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Total annulus excision tympanoplasty – a solution to recurrent myringitis: double blind randomised trial

Published online by Cambridge University Press:  27 October 2021

N Verma ,
P Singhal ,
K P Surendra Prabhu ,
R Sehra ,
R Yadav ,
B Singh Aeron ,
S Munjal ,
A Hussain ,
S Agarwal  and
M Prakash Sharma
N Verma
Affiliation:
Department of Otorhinolaryngology, SMS Medical College, Jaipur, India
P Singhal*
Affiliation:
Department of Otorhinolaryngology, SMS Medical College, Jaipur, India
K P Surendra Prabhu
Affiliation:
Department of Otorhinolaryngology, SM Hospital, Kannur, India
R Sehra
Affiliation:
Department of Otorhinolaryngology, SMS Medical College, Jaipur, India
R Yadav
Affiliation:
Department of Preventive and Social Medicine & Biostats, SMS Medical College, Jaipur, India
B Singh Aeron
Affiliation:
Department of Otorhinolaryngology, Meenakshi Hospital, Hanumangarh, India
S Munjal
Affiliation:
Department of Otorhinolaryngology, Shri Balaji Hospital, Sirsa, India
A Hussain
Affiliation:
Department of Otorhinolaryngology, Bangalore Medical & Surgical Centre, Bengaluru, India
S Agarwal
Affiliation:
Department of Otorhinolaryngology, SMS Medical College, Jaipur, India
M Prakash Sharma
Affiliation:
Department of Otorhinolaryngology, SMS Medical College, Jaipur, India
*
Author for correspondence: Dr P Singhal, 78 A, Lipi Clinics, Vishnupuri, Durgapura, Jaipur302018, Rajasthan, India E-mail: drps.ent@gmail.com Fax: +91 141 255 2745
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Abstract

Objective

In spite of continuous refinements in tympanoplasty techniques, results are variable, and it is not uncommon to see a discharging eardrum even after a good graft uptake. This study aimed to evaluate the efficacy of total annulus excision tympanoplasty in comparison with conventional underlay tympanoplasty.

Method

This was a double blinded, randomised, controlled trial performed at a tertiary care centre. After inclusion and exclusion criteria were met, 56 patients were enrolled and randomised, and 28 patients were allocated to each group (group A (conventional tympanoplasty) and group B (total annulus excision)). Patients and evaluators were blind to the procedure performed.

Results

Patients in group B (total annulus excision) showed better graft uptake and no discharge with better gains in air conduction thresholds (p < 0.05) when compared with group A (conventional tympanoplasty).

Conclusion

In view of the advantages it offers, total annulus excision tympanoplasty may be preferred over the conventional techniques in patients with central perforations.

Keywords

TympanoplastyMyringoplastyOtitis media
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 136 , Issue 3 , March 2022 , pp. 223 - 228
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

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Footnotes

Dr P Singhal takes responsibility for the integrity of the content of the paper

Presented at 105th Annual Clinical Congress of American College of Surgeons, 27–31 October 2019, San Francisco, California, USA and 32nd Politzer Society Meeting and 2nd World Congress of Otology, 28 May–1 June 2019, Warsaw, Poland.

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