Cyanoacrylate in myringoplasty - an office based procedure

Area of Science:

• Otolaryngology
• Surgical Innovation

Background:

• Graft failure remains a significant challenge in surgical repair of perforated eardrums.
• Existing myringoplasty techniques can be time-consuming and resource-intensive.

Purpose of the Study:

• To evaluate the efficacy of using cyanoacrylate (superglue) as an adjunct in myringoplasty for perforated eardrums.
• To present a novel, minimally invasive approach to tympanic membrane repair.

Main Methods:

• A case series of six patients undergoing myringoplasty for perforated eardrums.
• Commercially available cyanoacrylate was applied using an insulin syringe to secure a temporalis fascia graft.
• The graft was carefully tucked under the perforation edges before glue application.

Main Results:

• Successful tympanic membrane closure was achieved in all six cases.
• The cyanoacrylate-assisted myringoplasty was performed in an office setting.
• The procedure was noted to be simple, time-efficient, and cost-effective.

Conclusions:

• Cyanoacrylate application is a viable, simple, and cost-effective adjunct for myringoplasty.
• This technique offers a promising alternative for managing perforated eardrums, potentially reducing graft failure rates.