scholarly journals A study to compare the outcomes of CO2 laser assisted myringoplasty versus conventional type1 tympanoplasty in small central tympanic perforations

2021 ◽  
Vol 7 (5) ◽  
pp. 809
Author(s):  
Inderdeep Singh ◽  
Basavaraj S. Patil ◽  
Mohammad Z. Akhtar
Keyword(s):  
Success Rate ◽  
Tympanic Membrane ◽  
Acute Otitis Media ◽  
Tympanic Membrane Perforation ◽  
Surgical Closure ◽  
Type 1 Tympanoplasty ◽  
Microscopic Surgery ◽  
Membrane Perforation ◽  
Conventional Type

<p class="abstract"><strong>Background:</strong> The standard treatment of tympanic membrane perforation is conventional surgical closure using myringoplasty or a tympanoplasty type 1. In this study the role of cabon dioxide (CO<sub>2</sub>)-laser-assisted de-epitheliazation of perforation margins and application of bioinert silastic sheet. Success rate was compared with conventional microscopic surgery.</p><p class="abstract"><strong>Methods:</strong> This was a comparative study containing 60 patients with small dry tympanic membrane perforation (diameter 1-3 mm). The causes of tympanic membrane perforations were mainly traumatic or the eardrum did not heal after spontaneous perforation caused by an acute otitis media or after surgery. The procedure was performed under local anaesthesia. CO<sub>2</sub> (acupulse) applied along the edge of the perforation until complete de-epitheliazation and application of bioinert silastic sheet in small dry perforation. Closure of eardrum perforation was monitored using an otoendoscope. Success rate of the CO<sub>2</sub> laser myringoplasty was compared with conventional type 1 tympanoplasty.  </p><p class="abstract"><strong>Results:</strong> Complete eardrum closure occurred in 24 cases (80%), 06 patients (20%) had a residual perforation. The success rate of this procedure is lower than conventional type 1 tympanoplasty, which is 90-94%. There were no complications during and after the treatment.</p><p class="abstract"><strong>Conclusions:</strong> A closure rate of 80% (24/30) was achieved with a CO<sub>2</sub>-laser-assisted de-epitheliazation. This procedure can be offered carefully to selected cases with perforation size &lt;3 mm, where the CO<sub>2</sub> facility is available before they undergo formal conventional microscopic surgery.</p><p class="abstract"> </p>

scholarly journals Interlay technique type 1 tympanoplasty, an alternative for closing large central tympanic membrane perforation

2020 ◽  
Vol 50 (1) ◽  
pp. 84
Author(s):  
Anton Budhi Darmawan
Keyword(s):  
Success Rate ◽  
Tympanic Membrane ◽  
Otitis Media ◽  
Tympanic Membrane Perforation ◽  
Google Scholar ◽  
High Success Rate ◽  
Suppurative Otitis Media ◽  
Type 1 Tympanoplasty ◽  
Membrane Perforation

