Study of the Etiological Factors of Failures of Myringoplasty: A Observational Study

  • Sushil K. Sharma
  • Dinesh kumarEmail author
  • Ramsiya Singh
  • Ved P. Upadhyay
  • Abhishek K. Dubey
Original Article


This Study entitled “the study of the aetiological factors of failures of myringoplasty” was planned to find the various aetiological factors causing failure of myringoplasty and suggests remedial steps to improve the results in future. This observational study was carried in the Department of E.N.T, on patients who had undergone myringoplasty from Jan 2013 to June 2016. Total 905 patients operated in the above mentioned duration. 685 patients were operated during Jan 2013 to June 2015, who were studied retrospectively (only 540 came for follow up), and 220 patients were operated during June 2015 to June 2016 were studied prospectively. The patients who came to the OPD for follow up, were thoroughly reviewed and the re-perforation was seen in 53 patients. Total nine factors causing myringoplasty failure were studied, 4 factors i.e. size of perforation, site of perforation, eustachian tube function, and surgeons experience significantly affects the surgical outcome of myringoplasty while age, tympanosclerotic patch, type of anaesthesia, wet or dry graft placement, and deviated nasal septum does not affects the myringoplasty failure. For improvement of result in future, Eustachian tube dysfunction, symptomatic deviated nasal septum should be corrected before the surgery. Anterior and larger perforation should be operated by experienced surgeon.


Myringoplasty failure Risk factors Re-perforation 


Compliance with ethical standards

Conflict of interest

The authors declare that they have no competing interests.


  1. 1.
    Yung M, Neumann C, Vowler SL (2007) A longitudinal study of pediatric myringoplasty. Otol Neurotol 28(3):353–355CrossRefGoogle Scholar
  2. 2.
    Lassaletta Atienza L, Villafruela Sanz MA, Ballesteros Garcia A, Granell Naverro J, Alvarez Vincet JJ (1999) Prognostic factors in pediatric myringoplasty. A review of 90 cases. Acta Otorrinolaryngol Esp 50(1):1–5Google Scholar
  3. 3.
    Ribeiro JC, Rui C, Natercia S, Jose R, Antonio P (2011) Tympanoplasty in children: a review of 91 cases. Auris Nasus Larynx 38:21–25CrossRefGoogle Scholar
  4. 4.
    Joshi RR, Jha AK, Rijal AS, Dhungana A, Shrestha KK (2013) Hearing evaluation after myringoplasty at Nepal medical and teaching hospital. J Nobel Med Coll 2(3):36–42CrossRefGoogle Scholar
  5. 5.
    Lee P, Kelly G, Mills RP (2002) Myringoplasty: does the size of the perforation matter? Clin Otolaryngol Allied Sci 27(5):331–334CrossRefGoogle Scholar
  6. 6.
    Onal K, Uguz MZ, Kazikdas KC, Gursoy ST, Gokce H (2005) A multivariate analysis of otological, surgical and patient related factors in determining success in myringoplasty. Clin Otolaryngol 30(2):115–120CrossRefGoogle Scholar
  7. 7.
    Seidman D (2008) Anterior trans canal tympanoplasty: a novel technique to repair anterior perforations. Otolaryngol Head Neck Surg 138(2):242–245CrossRefGoogle Scholar
  8. 8.
    Adkins WY, White B (1984) Type 1 tympanoplasty: influencing factors. The Laryngoscope 94(7):916–918CrossRefGoogle Scholar
  9. 9.
    Fadl FA (2003) Outcome of type-1 tympanoplasty. Saudi Med J 24(1):58–61Google Scholar
  10. 10.
    Bhat NA, De R (2000) Retrospective analysis of surgical outcome, symptom changes, and hearing improvement following myringoplasty. J Otolaryngol 29(4):229–232Google Scholar
  11. 11.
    Gersdorff M, Garin P, Decat M, Juantegui M (1995) Myringoplasty: long-term results in adults and children. Am J Otol 16(4):532–535Google Scholar
  12. 12.
    Singh GB, Sidhu TS, Sharma A (2005) Tympanoplasty type 1 in children: an evaluative study. Int J PediatrOtorhinolaryngol 69(8):1071–1076CrossRefGoogle Scholar
  13. 13.
    Vartiainen E, Nuutinen J (1993) Success and pitfalls in myringoplasty: follow-up study of 404 cases. Am J Otol 14(3):301–305Google Scholar
  14. 14.
    Black JH, Wormald PJ (1995) Myringoplasty-effects on hearing and contributing factors. S Afr Med J 85(1):41–43Google Scholar
  15. 15.
    Emir H, Ceylan K, Kizilkaya Z, Gocmen H, Uzunkulaoglu H, Samim E (2007) Success is a matter of experience: type 1 tympanoplasty: influencing factors on type 1 tympanoplasty. Eur Arch Otorhinolaryngol 264(6):595–599CrossRefGoogle Scholar
  16. 16.
    Blanshard JD, Robson AK, Smith I, Maw AR (1990) A long term view of myringoplasty in children. J Laryngol Otol 4(10):758–762CrossRefGoogle Scholar

Copyright information

© Association of Otolaryngologists of India 2019

Authors and Affiliations

  • Sushil K. Sharma
    • 1
  • Dinesh kumar
    • 2
    Email author
  • Ramsiya Singh
    • 2
  • Ved P. Upadhyay
    • 2
  • Abhishek K. Dubey
    • 2
  1. 1.Department of E.N.T.Government Medical CollegeAmbedkarnagarIndia
  2. 2.Department of E.N.T.MLN Medical CollegePrayagrajIndia

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