Clinical Usefulness of Simple Underlay Myringoplasty
10.3342/kjorl-hns.2021.00794
- Author:
TaeKoon KIM
1
;
Byung Chul KANG
;
Jin Il KIM
;
Soon Joon KIM
;
Joong Keun KWON
Author Information
1. Department of Otorhinolaryngology-Head and Neck Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea
- Publication Type:Original Article
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2022;65(9):491-496
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Background and Objectives:Recently, myringoplasty, which does not require elevation of tympanomeatal flap, has drawn attention again as a minimally invasive surgery. This study assessed clinical usefulness of simple underlay myringoplasty in repairing dry perforated eardrum or chronic suppurative otitis media in aged and/or frail patients.Subjects and Method This retrospective study included patients who underwent simple underlay myringoplasty from February 1, 2017 to September 30, 2020, and who were monitored for more than 6 months after surgery. Major outcome measurements were determined by graft success and hearing results.
Results:A total of 106 cases were studied. The overall graft success rate was 84.0% and the mean air-bone gap decreased by 7.8 dB postoperatively. The graft take was quite successful even in the cases of recurrent or chronic otorrhea in aged (≥70 years old) and/or frail patients.
Conclusion:Simple underlay myringoplasty could be used as a minimally invasive surgery in dry perforated eardrum. It could be also considered as the first surgical choice for recurrent or chronic otorrhea in chronic suppurative otitis media in aged and/or frail patients.
