Various techniques of grafting in anterior perforation of tympanic membrane: our experience

Abstract

<p class="abstract"><strong>Background:</strong> <span lang="EN-GB">The lack of anterior support for the graft frequently leads to graft failure if an underlay method is used whereas anterior blunting is a complication of overlay techniques in the anteriorly located tympanic membrane perforations</span><span lang="EN-IN">. The objective of the study was </span><span lang="EN-GB">to evaluate the correct surgical technique for the reconstruction of anterior tympanic membrane perforation.</span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-GB">Our prospective study was conducted from January 2011 to December 2013. This study included 39 patients of either sex, 17-56 years of age groups, at Kamineni Institute of Medical Sciences Narketpally, Nalgonda district, Telangana state. Our surgical experience with a) Simplified underlay technique-in small perforations having healthy remnant in10 patients. b) Button hole and slitting the graft- in thin atrophic ring anteriorly in 25 patients. c) Gerlach’ quilting procedure- in inadequate anterior rim in 3 patients and d) Kerr flap-in only anterior rim annulus in 1 patient</span><span lang="EN-IN">. </span></p><p class="abstract"><strong>Results:</strong> <span lang="EN-GB">All these methods gave 91.96% closure rate, a mean auditory threshold gain of 8.5 dB was achieved at the frequencies tested</span><span lang="EN-IN">. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-GB">Here we describe and promote the various techniques of placing grafts in anterior perforations of tympanic membrane, thereby attaining the aforementioned benefits and reducing the incidence of complications</span><span lang="EN-IN">.</span></p>