Myringoplasty : A Simple Procedure for Out-patients

PAKPOOM SUPIYAPHUN, M.D.*, VIRACHAI KEREKHANJANARONG, M.D.*

Affiliation : * Department of Otolaryngology, Faculty of Medicine, Chulalongkom University, Bangkok 10330, Thailand.

AbstractThe standard treatment of tympanic membrane perforation is myringoplasty. We describe a new myringoplasty technique requiring only a partial removal of skin on the ear drum remnant followed by lateral placing of fascia and free skin graft. The overall cure rate in our series is 97 per cent. The hearing gains for the overall cases are 13.9 dB (p <0.001) for the AC, 13.6 dB (p <0.001) for the air bone gap closure, 13.1 dB (p <0.001) for the SRT and 4.2 per cent (p = 0.005) for the SDS. Minor complications are observed in only 14 per cent. Our technique is simple, effective and can be performed on an out-patient basis.

Keywords : Myringoplasty, Otitis Media, Tympanic Membrane

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