The Outcome of Myringoplasty with d without Cortical Mastoidectomy Comparative Study between Elastic Nail Versus Plates and Screws in the Treatment of Diaphyseal Both Bone Forearm Fracture in Children

Abstract

Objective: Evaluate the outcome of myringoplasty with and without cortical mastoidectomy regarding the graft take and hearing improvement in none-cholesteatomatous chronic suppurative otitis media. Materials and Method:This prospective study was done on 50 patients who suffered from long-standing perforation of the tympanic membrane. Among these patients who underwent surgery 34 patients were subjected to myringoplasty with cortical mastoidectomy (Group I) and in the remaining 16 patients had myringoplasty alone (Group II). Results:The hearing gain (dB) in myringoplasty combined with cortical mastoidectomy in (group I) after 6 months was (16.03) dB and in (group II) who underwent the only myringoplasty was (15.31) DB. Overall Graft uptake was 88.0 %. Although myringoplasty with cortical mastoidectomy was better than a group of myringoplasty alone in hearing improvement and graft take the differences between the two groups were statistically not significant. Age, sex and the side of perforation had no bearing on graft take in this study. Conclusion:Myringoplasty is an effective method for closure of the tympanic membrane perforations and for hearing improvement.