Endoscopic Push-Through Cartilage Myringoplasty for Anterior Perforations

Document Type : Original

Authors

Department of Otolaryngology, Head and Neck Surgery, Government Medical College Patiala, India.

Abstract

Introduction:
The study aims to evaluate the anatomical and functional success rates of endoscopic push-through cartilage myringoplasty for anterior tympanic membrane (TM) perforations.
 
Materials and Methods:
Thirty patients with TM perforations in the anterior quadrant underwent endoscopic push-through cartilage tympanoplasty and underwent prospective evaluation. The graft uptake rate and hearing gain were the outcomes evaluated.

Results:
Out of the 30 patients, 15 were male, and 15 were female. The mean age was 32.60 ± 13.66 years (from 18-60 years). The overall graft uptake rate was 90%, with failure observed in three cases. The mean preoperative air conduction threshold was 37.9 ± 5.83 dB which improved to 27.66 ± 4.88 dB at 16 weeks post-operation. The mean postoperative ABG closure was 7.28 dB with a p-value of 0.001 which was statistically significant.

Conclusions:
Endoscopic push-through cartilage myringoplasty is the least invasive, safe, simple, and advantageous for healing TM perforation and hearing restoration.
 

Keywords

References

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Iranian Journal of Otorhinolaryngology
Volume 35, Issue 2
March and April 2023
Pages 77-82

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