Pradeep Pradhan*, Abhimanyu Amant and Priti Lal
Abstract:
Background: Circumferential elevation of tympanomeatal flap is considered to be an effective surgical procedure for tympanic membrane grafting. Here we have demonstrated its technique and compared its results between subtotal and anterior perforations by placing the graft medial and lateral to handle of malleus respectively.
Material and methods: 34 patients with chronic otitis media underwent type I underlay tympanoplasty with circumferential elevation of tympanomeatal flap. Temporalis graft was placed medial and lateral to handle of malleus in 18 (group A) and 16 (group B) patients respectively. The results were compared between two groups after 06 months.
Results: TM closure was found in 84% and 93% patients in group A and group B respectively (p=0.58) at the end of 6 months. In group A, the air bone (AB) closure was 9.44 dB and in group B it was 8.70 dB (p=1.00). Overall mean AB closure was found to be 9.09 dB. There were no major postoperative complications noticed in both the group.
Conclusion: Circumferential flap elevation in subtotal and anterior perforation is an effective surgical technique in type I tympanoplasty with successful outcome. Media or lateral placement of graft to handle of malleus did not significantly affect the final outcome.
Background: Circumferential elevation of tympanomeatal flap is considered to be an effective surgical procedure for tympanic membrane grafting. Here we have demonstrated its technique and compared its results between subtotal and anterior perforations by placing the graft medial and lateral to handle of malleus respectively.
Material and methods: 34 patients with chronic otitis media underwent type I underlay tympanoplasty with circumferential elevation of tympanomeatal flap. Temporalis graft was placed medial and lateral to handle of malleus in 18 (group A) and 16 (group B) patients respectively. The results were compared between two groups after 06 months.
Results: TM closure was found in 84% and 93% patients in group A and group B respectively (p=0.58) at the end of 6 months. In group A, the air bone (AB) closure was 9.44 dB and in group B it was 8.70 dB (p=1.00). Overall mean AB closure was found to be 9.09 dB. There were no major postoperative complications noticed in both the group.
Conclusion: Circumferential flap elevation in subtotal and anterior perforation is an effective surgical technique in type I tympanoplasty with successful outcome. Media or lateral placement of graft to handle of malleus did not significantly affect the final outcome.
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