Myringoplasty

Aggarwal, R; Saeed, Shakeel R; Green, K J M

doi:10.1017/s0022215106000697

Cited by 80 publications

(87 citation statements)

References 21 publications

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“…[5,6] with use of overlay technique, anterior blunting, graft lateralization, thickening of the drum, iatrogenic cholesteatoma or post-inflammatory ear canal stenosis was not observed. The good results of overlay technique is attributed to the post-auricular approach.…”

Section: Discussionmentioning

confidence: 94%

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A Comparative Study of Overlay and Underlay Myringoplasty Considering Closure of Perforation and Hearing Results: Our Experience

Arumugam¹,

Kannappan²,

M³

2016

jemds

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Section: Discussionmentioning

confidence: 94%

“…In the year 1960, Shea and Tabb. [5][6][7] introduced the concept of placing the graft material medial to the remnants of the drum. Underlay myringoplasty is widely used and relatively simple to perform.…”

Section: Introductionmentioning

confidence: 99%

A Comparative Study of Overlay and Underlay Myringoplasty Considering Closure of Perforation and Hearing Results: Our Experience

Arumugam¹,

Kannappan²,

M³

2016

jemds

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“…26 Aggarwal et al in their study observed higher success rates with smaller perforations (less than 50% of pars tensa). 27 Yoon et al in their study concluded that there were no significant relationships between surgical success rate and the status of the contralateral ear. 28 But Merendra et al reported that multivariate analysis demonstrated that disease of the contralateral ear and a large tympanometric volume were statistically significant.…”

Section: Discussionmentioning

confidence: 96%

Factors Influencing Surgical Outcome of Myringoplasty in Tubotympanic Type of Chronic Otitis Media

Das¹,

Das²

2017

jemds

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BACKGROUNDChronic otitis media is an inflammatory process of the mucoperiosteal lining of the middle ear space and mastoid. Infection of the middle ear has been a problem encountered in the human race, and is as old as humanity itself. Chronic suppurative otitis media (CSOM) is one of the most common causes of ear infection in developing countries particularly in South-east Asian countries. Chronic middle ear disease is a major problem in India especially in the rural areas. It is estimated that 6% of Indian population suffers from chronic ear disease. The term "Tubotympanic disease" is sometimes used to describe COM with a central perforation. The two principal aims of management of tubotympanic chronic otitis media are the eradication of infection and improvement of hearing by the closure of the tympanic membrane perforation which can be achieved either conservatively or by surgery. The surgical treatment of CSOM is still controversial. Some surgeons advice only repair of central perforation of tympanic membrane in non-cholesteatomatous tubotympanic chronic otitis media using graft i.e. myringoplasty to achieve a dry ear with improved hearing. This study aims to determine the factors responsible for successful surgical outcome of myringoplasty. MATERIALS AND METHODSThis hospital-based prospective study was done in the Dept. of ENT, Assam Medical College and Hospital, Dibrugarh from 1 st January 2015 to 31 st December 2015 in diagnosed cases of tubotympanic variant of CSOM. Thirty patients were included in this study after fulfilling inclusion and exclusion criteria. The surgical outcomes were assessed in terms of hearing gain, graft uptake and dryness of ear. RESULTSThirty patients of tubotympanic type of CSOM reviewed in the study with mean age group of 35.16 + 12.75 years underwent myringoplasty. Successful graft uptake post-operatively at 3 rd followup (12 th week) was seen in 83.33%. Dry ear was achieved at the end of 12 th week in 86.67% and gain in hearing at 3 rd post-operative review was 9.90 + 1.81 dB. 5 cases had graft failure, 4 cases failed to achieve dry ear. Extremity of ages, lower socio-economic status, postoperative URTI and ET dysfunction, disease in contralateral ear were associated factors in determining graft uptake and dry ear. CONCLUSIONMyringoplasty has been established as a very effective surgical management of tubotympanic variant of CSOM. Success of myringoplasty can be measured in terms of gain in hearing, graft uptake and dry ear. Our study acknowledges that successful outcome of surgery is determined by a range of factors like lower socio-economic status particularly in rural population with unhygienic living conditions, presence of nidus of infection in the upper airway along with eustachian tube dysfunction, otitis externa, disease in contralateral ear may be considered as some of the possible factors responsible for influencing the outcomes of surgery in tubotympanic type of chronic otitis media. But we emphasised that more cases or study population for longer duration...

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“…5 Because of these reasons it is not possible to guarantee 100% success rate to any patient, though the surgical procedure has excellent success rate.…”

Section: Discussionmentioning

confidence: 99%

A study of graft uptake rate of myringoplasties in Bir Hospital

Yadav

Pradhananga

2012

J Coll Med Sci-Nepal

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Chronic suppurative otitis media-tubotympanic type is one of the commonest ear diseases in the practice of otolaryngology. It mainly occurs in the people with poor socio-economic conditions hence, its magnitude is immense in remote areas of Nepal where poverty prevails the most and in people who do not have access to health facilities. The main features of this disease are ear discharge lasting more than three months, hearing loss, and perforation of the tympanic membrane. The aim of this study is to evaluate the graft uptake rate of patients who underwent Myringoplasties for Chronic Suppurative otitis media tubotympanic type. The total number of patients in the study was 129. Age of the patients varied from 13 to 45 years. Myringoplasties were performed on these patients. They were followed up at one week for stitch and ear pack removal, and then at four weeks to see for graft uptake. The graft uptake rate was found to be 81.4 %. There were no significant complications, except that few patients complained of pain at the site of incision for harvesting the graft. This study showed that myringoplasty has good success rate./7 and can be carried out safely for closure of tympanic membrane perforation in cases of chronic suppurative otitis media tubo-tympanic type. Keywords:Chronic suppurative otitis media-tubotympanic type, graft, myringoplasty. practice these days to close the tympanic membrane perforation. The main indication of myringoplasty is chronic suppurative otitis media-tubotympanic type, which is characterized by discharge lasting more than three months, hearing loss and perforation of tympanic membrane.2 The aim of the surgery is to prevent recurrent ear discharge and to improve hearing. Myringoplasties were performed in tympanic membrane perforations of various sizes and involving different quadrants which could influence the success rate. 3 Surgery has been the mainstay of treatment for chronic suppurative otitis

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Myringoplasty

Cited by 80 publications

References 21 publications

A Comparative Study of Overlay and Underlay Myringoplasty Considering Closure of Perforation and Hearing Results: Our Experience

A Comparative Study of Overlay and Underlay Myringoplasty Considering Closure of Perforation and Hearing Results: Our Experience

Factors Influencing Surgical Outcome of Myringoplasty in Tubotympanic Type of Chronic Otitis Media

A study of graft uptake rate of myringoplasties in Bir Hospital

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