Skip to main content
SpringerLink
Log in

A Study of Interlay Grafting in Type 1 Tympanoplasty for Large Central Perforation

  • Original Article
  • Published:
Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

The objective of the study was to study the outcomes of interlay type 1 tympanoplasty in large central perforations in terms of graft uptake, hearing improvement and complications. Study included 150 symptomatic patients having large central perforation in tympanic membrane willing for surgery who later underwent tympanoplasty with or without cortical mastoidectomy. All the patients selected for study, were assessed for subjective and objective evaluation pre-operatively and then post-operatively after 4 months. The study was conducted at tertiary health care hospital. Type I tympanoplasty with Interlay technique for large central perforations is superior. The Interlay technique in Type I tympanoplasty has high success both in terms of graft uptake as well as ABG closure. In the view of the advantages it offers, it should be preferred over the other conventional techniques in patients with large central perforations for better results.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

Abbreviations

ABG:

Air bone gap

AC:

Air conduction

BC:

Bone conduction

COM:

Chronic otitis media

CSOM:

Chronic suppurative otitis media

EAC:

External auditory canal

TFG:

Temporalis fascia graft

TM:

Tympanic membrane

References

  1. Yung MW (2003) Editorial review: literature review of alloplastic materials in ossiculoplasty. J Laryngol Otol 117:431–436

    Article  CAS  Google Scholar 

  2. Wackym P, Snow J (2016) Ballenger's otorhinolaryngology: head and neck surgery, 18th edn. People's Medical Publishing House, Shelton, Connecticut, p 889

    Google Scholar 

  3. World Health Organization (2004) Chronic suppurative otitis media, burden of illness and management options. WHO Child and Adolescent Health Department, Prevention of Blindness and Deafness, Geneva

    Google Scholar 

  4. Wullstein H (1971) The restoration of the function of the middle ear in chronic otitis media. Ann Otol Rhinol Laryngol 80(2):210–217

    Google Scholar 

  5. Zollner F (1955) The principles of plastic surgery of the soundconducting apparatus. J Laryngol Otol 69:637

    Article  CAS  Google Scholar 

  6. Gupta R, Jain S, Gupta N, Roy A (2017) Interlay type I tympanoplasty in largecentral perforations: analysis of 500 cases. Indian J Otol 23(1):32

    Article  Google Scholar 

  7. Guo M, Huang Y, Wang J (1999) Report of myringoplasty with interlay method in 53ears perforation of tympani. Lin Chuang Er Bi Yan Hou Ke Za Zhi J Clin Otorhinolaryngol 13(4):147–149

    CAS  Google Scholar 

  8. Patil B, Misale P, Mane R, Mohite A (2014) Outcome of interlay grafting in type 1 tympanoplasty for large central perforation. Indian J Otolaryngol Head Neck Surg 66(4):418–424

    Article  CAS  Google Scholar 

  9. Komune S, Wakizono S, Hisashi K, Uemura T (1992) Interlay method for myringoplasty. Auriss Nasus Larynx 19(1):17–22

    Article  CAS  Google Scholar 

  10. Kawatra R, Maheshwari P, Kumar G (2014) A comparative study of the techniques ofmyringoplasty—overlay, underlay & interlay. IOSR J Dent Med Sci 13:12–16

    Article  Google Scholar 

  11. Hay A, Blanshard J (2014) The anterior interlay myringoplasty: Outcome and hearing results inanterior and subtotal tympanic membrane perforations. Otol Neurotol. 35:1569–1576

    Article  Google Scholar 

Download references

Funding

No funding sources.

Author information

Authors and Affiliations

  1. Department of Otorhinolaryngology, Surat Municipal Institute of Medical Education and Research, Sahara Darwaja, Surat, Gujarat, 395001, India

    Manit M. Mandal, Ajay J. Panchal, Rakesh Kumar, Mithram Z. Wadia & Vipul V. Valiya

Authors
  1. Manit M. Mandal
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Ajay J. Panchal
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Rakesh Kumar
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Mithram Z. Wadia
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Vipul V. Valiya
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Ajay J. Panchal.

Ethics declarations

Conflict of interest

None declared.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. The study was approved by the Institutional Ethics Committee.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Mandal, M.M., Panchal, A.J., Kumar, R. et al. A Study of Interlay Grafting in Type 1 Tympanoplasty for Large Central Perforation. Indian J Otolaryngol Head Neck Surg 74 (Suppl 3), 3620–3625 (2022). https://doi.org/10.1007/s12070-020-02146-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12070-020-02146-8

Keywords

Search

Navigation