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Category: Volume 07 Issue 01 January 2019
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Title: Effect of Age, Size and Site of Perforation on Surgical Outcome in Myringoplasty

Authors: Dr Anita Atal, Dr Ankit Goyal, Dr Bharti Solanki, Dr Ashutosh Kayasth, Dr Mahendra Kuldeep

 DOI: https://dx.doi.org/10.18535/jmscr/v7i1.171

Abstract

Introduction: This prospective study was carried out for the evaluation of factors affecting the surgical results in Myringoplasty mainly age, size and site of perforation independent of cause of perforation.

Method: 60 patients were divided into 3 groups based on factors like age, size & site of perforation. Surgical results of myringoplasty was measured on the basis of graft take rate and post operative hearing benefit.

Results: Graft take rate was maximum  in the age group of 21- 25 years, perforations involving  inferior and posterosuperior quadrants  & small sized perforations, while  Graft take rate was  minimum in the age group of more than 40 years, perforations  involving all quadrant of tympanic membrane & subtotal perforation. Maximum AB gap closure was seen in age group of 16-20 years, perforations involving Posteroinferior quadrant of tympanic membrane & small perforations , while minimal AB gap closure was seen in 40 years age group , perforations  involving anterior quadrant of tympanic membrane & subtotal perforations.

Conclusion: From this study we concluded that age , site and size of tympanic membrane perforation affects surgical outcome after Myringoplasty.

Keywords: Myringoplasty, Graft takes rate, AB gap closure.

References

  1. George G Browning. Chronic otitis media. Scott brown’s Otorhinolaryngology, head and neck surgery 7th edition. 2008; 237: 3421-22.)
  2. Zollner F. Panel of myringoplasty. Second workshop on reconstructive middle ear surgery. Arch Otol. 1963; 78:301.
  3. Wullestin H. Theory and practice of tympanoplasty. Laryngoscope. 1956; 66: 1076-95.
  4. Warren Y, Adkins MD. Type I tympanoplasty: influencing factors. Laryngoscope 1984; 94: 916 – 918.
  5. Suresh Palukuri, Venu Gopala Raju S. V. One Year Follow up Study on Audiological Profile in Chronic Otitis Media Patients, After ‘Type 1 Tympanoplasty’.Internation Journals of recent trends in Science & technology , ISSN 2277-8109,Volume 9,Issue 3,2014 pp 343-345.
  6. Clinical audiovestibulometry by Dr. Anirban Biswas. 3rd Pg no.1-55.
  7. Niteshore MS,Rita Z.Influence of eustahian tube function in outcome of endoscopic type 1 tympanoplasty .IOSR Jouranal mar 2014,volume 13;26-28.
  8. Jackler RK, Schindler RA. Role of mastoid in tympanic membrane reconstruction. Laryngoscope 1984; 94:495-500.
  9. Ludman H. Applied anatomy. 5th ed. In: Mawson’s Diseases of the ear, Ludman H, ed. London: Edward Arnold Publication; 1988. pp. 17-44.
  10. Wright A. Anatomy and ultra structure of the human ear. 6th ed. In: Scott-Brown’s Otolaryngology, Gleeson M, ed. Oxford: Butterworth-Heinemann Publication 1997; 1:1/1/11-1/1/25.
  11. Sakagami M, Maeda A, Node M, Sone M, Mishiro Y. Long-term observation on hearing change in patients with chronic Otitis media.Auris Nasus Larynx. 2000; 27(2):117-20.
  12. Prasnsuk S and Hinchelffe R. Tympanic membrane perforation: Descriptors and hearing levels in otitis media. Audiology 1982; 21: 43-51.

Corresponding Author

Dr Ankit Goyal

Mobile no – 7017786510, Email: This email address is being protected from spambots. You need JavaScript enabled to view it.