Publication:

Myringoplasty using temporalis fascia and its clinical outcome

Background Chronic suppurative otitis media is one of the common otological conditions in India for which patients seek advice from an otorhinolaryngologist. Various surgical modalities of treatment have been tried since ages, to eliminate the disease from middle ear cleft, with varying degrees of success rate. One such modality of treatment is myringoplasty. The aim of the present study was to assess the success rate of myringoplasty using temporalis fascia and to evaluate preoperative and postoperative hearing loss in patients with chronic suppurative otitis media.

Methods Sixty adult cases of tympanic membrane perforation were included in the study. Myringoplasty was performed in all cases and hearing loss was compared both before and after surgery.

Results Preoperatively 20 cases showed hearing loss at 16-25 dB, 26 cases at 26-40 dB, and 14 cases showed hearing loss at >40 dB. Graft uptake was successful in 50 patients (83.33%). Postoperatively definitive improvement of hearing was observed in 46 patients. The success rate of surgery in cases of dry ear with more than 6 months was 100%.

Conclusions Outcome of myringoplasty does not depend on sex and site of perforation. Dry ear of duration greater than 6 months is a favourable prerequisite. Graft take up was impaired in cases of sclerotic mastoid and postoperative infection.