Dry versus wet myringoplasty: Our experience
Journal Title: Medpulse International Journal of ENT - Year 2018, Vol 5, Issue 1
Abstract
Background: Myringoplasty in wet ear or dry ear, had been a matter of confusion during past many years because of its different success rates and outcomes in different studies. Materials and Methods: This study was conducted over a period of one year to find out graft take up rate in dry and wet myringoplasty and to look for complications both in dry and wet cases during the follow up period. The study comprised of 52 patients with dry and wet myringoplasty. Out of these 52 patients, 4 cases (2 from dry and 2 from wet) were excluded from the study because of the lack of follow up. So ultimate results in this study was based on 48 cases. The selected patients were subjected to clinical, audiological, radiological and laboratorial investigations. Myringoplasty was done in all patients via postaural approach using temporalis fascia graft. Intactness of graft, hearing assessment and presence of any complication was noted during the follow up period. Results: Initial examination in dry ears postoperatively at 3 wks showed normal healed tympanic membrane in 22 cases, whereas 6 cases were having residual perforation. Out of 6 perforations, 1 perforation healed spontaneously and 1 by chemical cauterization. So, overall graft uptake rate in dry ears was 85.71% at 3 months whereas in wet ears at 3 wks showed intact tympanic membrane in 12 cases whereas 8 cases were having residual perforation. Out of 8 perforations, 2 healed with chemical cauterization and 1 closed spontaneously. So, overall graft uptake rate in wet ears was 75% at 3 months follow up. Conclusion: Air-bone gap deterioration was seen more commonly in wet than in dry ears and graft take-up rate is higher in dry ears (85.72%) as compared to wet ears (75%).
Authors and Affiliations
K P Singh, Manish Sharma
Keywords
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