Online ISSN: 2515-8260

Keywords : Myringoplasty

Audiometric Assessment Of Hearing Status In Patients After Myringoplasty

AsfiaRahman, Vijay Kumar, ArshadAyub,Pramod Kumar

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 4, Pages 123-134

Introduction :Chronic suppurative otitis media (CSOM)is a middle ear disease with permanent abnormality of pars tensa or pars flacida resulting in discharge and hearing loss. Hearing loss is mostly conductive in nature.Pure tone audiometry is a subjective measurement of hearing threshold level. It is done preoperatively to know the degree and type of hearing loss and postoperatively to measure the audiological gain.
Objective:to assess hearing status of patients after myringoplasty using pure tone audiometer.
Methods:The study was done on 100 patients suffering from CSOM active mucosal type. Patient parameters including age, size and site of the perforation were evaluated. Hearing levels were assessed as the mean air conduction (AC), and air-bone gap (ABG) at 500, 1000, and 2000 Hz, and their relation with aforementioned parameters were analyzed.Myringoplasty was performed and then patients were followed up for three months and on each visit hearing status was assessed by Pure Tone Audiometry.
Results:At the end of the study it was found that mostofthe patients were in younger age group 15-25 years(60%).The commonest site was central perforation (88%) with large size perforation  being (51%). The pre and post operativeaudiological difference found to be significant with average audiological gain more than 10dB and overall hearing improvement was 86% at 1 month and 93% at the end of 2 and 3 month.
 Conclusions:There was a significant audiological improvement following myringoplastywith postauricular route using temporalis fascia graft via underlay technique in patients of mucosal type of chronic suppurative otitis media.However no significant difference was found in the audiological gain when compared to different age,site and size of perforation.


CR Vijay Bharath Reddy, Saai Ram Thejas

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 4, Pages 645-656

Chronic otitis media is a mucoperiosteal chronic inflammation in the middle ear
cleft which is associated with perforation of the tympanic membrane, ear
discharge and hearing impairment. The main goal of tympanoplasty is the
reconstruction of the tympanic membrane and closure of a perforation that has
been impaired by chronic ear diseases with or without trying to improve the
hearing mechanism.

A Comparative Study of graft uptake and hearing improvement following Myringoplasty using Temporalis fascia and Tragal perichondrium in mucosal type of COM

Dr.M.Meena Kumari, Dr.Soujanya Kumari

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 1599-1611

Aim: The aim of the study is to compare the results of myringoplasty performed using
temporalis fascia with that of tragal perichondrium.
Methodology: A Hospital based prospective study was conducted to compare the
success rate of myringoplasty performed with temporalis fascia versus tragal
perichondrial grafting at department of ENT,Govt ENT Hospital,Koti,Hyderabad..
Patients with chronic suppurative otitis media with tubo tympanic type were included
in the study.
Results: A total of 60 patients were studied among which 30 were in group A and 30 in
group B. Patients were diagnosed by clinical examination and otomicroscopy. Pre
operative hearing evaluation was done by pure tone audiometry. Myringoplasty was
performed using temporalis fascia and tragal perichondrium in group A and group B
respectively. Follow up was done at 3 weeks, 6 weeks, 3 months and at 6 months post
operatively. During the follow up, patients were assessed for graft uptake and hearing
improvement and the results were compared between both the groups. The results were
as follows: Age of pts was between 15- 60 yrs with majority between 20 to 40yrs. There
were a total of 33 males and 27 females. Right ear was operated in 33 patients and left
ear in 27 patients. A total of 14 cases were operated with presence of bilateral disease
(6:8). Overall graft uptake rate was 85%. Graft uptake rate was 83.33% with
temporalis fascia and 86.66% with tragal perichondrium. Mean improvement in
hearing for temporalis fascia was 9.81 ± 5.10 dB and for tragal perichondrium was 8.42
± 4.10 dB.
Conclusion: It is concluded that graft material does not influence the either graft uptake
or hearing improvement in safe type of CSOM when conductive hearing loss is less than
40 db and in the absence of central pathology and tympanosclerosis.

Traumatic perforation of tympanic membrane in rural population: A clinical study

Mudassar Ahmed Shariff, Sushma Nayak, Abhilash NP, Nivedita

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 2, Pages 2277-2287

Background: Tympanic membrane is a thin, transparent white membrane that separates the external acoustic canal from the middle ear. It is oval in shape and measures 9 mm x 10 mm. It is positioned obliquely at a 55-degree angle with the meatus floor.1 Tympanic membrane is a crucial component of sound conduction since its vibratory feature is required for sound transmission in humans. A defect in the tympanic membrane is termed as tympanic membrane perforation, which can occur due to various causes including trauma.
Objective: To study various etiologies of traumatic perforation of the tympanic membrane, their clinical presentation, extent of hearing loss and their response to the various treatment options.
Methodology: A Retrospective study of 100 cases of traumatic tympanic membrane perforation from rural areas was carried out. Data was collected from the ENT OPD Register, Audiology Register and OT Register of the patients who had presented to the Dept of ENT, CIMS Teaching Hospital, Chamarajanagar with features of Traumatic perforation of the tympanic membrane. Data was collected regarding the clinical profile of the patients, etiology, site, size of perforation, degree of hearing loss, treatment options utilized, time taken for healing and improvement in hearing after healing of the perforation.
Results: Of the 100 cases of traumatic perforation of the tympanic membrane, 59 were male and 41 were female. 49 patients presented with conductive hearing loss in the range of 26-40 dB, 29 patients with 16-25 dB hearing loss. Complete healing was observed within 2-8 weeks in 51 patients and within 8-12 weeks in 34 patients.
Conclusions: Assault was the most common cause of injury to the ear, majority of the patients presented with tinnitus, had small sized central perforation of the tympanic membrane with minimal hearing loss. In majority of the patients, perforation healed spontaneously without active intervention and only a few cases having required active surgical intervention.