasty on the Quality of Life of CSOM Patients

“…The aim of the operation includes perforation closure with a dry stable grafted membrane and improvement in hearing levels. Grafting the tympanic membrane with autologous temporal fascia helps in restoration of its integrity, as temporalis fascia is a thin, non-shrinking tissue with low metabolic rate resembling tympanic membrane in texture and structure [2]. Outcome for treatment of this disease has been based on measures such as audiograms, number of office visits required, and sequential physical examinations [3].…”