Role of circumferential subannular tympanoplasty in anterior and subtotal perforations

Singh, Gautam; Ranjan, Shruti; Arora, Rubeena; Kumar, Sunil

doi:10.1017/s0022215116009993

Cited by 14 publications

(4 citation statements)

References 26 publications

(25 reference statements)

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“…The full‐text review was performed on 709 studies, of which 624 were excluded for reasons such as failure to report TM perforation size, inability to stratify outcomes by perforation size, incorrect graft type, and no free full‐text. Following a thorough full‐text review, 85 studies were eventually selected for having met full inclusion criteria 10,14,15,17,18,25‐104 . A comprehensive overview of the search process is detailed in the corresponding PRISMA diagram (Figure 1).…”

Section: Resultsmentioning

confidence: 99%

Comparing Myringoplasty to Type I Tympanoplasty in Tympanic Membrane Repair: A Systematic Review and Meta‐analysis

Jungbauer

Jeong

Nguyen

et al. 2023

Otolaryngol.--head neck surg.

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Objective To compare the anatomic success rates of type I tympanoplasty (tympanoplasty) versus myringoplasty. By our definition, tympanoplasty involves entering the middle ear via elevation of a tympanomeatal flap, while myringoplasty involves surgery to the drumhead without middle ear exposure. Data Sources PubMed, Scopus, CINAHL, Cochrane. Review Methods To be included, studies must have documented surgical technique, tympanic membrane (TM) perforation size (as % of TM), and success rate using tissue or alloplastic grafts. Exclusion criteria included series with more than 10% of patients with cholesteatoma or middle ear pathology. A meta‐analysis of weighted summary proportions under the random effects model was performed, and proportion differences (PD) were calculated. A secondary analysis of hearing outcomes was performed. Results Eighty‐five studies met inclusion, with a tympanoplasty cohort of n = 7966 and n = 1759 for myringoplasty. For perforations, less than 50% of the TM, the success rate for tympanoplasty and myringoplasty was 90.2% and 91.4%, respectively (PD: 1.2%, p = .19). In perforations greater than 50%, tympanoplasty and myringoplasty success rates were 82.8% and 85.3%, respectively (PD: 2.5%, p = .29). For both procedures, perforations less than 50% of the TM had higher success rates than perforations greater than 50% of the TM (p < .01). Both techniques endorsed significant improvements to air‐bone gap (ABG) metrics. Conclusion Our analysis suggests that the anatomic success rate is similar for tympanoplasty and myringoplasty, regardless of perforation size, and that smaller perforations experience higher success rates in both techniques. ABG outcomes were also similar between procedure techniques.

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Section: Resultsmentioning

confidence: 99%

Comparing Myringoplasty to Type I Tympanoplasty in Tympanic Membrane Repair: A Systematic Review and Meta‐analysis

Jungbauer

Jeong

Nguyen

et al. 2023

Otolaryngol.--head neck surg.

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“…13,14 Mokhtarinajad et al, Mishra et al, Guneri et al, Singh et al and Potsic et al did circumferential sub annular grafting with lateral placement of graft. 5,[16][17][18][19] Pradhan et al elevated circumferential tympanomeatal flap and compared outcomes between underlay and overlay technique. 3 We preferred circumferential elevation of tympanomeatal flap with underlay technique of graft placement.…”

Section: Resultsmentioning

confidence: 99%

“…This technique also provides an adequate graft bed all around the circumference of the annulus, with the handle of malleus in the middle for ideal anchorage. 18 In our study temporalis fascia was used as a graft material in all patients and 6 patients in circumferential group, with large central perforation, tragal cartilage was also used with temporalis fascia for support. All our patient's ossicular integrity and mobility was normal except one, where lateral process of malleus and incus erosion was noticed on left side and stapes fixation was noticed on to the right side.…”

Section: Lateralisationmentioning

confidence: 86%

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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“…In this case report the authors have performed 270 degree flap tympanoplasty transmeatally using endoscope. 3,4…”

Section: Introductionmentioning

confidence: 99%

Endoscopic 270° subannular flap tympanoplasty: A case report

Saini

Abishek²,

Singh³

et al. 2023

JSAS

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Role of circumferential subannular tympanoplasty in anterior and subtotal perforations

Abstract: Circumferential subannular tympanoplasty has a definitive role in managing anterior and subtotal perforations.

Cited by 14 publications

References 26 publications

Comparing Myringoplasty to Type I Tympanoplasty in Tympanic Membrane Repair: A Systematic Review and Meta‐analysis

Comparing Myringoplasty to Type I Tympanoplasty in Tympanic Membrane Repair: A Systematic Review and Meta‐analysis

Outcomes of circumferential tympanomeatal flap tympanoplasty in large central perforation

Endoscopic 270° subannular flap tympanoplasty: A case report

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