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KMID : 1039520210250040224
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Journal of Audiology & Otology
2021 Volume.25 No. 4 p.224 ~ p.229
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Myringoplasty Outcomes From a 5-Year Single Surgeon’s Experience and Important Surgical Technical Aspects
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Karunaratne Dilhara
Violaris Nick
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Abstract
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Background and Objectives: The United Kingdom (UK) national standard for the closure rate for myringoplasty is 89.5% (90.6% and 84.2% for primary and revision surgeries, respectively). The average hearing gains for primary and revision myringoplasty are 9.14 dB and 7.86 dB, respectively. This study compared the myringoplasty outcomes for a single surgeon over 5 years.
Subjects and Methods: Data for 68 cases were analyzed retrospectively. The outcome measures were achievement of the tympanic membrane closure and the average hearing gain or loss.
Results: The overall and primary closure rates were 97% and 98%, respectively and significantly higher than the UK national standard (p=0.0210 and p=0.0287, respectively). The revision closure rate was 93%; however, it was not significantly higher than the national standard (p=0.1872). The average hearing gain was 5.18 dB. The gains for primary and revision surgeries were 5.15 dB and 5.25 dB, respectively.
Conclusions: We propose that these outcomes are a result of our surgical technique, including the simultaneous use of cortical mastoidectomy in ears with discharge.
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KEYWORD
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Tympanic membrane perforation, Tympanoplasty, Mastoidectomy, Outcomes assessment
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