Background: Type 1 tympanoplasty or myringoplasty is the most frequently performed procedure in the field of otology. Type 1 tympanoplasty is a surgical procedure to repair and only involves the restoration of the perforated tympanic membrane. There are three most accepted methods often used universally, namely underlay, overlay, and interlay. The interlay method is a relatively new method developed in 1992 for closing tympanic membrane perforation. This method has a high success rate of 96%. Objective: To report the success of type 1 tympanoplasty with an interlay method to close large central tympanic membrane perforations at Margono Soekarjo District Hospital. Case Report: Reporting 3 cases of chronic tubotympanic suppurative otitis media with large central tympanic membrane perforation which were repaired by type 1 tympanoplasty using interlay method. Clinical Question: Does interlay method type 1 tympanoplasty performed on large central tympanic membrane perforation provide better result compared with other methods of type 1 tympanoplasty? Review Method: Studying the evidence-based literatures on type 1 tympanoplasty interlay methods through Cochrane, Pubmed, and Google Scholar databases. Based on the inclusion and exclusion criteria, three journals were relevant with the reported cases. Result: All three journals stated that interlay method type 1 tympanoplasty had high success rate in terms of closing the tympanic membrane perforation and diminishing air-bone gap. Conclusion: Type 1 Tympanoplasty interlay method could be used as an alternative for the closure of a large central tympanic membrane perforation.Keywords: Chronic Tubotympanic Suppurative Otitis Media, large central tympanic membrane perforation, interlay tympanoplasty ABSTRAK Latar belakang: Timpanoplasti tipe 1 atau miringoplasti merupakan prosedur di bidang otologi yang paling sering dilakukan. Timpanoplasti tipe 1 merupakan metode pembedahan yang bertujuan untuk memperbaiki, dan terbatas hanya di membran timpani. Terdapat tiga metode yang paling diterima dan sering digunakan secara universal, yaitu underlay, overlay, dan interlay. Metode interlay merupakan metode penambalan perforasi membran timpani yang relatif baru, dikembangkan pada tahun 1992. Metode ini mempunyai keberhasilan yang tinggi yaitu mencapai 96%. Tujuan: Melaporkan keberhasilan timpanoplasti tipe 1 dengan metode interlay untuk penutupan perforasi membran timpani sentral besar di RSUD Margono Soekarjo. Laporan kasus: Dilaporkan 3 kasus otitis media supuratif kronik tipe tubotimpani dengan perforasi sentral besar, yang dilakukan timpanoplasti tipe 1 dengan metode interlay. Pertanyaan klinis: Apakah metode interlay timpanoplasti tipe 1 yang dilakukan pada perforasi membran timpani yang besar, dapat memberikan hasil yang lebih baik daripada metode lain timpanoplasti tipe 1? Telaah literatur: Telaah berbasis bukti mengenai timpanoplasti tipe 1 metode interlay melalui database Cochrane, Pubmed, dan Google Scholar. Berdasarkan kriteria inklusi dan ekslusi didapatkan tiga jurnal yang relevan dengan kasus yang dilaporkan. Hasil: Ketiga jurnal tersebut menyatakan bahwa timpanoplasti tipe 1 metode interlay mempunyai angka keberhasilan yang tinggi dalam hal penutupan perforasi membran timpani maupun mengurangi air-bone gap. Kesimpulan: Timpanoplasti tipe 1 metode interlay dapat digunakan sebagai alternatif untuk penutupan perforasi membran timpani sentral yang besar

scholarly journals Comparative study of outcomes of type-1 tympanoplasty with and without anterior tucking

2020 ◽  
Vol 6 (4) ◽  
pp. 657
Author(s):  
Kiran Gangadar S. ◽  
G. Priyadarshini
Keyword(s):  
Tympanic Membrane ◽  
Otitis Media ◽  
Chronic Otitis Media ◽  
Pure Tone Audiometry ◽  
Tympanic Membrane Perforation ◽  
Hearing Improvement ◽  
Type 1 Tympanoplasty ◽  
Membrane Perforation ◽  
Group 2

<p class="abstract"><strong>Background:</strong> Tympanoplasty is a surgical procedure for closing the tympanic membrane perforation and reconstructing the tympanic membrane and hearing, commonly after trauma and chronic otitis media. The aim of the study was to compare the clinical and audiological outcomes of tympanoplasty with or without anterior tucking.</p><p class="abstract"><strong>Methods:</strong> In this prospective study, 50 patients with chronic otitis media (COM) were divided into two groups. Group 1 underwent type 1 tympanoplasty with anterior tucking method, and group 2 underwent type 1 tympanoplasty without anterior tucking. The result was measured on graft uptake and hearing outcome at 6 months postoperatively by performing pure tone audiometry.  </p><p class="abstract"><strong>Results:</strong> The hearing improvement was almost the same in both the groups. Graft uptake was good in type 1 tympanoplasty with tucking (96%) when compared to without tucking tympanoplasty (92%). Complications like residual perforation were seen in both groups equally. Anterior marginal blunting was noted (8%) in type 1 tympanoplasty with tucking.</p><p class="abstract"><strong>Conclusions:</strong> The hearing improvement of type-1 tympanoplasty with anterior tucking and without anterior tucking is the same. Type-1 tympanoplasty with anterior tucking has a better graft acceptance. The only disadvantage of type-1 tympanoplasty with anterior tucking is anterior marginal blunting.</p>

scholarly journals A prospective study of the hearing gain achieved in relation to the site and size of tympanic membrane perforation after type 1 tympanoplasty with temporalis fascia graft

