Bilateral single sitting myringoplasty using tragal cartilage from one ear

Area of Science:

• Otolaryngology
• Surgical Innovation
• Regenerative Medicine

Background:

• Myringoplasty, a surgical procedure to repair a perforated eardrum, is commonly performed using temporalis fascia grafts.
• Traditional methods often involve general anesthesia, posing potential risks and limiting same-day bilateral procedures.

Purpose of the Study:

• To evaluate the efficacy and safety of a novel single-sitting bilateral myringoplasty technique.
• To assess the feasibility of using autologous tragal cartilage under local anesthesia for eardrum repair.

Main Methods:

• A single-center study involving patients undergoing bilateral myringoplasty.
• Harvesting tragal cartilage from one ear for grafting onto bilateral eardrum perforations.
• Performing the procedure under local anesthesia.

Main Results:

• Excellent graft uptake rates were achieved in all patients.
• Significant audiological improvement was observed post-surgery.
• The procedure was well-tolerated with no significant complications reported.

Conclusions:

• Single-sitting bilateral myringoplasty using tragal cartilage under local anesthesia is a safe and effective alternative.
• This innovative approach offers excellent outcomes, including improved hearing and graft success.
• The technique minimizes complications and anesthesia-related risks, enhancing patient recovery.