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Related Experiment Video

Updated: May 22, 2025

Transcanalicular Diode Laser-assisted Dacryocystorhinostomy for the Treatment of Primary Acquired Nasolacrimal Duct Obstruction
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Modified Push-Through Technique in Bilateral Same-Day Myringoplasty: A Prospective Study.

Alper Tabaru1, Ozgur Yıgıt, Salih Akyel

  • 1Otolaryngology Department, Basaksehir Cam ve Sakura City Hospital, University of Health Sciences, Istanbul, Turkey.

Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [And] European Academy of Otology and Neurotology
|March 13, 2025
PubMed
Summary

Bilateral same-day myringoplasty using a modified push-through technique shows high graft success (94%) and improved hearing without sensorineural hearing loss (SNHL). This approach offers a safe and effective option for chronic otitis media patients.

Keywords:
Bilateral same-day myringoplastyChronic otitis mediaEndoscopic ear surgeryGraft success rateModified push-through techniqueSensorineural hearing loss

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Area of Science:

  • Otolaryngology
  • Surgical Innovation
  • Audiology

Background:

  • Bilateral myringoplasty offers efficiency but carries perceived risks, including sensorineural hearing loss (SNHL).
  • Limited data exists on simultaneous bilateral ear surgeries, necessitating evaluation of novel techniques.
  • Chronic otitis media management often requires surgical intervention to improve hearing and prevent complications.

Purpose of the Study:

  • To assess the efficacy and safety of the modified push-through technique for bilateral same-day myringoplasty.
  • To evaluate graft success rates and hearing outcomes in patients with chronic otitis media.
  • To determine the incidence of iatrogenic sensorineural hearing loss (SNHL) following the procedure.

Main Methods:

  • Prospective study of 50 patients (100 ears) undergoing bilateral same-day myringoplasty.
  • Utilized the modified push-through technique for all surgical procedures.
  • Conducted 1, 3, and 6-month follow-ups with otomicroscopy and audiometric testing to assess graft take, air-bone gap (ABG) reduction, and SNHL.

Main Results:

  • Achieved a high graft success rate of 94% across 100 ears.
  • Demonstrated significant hearing improvement, reducing the air-bone gap (ABG) from a mean of 20 dB to 10 dB (p < 0.001).
  • Observed no instances of sensorineural hearing loss (SNHL).

Conclusions:

  • Bilateral same-day myringoplasty with the modified push-through technique is a safe and effective surgical option.
  • The technique provides high graft success and significant hearing gain without increased SNHL risk.
  • This approach may reduce healthcare costs and the need for multiple surgeries in suitable chronic otitis media patients.