MANAGEMENT OF SMALL CENTRAL PERFORATION BY TISSUE MYRINGOPLASTY AND CONVENTIONAL MYRINGOPLASTY- A COMPARATIVE STUDY

ABSTRACT Objective To evaluate the efficacy of endoscopic myringoplasty and comparison with conventional myringoplasty. Materials and methods Sixty cases of clinically diagnosed chronic suppurative otitis media with dry central perforation were taken into account of which 30 cases were undergone endoscopic myringoplasty and 30 cases undergone conventional myringoplasty. All patients were followed up on 3rd, 7th, 15th day, 6th weeks, 3rd and 6th months after surgery. Results The tympanic membrane's perforation healing rate was 86% (26/30), in conventional group of myringoplasty and 83% (25/30) in endoscopic group of myringoplasty and average hearing gain in conventional group was 13.96 dB and in endoscopic group was 15.03 dB. Conclusion The surgical outcome of endoscope assisted myringoplasty in terms of graft uptake and hearing improvement was comparable to the conventional microscope assisted myringoplasty, but in terms of cosmesis and postoperative recovery patients in the endoscope group had better results. How to cite this article Kumar M, Kanaujia SK, Singh A. A Comparative Study of Endoscopic Myringoplasty vs Conventional Myringoplasty. Int J Otorhinolaryngol Clin 2015;7(3): 132-137.

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A Comparative Study of Transcanal OTO Endoscope Assisted Myringoplasty Vis-à-vis Conventional Myringoplasty

International Journal of Contemporary Surgery ◽

10.5958/2321-1024.2017.00015.0 ◽

2017 ◽

Vol 5 (1) ◽

pp. 70

Author(s):

Sheetal Kumari ◽

Sajad Majid Qazi ◽

Kamal Kishore

Keyword(s):

Comparative Study ◽

Conventional Myringoplasty

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Comparative Study of Advantages and Disadvantages of Endoscopic versus Conventional Myringoplasty—A Prospective Study

Otorhinolaryngology Clinics - An International Journal ◽

10.5005/jp-journals-10003-1298 ◽

2018 ◽

Vol 10 (3) ◽

pp. 81-86

Author(s):

Sachin Jain ◽

Shivendra P Singh ◽

Ved P Upadhyay ◽

Abhishek K Dubey ◽

Himani N Singh

Keyword(s):

Comparative Study ◽

Prospective Study ◽

Advantages And Disadvantages ◽

Conventional Myringoplasty ◽

A Prospective Study

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Comparative study of clinical and audiological outcome between anterior tucking and circumferential flap methods of type I tympanoplasty in large central perforation

Indian Journal of Otology ◽

10.4103/indianjotol.indianjotol_60_18 ◽

2018 ◽

Vol 24 (3) ◽

pp. 190

Author(s):

SMohammed Hussain ◽

N Dhanapala ◽

LSudarshan Reddy ◽

Ramya Bandadka

Keyword(s):

Comparative Study ◽

Type I ◽

Central Perforation ◽

Type I Tympanoplasty

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Comparative study of Crescentic Cartilage and Anterior Tucking Tympanoplasty

Otolaryngology Open Access Journal ◽

10.23880/ooaj-16000223 ◽

2021 ◽

Vol 6 (2) ◽

Author(s):

Abhishek Gupta

Keyword(s):

Comparative Study ◽

General Anaesthesia ◽

Local Anaesthesia ◽

Normal Development ◽

Sense Organ ◽

Medical Sciences ◽

Medical College ◽

Central Perforation ◽

Cartilage Tympanoplasty

Introduction: This study was undertaken to know the better technique of two methods i.e. cresentric cartilage tympanoplasty (CCT) and anterior tucking tympanoplasty (ATT) operated by single handed endoscopically. Material and Methods: This study was conducted on hundred patients at Shyam Shah Medical College, Rewa, MP. Hundred patients were selected using certain criteria and fifty patients each were operated by cresentric cartilage supported tympanoplasty(CCT) and anterior tucking technique(ATT). Audiometrically results were analysed preoperatively and postoperatively. Results: Maximum patients affected were teens and males. Maximum patients had large central perforation followed by subtotal and then total perforations in both the groups of cresentric cartilage tympanoplasty (CCT) and anterior tucking tympanoplasty (ATT). We operated under local anaesthesia and some under general anaesthesia in both the groups. Discussion: Hearing being special sense organ needs restoration for normal development and personality grooming. Newer method with evolution of medical sciences have devised techniques of reconstruction of hearing mechanism to give better results. Comparative study using cresentric cartilage tympanoplasty (CCT) and anterior tucking tympanoplasty (ATT) was done to know the better outcome and method. Conclusion: Cresentric cartilage tympanoplasty (CCT) is better of the two methods as it doesn’t shrink or change the shape.

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Comparative study of graft materials used in myringoplasty

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20191481 ◽

2019 ◽

Vol 5 (3) ◽

pp. 549

Author(s):

Anchal Gupta ◽

Apurab Gupta ◽

Padam Singh Jamwal

Keyword(s):

Comparative Study ◽

Otitis Media ◽

Chronic Otitis Media ◽

Hearing Improvement ◽

Temporalis Fascia ◽

Suppurative Otitis Media ◽

Central Perforation ◽

Fascia Graft ◽

Group 2 ◽

Group 1

Background: Various graft materials are used for myringoplasty in practice. Present study was done to compare the hearing improvement and graft uptake rate in patients with inactive mucosal type chronic otitis media with central perforation undergoing myringoplasty using either of the two graft materials: temporalis fascia and conchal perichondrium.Methods: Patients with tubotympanic type of chronic suppurative otitis media were selected from patients attending the ENT OPD of SMGS Hospital, Government Medical College, Jammu between July 2016 to March 2018. This study included 100 patients out of which 50 were subjected to myringoplasty with temporalis fascia grafting (Group 1) and remaining 50 to conchal perichondrium grafting (Group 2) using underlay technique. The comparative study was done on following parameters-graft uptake and audiological outcome. Results: 82% patients were of age less than 30 years. The overall male: female ratio was 1.3:1. In Group 1, 76% had gain of 15 db while 12% had gain of >15 db. In Group 2, 72% had gain of 15 db and 8% had gain of >15 db. The graft was intact in 84% patients. 12% of Group 1 patients, showed residual perforation whereas it was 20% in Group 2 patients.Conclusions: The study showed that: the temporalis fascia graft is better than conchal perichondrial graft for closure of perforations in inactive mucosal type of chronic otitis media with central perforation because of maximum hearing improvement and minimal failure rate in group receiving temporalis fascia graft.

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