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KMID : 0361020220650090491
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Korean Journal of Otolaryngology - Head and Neck Surgery
2022 Volume.65 No. 9 p.491 ~ p.496
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Clinical Usefulness of Simple Underlay Myringoplasty
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Kim Tae-Koon
Kang Byung-Chul
Kim Jin-Il
Kim Soon-Joon
Kwon Joong-Keun
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Abstract
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Background and Objectives : Recently, myringoplasty, which does not require elevation oftympanomeatal flap, has drawn attention again as a minimally invasive surgery. This studyassessed clinical usefulness of simple underlay myringoplasty in repairing dry perforated eardrumor chronic suppurative otitis media in aged and/or frail patients.
Subjects and Method : This retrospective study included patients who underwent simpleunderlay myringoplasty from February 1, 2017 to September 30, 2020, and who were monitoredfor more than 6 months after surgery. Major outcome measurements were determinedby graft success and hearing results.
Results : A total of 106 cases were studied. The overall graft success rate was 84.0% and themean air-bone gap decreased by 7.8 dB postoperatively. The graft take was quite successfuleven 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 surgeryin dry perforated eardrum. It could be also considered as the first surgical choice for recurrentor chronic otorrhea in chronic suppurative otitis media in aged and/or frail patients.
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KEYWORD
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Minimally invasive surgical procedures, Myringoplasty, Tympanic membrane perforation
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