A comparative study of myringoplasty by underlay and overlay techniques
Journal Title: Medpulse International Journal of ENT - Year 2019, Vol 9, Issue 1
Abstract
The surgical technique is better is still matter of debate. The two classical techniques that have been developed are the "Underlay" and the "Overlay" procedures. The former is widely used and relatively simple to perform as the graft is placed entirely medial to the remaining drum and malleus. This technique is ideal to repair small and easily visualized perforations. Methods: It was a prospective randomised controlled study, the study was conducted in the department of ENT and Head-neck Surgery of Shrikrishna Medical College Muzaffarpur. Bihar, the period of April 2018 to October 2018. Aged between 20 -40 years. Total 40 cases with safe variety of chronic suppurative otitis media and dry central perforation irrespective of age and sex were selected randomly for this study Results: In our study the number of females was more than the number of males and male: female ratio was 1:0.73. Mean pre-operative A-B gap by pure tone audiometry was 29.15 (± 5.56) dB. All patients had negative pre-operative Rinne test and none of the patients had reduced ABC test pre-operatively. Minor complications were prevalent more or less in both the techniques of myringoplasty. Conclusion: According to our results, underlay and overlay techniques of myringoplasty are equally effective in terms of graft success rate and hearing improvement, but in terms of complications underlay technique is superior to overlay technique. Underlay technique of myringoplasty is also relatively simple, technically easier to perform and takes less time as compared to overlay technique of myringoplasty.
Authors and Affiliations
Mukul Kumar Sinha, Pawan Kumar Lal
Keywords
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- EP ID EP467788
- DOI 10.26611/1016916
- Views 199
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