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Myringoplasty: a simple procedure for out-patients
P Supiyaphun1, V Kerekhanjanarong
1Department of Otolaryngology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Summary
This study introduces a novel myringoplasty technique for tympanic membrane perforation, achieving a 97% cure rate and significant hearing improvement with minimal complications. The procedure is simple, effective, and suitable for out-patient settings.
Area of Science:
- Otolaryngology
- Surgical Innovation
- Auditory Health
Background:
- Tympanic membrane perforation (TMP) is a common condition affecting hearing.
- Myringoplasty is the standard surgical repair for TMP.
- Existing techniques may involve extensive tympanic membrane remnant removal.
Purpose of the Study:
- To present a new, minimally invasive myringoplasty technique.
- To evaluate the efficacy and safety of this novel approach for TMP repair.
- To assess hearing outcomes and complication rates associated with the new technique.
Main Methods:
- A modified myringoplasty technique involving partial skin removal from the tympanic membrane remnant.
- Lateral placement of fascia and a free skin graft for reconstruction.
- Evaluation of cure rate, hearing gain (air conduction, air-bone gap, speech reception threshold, speech discrimination score), and complication incidence.
Main Results:
- An overall cure rate of 97% was achieved.
- Significant hearing improvements were observed: 13.9 dB AC, 13.6 dB ABG closure, 13.1 dB SRT, and 4.2% SDS.
- Minor complications occurred in only 14% of cases.
Conclusions:
- The described myringoplasty technique is simple and effective for treating tympanic membrane perforations.
- The procedure demonstrates high success rates in terms of closure and hearing restoration.
- Its suitability for out-patient procedures makes it a valuable alternative treatment option.