Outcome Measurement Between Transtympanic and Tympanomeatal Flap Elevation Approach in Myringoplasty: A Day Care Procedure
Journal Title: International Journal of Clinical & Experimental Otolaryngology (IJCEO) - Year 2016, Vol 2, Issue 6
Abstract
Background: Transtympanic myringoplasty is an alternate technique that allows graft placement medial to tympanic membrane remnant through the perforation without the need for tympanomeatal flap elevation. Objectives: The aim of this study is to evaluate the efficacy and compare the results of transtympanic myringoplasty without tympanomeatal flap elevation with the usual method of graft placement by the elevation of a tympanomeatal flap. Materials and Methods: This is a prospective study done on fifty patients divided into two groups, each consisting of 25 patients. Group I patients underwent transtympanic myringoplasty without elevation of tympanomeatal flap and group II patients underwent tympanomeatal flap elevation myringoplasty. Both the procedures were done by underlay technique through transcanal approach using only tragal perichondrium as graft material. Results and Observations: Graft uptake was successful in 88% and 92% ears while hearing improvement was seen in 84% and 91.3% in the group I and II patients respectively. The mean hearing gain was 15.04 dB and 15.57 dB in group I and II respectively. Conclusion: Transtympanic myringoplasty is a simple and less traumatic yet equally effective approach for the repair of tympanic membrane perforation. It has the added advantages of minimal post-operative pain, cost-effectiveness, no potential risk of injury to chorda tympani and results comparable to conventional techniques of myringoplasty.
Authors and Affiliations
Abhishek Sahu
Keywords
Related Articles
- EP ID EP206717
- DOI 10.19070/2572-732X-1600010
- Views 114
- Downloads 0
Usefulness of Spectral Range Profile in Quantitative Assessment of Voice Quality in Adults and Children
Objectives: This study aims to assess the usefulness of spectral range profile (SRP) for quantitative assessment of voice quality in vocally healthy singers and non-singers groups differentiated by age and gender. Study...
Effect of Postoperative Montelukast on Chronic Rhinosinusitis with Polyposis Recurrence Following Functional Endoscopic Sinus Surgery
Introduction: The recurrence rate after surgery of chronic rhinosinusitis with nasal polyposis is high. Nasal and systemic steroids are effective in the decrease (reduction) of recurrence following surgery. Due to the co...
A Comparative Evaluation of Audiological and Graft Uptake Results of Reinforced Sliced Conchal Cartilage Versus Temporalis Muscle Fascia Graft In Type I Tympanoplasty
Aim: The present study aims to evaluate graft uptake rates and audiological results of type I tympanoplasty using sliced conchal cartilage reinforced with temporalis muscle fascia versus temporalis muscle fascia graft....
Surgical Treatment of the Frontal Sinus Lateral Mucocele with Multiple Sinus Bony Wall Defects
Paranasal sinus mucocele is a cystic formation filled with mucus, resulting from the obstruction of sinus ostium. The most common place of mucocele localization is frontal sinus, which is due to its specific anatomical a...
Is there Optimal Behavioral Treatment Intensity for Dysphagia?
Purpose: Determining optimal intensity of behavioral treatment for dysphagia has been one of the most debated topics. The purpose of the current study was to systematically review the studies that offered evidence for be...