A Comparative study of the techniques of Myringoplasty - Overlay Underlay &amp; Interlay

Kawatra, Dr.Rahul; Maheshwari, Dr.Puneet; Kumar, Dr.G.K.

doi:10.9790/0853-131251216

Cited by 16 publications

(14 citation statements)

References 16 publications

(14 reference statements)

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“…In the present study, the graft uptake rate was found to be 93.33% which is in accordance with study by Kawatraet al [2]. Who reported success rate of 93.3% and is slightly better than study conducted by Hay et al [11].…”

Section: Discussionsupporting

confidence: 92%

“…In the study by Kawatraet al [2] ABG improved from 27.50 dB preoperatively to 13.67 dB postoperatively after 16 weeks and in study by Patil et al [7] the mean preoperative ABG was 36.42 ± 12.01 dB which improved to 9.7 ± 6.71 dB at the end of 3rd month.…”

Section: Discussionmentioning

confidence: 87%

“…Up to 80% of these perforations have the tendency of spontaneous healing [1]. Myringoplasty is a surgical procedure used to repair the tympanic membrane and to improve hearing level where the ossicular chain is intact and mobile [2].…”

Section: Introductionmentioning

confidence: 99%

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Interlay myringoplasty: hearing gain and outcomein large central tympanic membrane perforation

Shivappa

Sphoorthi

2018

Trop J Ophthalmol Otolaryngol

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Background: Tympanic membrane Perforations primarily results from middle ear infections and myringoplasty is a surgical procedure used to repair the tympanic membrane and to improve hearing. The interlay technique is a newer safe and technique that has shown higher success rates and is considered better than both overlay as well as the underlay techniques. Aims and objectives: To analyze the results of interlay myringoplasty, in terms of graft uptake and hearing improvement in cases of chronic suppurative otitis media with inactive mucosal disease with large central perforation. Materials and Methods: This is a prospective study conducted from August 2015 to January 2018 in 60 patients of chronic suppurative otitis media (CSOM) with large central perforation. All patients underwent interlay myringoplasty through post aural approach after clinical examination, audiometric tests & routine investigations. Patients were called for regular follow up for 12 weeks. Results: The graft uptake rate in the present study was found to be 93.33%, Pre operatively mean air bone gap was 28.5±6.96 dB and Post operatively after 12 weeks mean air bone gap improved to 15.83±3.37. Conclusion: Interlay myringoplasty with a superiorly based TM flap is an effective technique over conventional methods in terms of both graft uptake as well as hearing improvement in large central perforation.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 87%

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Interlay myringoplasty: hearing gain and outcomein large central tympanic membrane perforation

Shivappa

Sphoorthi

2018

Trop J Ophthalmol Otolaryngol

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“…The differences in immediate success rates and resultant hearing gain are comparable in both the techniques. 8,12 In our study, in Underlay technique graft rejected in 5 patients. Preoperative mean air bone gap was 26.30 dB and postoperatively it came to be 17.60 dB.…”

Section: Discussionmentioning

confidence: 57%

“…To name a few most commonly used techniques are underlay, interlay, overlay, sandwich and double breasting techniques. [6][7][8][9][10][11] Out of these techniques the most commonly used techniques are underlay, interlay, and overlay. Each technique has its own advantages as well as disadvantages.…”

Section: Introductionmentioning

confidence: 99%

Interlay versus underlay type 1 tympanoplasty: a comparative study of the techniques in 100 cases

Sharma

Goyal

et al. 2018

Int J Otorhinolaryngol Head Neck Surg

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Background: Type 1 tympanoplasty is a surgical technique used to restore the integrity of tympanic membrane as well as to improve hearing level in patients with large central perforations (inactive mucosal chronic otitis media). Methods: This is a randomized prospective study of 12 month duration from January 2017 to December 2017 in 100 patients of chronic otitis media inactive mucosal type with large central perforation admitted in the E.N.T department at Geetanjali Medical College and Hospital, Udaipur. Results: The graft uptake rate in the present study was found to be 96% and 90% respectively in interlay and underlay techniques. Post operatively after 12 weeks mean air bone gap was maximum reduced in Interlay tympanoplasty. Conclusions:The present study showed that Interlay technique had a better graft take rate as well as hearing improvement in large central perforation of chronic otitis media than the underlay technique.

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A Study of Interlay Grafting in Type 1 Tympanoplasty for Large Central Perforation

Mandal

Panchal

Kumar

et al. 2020

Indian J Otolaryngol Head Neck Surg

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A Comparative study of the techniques of Myringoplasty - Overlay Underlay & Interlay

Cited by 16 publications

References 16 publications

Interlay myringoplasty: hearing gain and outcomein large central tympanic membrane perforation

Interlay myringoplasty: hearing gain and outcomein large central tympanic membrane perforation

Interlay versus underlay type 1 tympanoplasty: a comparative study of the techniques in 100 cases

A Study of Interlay Grafting in Type 1 Tympanoplasty for Large Central Perforation

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