[Myringoplasty. . 5-year study on the anatomic and functional results]

Area of Science:

• Otolaryngology
• Surgical Innovation
• Auditory Health

Background:

• Central tympanic perforations can impair hearing and quality of life.
• Surgical repair aims to restore eardrum integrity and hearing function.
• The "on-lay" technique is a common surgical approach for tympanic membrane repair.

Purpose of the Study:

• To evaluate the anatomical and functional outcomes of the "on-lay" procedure for central tympanic perforations.
• To identify parameters influencing the success of tympanic membrane repair.
• To emphasize the value of the "on-lay" procedure in restoring eardrum integrity.

Main Methods:

• Retrospective analysis of 131 cases undergoing "on-lay" tympanoplasty.
• Assessment of anatomical success (graft uptake) and functional results (audiometry).
• Evaluation of influencing factors: perforation type/size, anesthesia, graft source, surgical approach.

Main Results:

• The "on-lay" procedure demonstrated positive anatomical and functional outcomes.
• Perforation characteristics, graft source, and surgical approach were identified as key influencing factors.
• Successful re-establishment of eardrum integrity was achieved in a significant majority of cases.

Conclusions:

• The "on-lay" procedure is an effective surgical option for central tympanic perforations.
• Careful consideration of patient-specific factors optimizes surgical outcomes.
• The study underscores the efficacy of the "on-lay" technique for tympanic membrane reconstruction.