Abstract
Myringoplasty is a common surgery done for patients with tympanic membrane perforation in our clinical practice. This study was done to know the outcome of myringoplasty done without using gelfoam as a scaffold material. Simultaneously other parameters influencing the outcome were analysed. In a total of 80 patients assessed over 25 months were divided into test and control group by quasi randomisation. All patients underwent endoscopic underlay myringoplasty. Control groups had gelfoam bed created with gelfoam, whereas the test group only middle ear air pocket created with a proper seal without using gelfoam. The study revealed that without using gelfoam and creating a good middle ear air pocket the results were comparable to the method of using middle ear gelfoam bed. Also few insights and understanding regarding the parameters we need to asses preoperatively were also observed. With comparable healing and hearing results without using gelfoam in the middle ear, the normal physiology is restored in the postoperative period much earlier. The result of the surgery also becomes evident in the second postoperative week when the use of gelfoam in the middle ear is avoided.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Glasscock & Shambaugh (2010) Textbook on surgery of the ear. Chapter 6:465–489
Fish U (1994) Tympanoplasty, mastoidectomy and stapes surgery. J Laryngol Otol 39:44–49
Vrabec JT, Deskin RW, Grady JJ (1999) Meta-analysis of pediatric tympanoplasty. Arch Otolaryngol Head Neck Surg 125:530–534
Stage Jan et al (1992) Underlay tympanoplasty with the graft lateral to the malleus handle. Clin Otolaryngol 17:6–9
Biswas SS et al (2010) Hearing evaluation after myringoplasty. Bangladesh J Otorhinolaryngol 16(1):23–28
Aich ML et al (2009) Outcome of myringoplasty. Bangladesh J Otorhinolaryngol 15(2):40–44
Pignataro L, Grillo L, Berta D, Capaccio P (2001) Myringoplasty: anatomical and functional results. J Laryngol Otol 115:369–373
Schuknecht HF et al (1976) Myringoplasty. Clin Otolaryngol I:53–65
Jang CH et al (2008) The effect of anti-adhesive packing agents in the middle ear. Int J Pediatric Otorhinolaryngol 72:1603–1608
Blaine G (1951) Absorbable gelatin sponge in experimental surgery. Lancet 2:427
Light RU, Prentice HR (1945) Gelatin sponge. Arch Surg 51:69
Hellstrom S et al (1983) Absorbable gelatine sponge (gelfoam) in otosurgery. One cause of undesirable postoperative results. Acta Otolaryngol 96:269–275
Singh BJ et al (2009) A comparative study of different graft materials used in myringoplasty. Indian J Otolaryngol Head Neck Surg 61:131–134
Takahashi H (2001) The middle ear: the role of ventilation in disease and surgery, 1st edn. Springer, pp 45–47
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: The authors certify that they have no affiliations with or involvement in any organisation or entity with any financial interest or non-financial interest in the subject matter or materials discussed in this manuscript.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Ramalingam, V., Ramanathan, M., Muraleedharan, A. et al. A Study on Outcome of Myringoplasty in Dry Ear (Quiescent/Inactive CSOM) Without Using Gelfoam in Middle Ear. Indian J Otolaryngol Head Neck Surg 71 (Suppl 2), 1609–1614 (2019). https://doi.org/10.1007/s12070-019-01687-x
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12070-019-01687-x