2019 ◽  
Vol 6 (1) ◽  
pp. 20
Author(s):  
Gopinathan N. Pillai ◽  
Anjana Mary Reynolds ◽  
Nazneen Parammal Ayyappankandi ◽  
Cyril C. Ninan
Keyword(s):  
Hearing Loss ◽  
Tympanic Membrane ◽  
Pure Tone ◽  
Tympanic Membrane Perforation ◽  
Temporalis Fascia ◽  
Hearing Gain ◽  
Type 1 Tympanoplasty ◽  
Fascia Graft ◽  
Membrane Perforation

<p class="abstract"><strong>Background:</strong> Chronic otitis media (COM) mucosal type is characterised by recurrent ear discharge and hearing loss secondary to tympanic membrane perforation. Type 1 tympanoplasty is the surgical option for its closure. The objective of this study is to record the site and size of tympanic membrane perforation, quantify the hearing loss with pure tone audiogram and to assess the hearing gain achieved following type 1 tympanoplasty with temporalis fascia graft.</p><p class="abstract"><strong>Methods:</strong> This prospective study comprises 120 patients of the age group of 15 to 60 years with COM who attended the otorhinolaryngology department, from June 2015 to May 2018. Site and size of perforation were assessed by the number of quadrants involved. Hearing loss was quantified by pure tone audiometry (PTA) pre-op and 3, 6 and 12 months post-op. The pure tone average with the air-bone gap (ABG) at 12 months is used for the assessment.  </p><p class="abstract"><strong>Results:</strong> In this study, mean pure tone average pre-operatively for small, medium, large and subtotal perforations were 26 dB, 32 dB,35 dB, 42 dB respectively and 14.37 dB, 23 dB, 23.66 dB, and 32.5 dB post operatively after one year. On statistical analysis by ANOVA test, postoperative hearing gain was statistically significant.</p><p class="abstract"><strong>Conclusions:</strong> The study shows that hearing loss was proportional to the size of perforation. Air-bone closure following type 1 tympanoplasty was more for subtotal perforation and for perforations involving both anterior and posterior quadrants.</p><p> </p>

scholarly journals COMPARATIVE STUDY BETWEEN UNDERLAY AND OVERRLAY TECHNIQUE IN TYPE 1 TYMPANOPLASTY IN CSOM MUCOSAL INACTIVE TYPE

2020 ◽  
pp. 1-3
Author(s):  
Chandpreet Kour ◽  
Saima Tabassum ◽  
Madeha Drabu
Keyword(s):  
Surgical Techniques ◽  
Tympanic Membrane Perforation ◽  
Surgical Closure ◽  
Type 1 Tympanoplasty ◽  
Grafting Technique ◽  
Membrane Perforation ◽  
Air Cells ◽  
Middle Ear Cleft ◽  
Mastoid Air Cells

Otitis Media (OM) is an inflammatory condition which usually involves muco-periosteal covering of middle ear cleft (partial or full) comprising of eustachain tube (ET), hypo-tympanum, meso-tympanum, epi-tympanum,additus and the mastoid air cells. Myringoplasty was introduced by Berthold5 long back in 1878 and included the surgical closure of tympanic membrane perforation including removal of epithelium and grafting with skin. This period witnessed an improvement in surgical techniques with improved optics and emergence of microsurgery, thus making the Myringoplasty safer and lowered the rate of graft rejection. In this study we have compared the the grafting technique in type-1 tympanoplasty of in CSOM mucosal inactive type.

En Hamac tympanoplasty and canalplasty for optimal type 1 tympanoplasty outcomes

2020 ◽  
Vol 134 (9) ◽  
pp. 769-772
Author(s):  
S Vandenbroeck ◽  
R Kuhweide ◽  
B Lerut
Keyword(s):  
Tympanic Membrane ◽  
Tympanic Membrane Perforation ◽  
Type 1 Tympanoplasty ◽  
Tympanic Membrane Perforations ◽  
Membrane Perforation ◽  
The Mean ◽  
Primary Type ◽  
Optimal Type

AbstractObjectiveMultiple tympanoplasty techniques have been developed with numerous differences in grafting and approach. This study aimed to improve type 1 tympanoplasty outcomes by using the ‘en hamac’ technique as well as performing a complete canalplasty for anterior perforations.MethodA retrospective review was performed using the prospective Otology-Neurotology Database tool for otological surgery. All primary type 1 tympanoplasty cases performed for tympanic membrane perforations from 2010 to 2016 were selected for analysis, all performed by one author. Minimal clinical and audiometric follow up was 18 months.ResultsTympanic membrane perforation closure was achieved in 62 of the patients (96.88 per cent). None of the en hamac cases had residual or recurrent perforation (p = 0.02). The mean remaining air–bone gap was 8.50 dB. The remaining air–bone gap was less than 10 dB in 72.55 per cent, 10–20 dB in 25.49 per cent and more than 20 dB in 1.96 per cent.ConclusionUsing the en hamac technique for anterior perforations as well as systematically performing a complete canalplasty provides multiple surgical advantages with excellent post-operative results.

