Hostname: page-component-cd9895bd7-gvvz8 Total loading time: 0 Render date: 2024-12-27T13:07:56.252Z Has data issue: false hasContentIssue false
  • English
  • Français

Effectiveness of transperforation myringoplasty in bilateral chronic otitis media patients undergoing contralateral tympanoplasty

Published online by Cambridge University Press:  05 December 2016

A T Ihsan  and
K Ranjana
A T Ihsan*
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, Jubilee Mission Medical College and Research Institute, Thrissur, India
K Ranjana
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, Jubilee Mission Medical College and Research Institute, Thrissur, India
*
Address for correspondence: Dr A T Ihsan, Department of Otorhinolaryngology and Head and Neck Surgery, Jubilee Mission Medical College and Research Institute, Thrissur, Kerala 680005, India E-mail: Ihsanent@gmail.com
Get access Rights & Permissions [Opens in a new window]

Abstract

Objectives:

Bilateral tympanic membrane perforation closure is usually performed by otosurgeons in two sittings. However, in this study, transperforation myringoplasty was performed alongside contralateral tympanoplasty in a single sitting. The effectiveness of transperforation myringoplasty procedure and the benefits of single sitting bilateral surgery were evaluated.

Methods:

A prospective study of 50 selected patients with mucosal-type bilateral chronic otitis media was conducted. All patients underwent transperforation myringoplasty on the side that met the inclusion criteria and tympanoplasty on the contralateral side. Graft uptake and hearing improvement were evaluated after 6 months.

Results:

At the 6-month follow up, the graft uptake rate was 82 per cent, the hearing gain was 11.5 dB and the air–bone gap gain was 11.6 dB.

Conclusion:

This procedure offers perforation closure in a single sitting to patients with bilateral chronic otitis media who meet the inclusion criteria.

Keywords

MyringoplastyTympanic Membrane PerforationTympanoplasty
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 131 , Issue 1 , January 2017 , pp. 64 - 68
Copyright
Copyright © JLO (1984) Limited 2016 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1 Yuasa, Y, Yuasa, R. Postoperative results of simple underlay myringoplasty in better hearing ears. Acta Otolaryngol 2008;128:139–43Google Scholar
2 Chen, C, Chiu, W, Yu, J, Lee, Y, Chang, K. Transcanal myringoplasty with perichondrium. Otolaryngol Head Neck Surg 2011;141:199 Google Scholar
3 Singh, GB, Sharma, A, Singh, N. Role of transtympanic myringoplasty in modern otology. J Otolaryngol 2006;35:408–12Google Scholar
4 Albera, R, Riontino, E, Milan, F, Lacilla, M, Gervasio, CF, Cavalot, AL et al. Transmeatal underlay myringoplasty. Indications and results. Otorinolaringologia 1999;49:11–15 Google Scholar
5 Calderón, RM, Meléndez, PC, Morales, SC, Torres, MD. Experience in transcanal myringoplasty with inlay tragal perichondrium. Rev Otorrinolaringol Cir Cabeza Cuello 2012;72:151–6Google Scholar
6 Sharma, RC, Saroch, M. Our experience with single sitting bilateral myringoplasty. Indian J Otol 2013;19:59–61 Google Scholar
7 Caye-Thomasen, P, Nielsen, TR, Tos, M. Bilateral myringoplasty in chronic otitis media. Laryngoscope 2007;117:903–6Google Scholar
8 El-Ahl, MAS, Amer, HS, El-Anwar, MW. Simultaneous bilateral myringoplasty as a single-stage operation. Egypt J Otolaryngol 2013;29:16–19 Google Scholar
9 Mane, R, Patil, B, Mohite, A, Varute, VV. Bilateral type 1 tympanoplasty in chronic otitis media. Indian J Otolaryngol Head Neck Surg 2013;65:293–7Google Scholar
10 Ansari, MA, Khayani, IA, Farrukh, MS, Kashmiri, ZA, Farooq, MU. Outcome of bilateral myringoplasty in dry central perforation: an appraisal. J Dow Univ Health Sci 2014;8:16–20 Google Scholar
11 Rai, AK, Singh, GB, Sahu, R, Singh, S, Arora, R. Evaluation of simultaneous bilateral same day tympanoplasty type I in chronic suppurative otitis media. Auris Nasus Larynx 2014;41:148–52Google Scholar
12 Wang, HB, Yu, F, Shan, XZ, Zhang, F, Zhao, LZ, Long, SB et al. Clinical analysis of bilateral same-day myringoplasty for 22 cases with bilateral tympanic membrane perforation. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2013;48:329–31Google ScholarPubMed
13 Kim, CW, Lee, JS, Park, CH, Kwon, SY, Kim, DK, Lee, JH. Comparison of sequential same-day middle ear surgeries: bilateral mastoidectomy, unilateral mastoidectomy with contra lateral tympanoplasty, and bilateral tympanoplasty. Eur Arch Otorhinolaryngol 2015;272:1395–402CrossRefGoogle Scholar