Acute otitis media with spontaneous tympanic membrane perforation

2016 ◽  
Vol 36 (1) ◽  
pp. 11-18 ◽  
Author(s):  
N. Principi ◽  
P. Marchisio ◽  
C. Rosazza ◽  
C. S. Sciarrabba ◽  
S. Esposito
Keyword(s):  
Tympanic Membrane ◽  
Otitis Media ◽  
Acute Otitis Media ◽  
Tympanic Membrane Perforation ◽  
Membrane Perforation

scholarly journals Outcome of Myringoplasty in Underlay Technique

2019 ◽  
Vol 24 (2) ◽  
pp. 131-136
Author(s):  
Md Abdur Razzak ◽  
KM Mamun Murshed ◽  
AKMA Sobhan ◽  
Md Rakib Hossain ◽  
SM Nafeez Imtiaz
Keyword(s):  
Success Rate ◽  
Tympanic Membrane ◽  
Surgical Techniques ◽  
Neck Surgery ◽  
Tympanic Membrane Perforation ◽  
College Hospital ◽  
Medical College ◽  
Tympanic Membrane Perforations ◽  
Membrane Perforation ◽  
Age Range

Background: Myringoplasty is one of the surgical techniques for the management of chronic supportive otitis media with permanent perforation of tympanic membrane. It is defined as simple surgical repair of tympanic membrane perforation without doing ossicular reconstruction. Objective: To determine the success rate of myringoplasty and to examine whether the hearing improvement is a potential indication for surgery. Methods: This study was conducted in the Department of Otorhinolaryngology and Head and Neck Surgery, Shaheed Suhrawardy Medical College Hospital from January 2017 to December 2017 and 100 patients who underwent myringoplasty in this period were analyzed. About 100 patients with dry central tympanic membrane perforations of various size were included in this study Results: Myringoplasty was performed in 100 patients. Male were (45%) and females were (55%).Twenty one (7%) of them belonged to age group of 10-20 years, 31 (31%) were in the age range of 21-33 years, 38(38%) were the age range 31-40 years while 24 (24%) aged between 41-50 years with mean age of 26.32 ±S.D 9.59 years. Overall success rate of graft uptake was noted in 88 (88%) out of 100 cases Conclusion: Myringoplasty is a safe surgical procedure in achieving intact tympanic membrane and to improve the hearing loss. Therefore, underlay technique being technically simple should be preferred, but the ultimate decision about the technique to be employed depends on the surgeons preference and the site of perforation  Bangladesh J of Otorhinolaryngology; October 2018; 24(2): 131-136

scholarly journals Efficacy of platelet rich fibrin in myringoplasty

2018 ◽  
Vol 4 (3) ◽  
pp. 677 ◽  
Author(s):  
Disha Sharma ◽  
Shobha Mohindroo ◽  
Ramesh K. Azad
Keyword(s):  
Side Effects ◽  
Success Rate ◽  
Tympanic Membrane ◽  
External Auditory Canal ◽  
Tympanic Membrane Perforation ◽  
Platelet Rich Fibrin ◽  
Membrane Perforation

<p class="abstract"><strong>Background:</strong> Myringoplasty involves repair of tympanic membrane perforation with an autologous graft.The aim was to compare between myringoplasty with PRF and myringoplasty without fibrin.</p><p class="abstract"><strong>Methods:</strong> This study was conducted from July 2016 to June 2017,100 patients were taken. In 50 patients platelet rich fibrin was placed over graft and external auditory canal during myringoplasty and 50 without PRF.  </p><p class="abstract"><strong>Results:</strong> It was seen in the study that PRF improves overall success rate of myringoplasty study and there was significant improvement in ABG at 500 hz, 1000 hz, 2000 hz frequencies.</p><p class="abstract"><strong>Conclusions:</strong> The higher success rate of myringoplasty with PRF was seen as compared to myringoplasty without fibrin. There were no noticeable side effects.</p>

Sign in / Sign up

Export Citation Format

Share Document