Myringoplasty is a procedure which deals on repair of the tympanic membrane. This procedure can be done via postaural, endaural or endomeatal route. Various grafts such as temporalis fascia, vein graft, perichondrium are used. The technique can be categorized as underlay, overlay, interlay or its combination depending on the placement of the graft material. This study was done to compare underlay, overlay and combined technique in terms of the closure of the membrane defect, postoperative complications and over all success rates. Apart from few complications, this study revealed over all success rate was best with combined technique but the difference was not significant statistically when the methods are comparable among them.
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References
Glasscock–Shambough (2003) Surgery of the ear, 5th edn. pp 401–403
Wallstein H (1952) Fusktionelle Operationen in Mittelohr mit Hilfe des freien Spalt lappen Transplantes. Arch Ohren Naseen-u-Kehlkoph 161–242
Zollner F (1963) Panel myringoplasty. Second workshop on reconstructive middle ear surgery. Arch Otol 78–301
Zollner F (1963) Panel of myringoplasty, second workshop on reconstructive middle ear surgery. Arch Otol 78:301
Heerman H (1960) Tympanic membrane plastic with temporal fascia. Hals Nasen Ohrenh 9:136
Shea JJ (1960) Vein graft closure of ear drum perforation. J Laryngol Otol 74:358
Tabb HG (1960) Closure of perforation of tympanic membrane by vein grafts. Laryngoscope 73:699
Tabb HG (1968) Experience in transcanal and post auricular myringoplasty. Tran Pac Coast Oto Ophthalmol Soc Arnn Meet 52:121–125
She W, Dai Y, Chen F, Quin D J Otolaryngol Head Neck Surg 22(10):433–435
Labatut Pesce T, Granon S, Mora Rivas E, Marco Madrid C (2009) Primary myringoplasty results, 2 year follow up in. Acta Otorhinolaryngol 60(2):79–83
Shaikh AA, Shiraz MA, Salman O, Shaikh M, Rafi T (2009) Outcome of tympanoplasty type 1 by underlay technique. JLUMHS 8(1)
Fadl AF Outcome of type 1 tympanoplasty. Saudi Med J
Sheehan P, Dounelly M, Kane R (2011) Clinical features of newly presented case of COM. J Laryngol Otol 115:962–966
Shrestha S, Sinha BK (2006) Hearing results after myringoplasty. Kathmandu Med Coll Univ J 4(16):455–459
Hussain A, Yusuf N, Khan AR (2004) Out come of myringoplasty in original article. 18(4):695–698
Gupta SC (2000) Ear nose Throat J IUSA/Dec 1
Labatut Pesce T, Granon S, Mora Rivas E, Madrid CM (2009) Primary myringoplasty results, 2 year follow up. Acta Otorhinolaryngol Esp 60(2):79–83
Yigit U, Seyhan U, Ebru T, Berne USLV, Ozlem UNSAL, Barsan D (2005) Short term evaluation of over-underlay myringoplasty and underlay technique. Eur Arch Otorhinolaryngol 262(5):400–405. Issue 0937-4447
De La Mcrovetto T, Fiz Melsio L, Martinez A (2000) Myringoplasty in chronic simple otitis media; comparative study of underlay and overlay technique. Acta Otorhinolaryngol Esp 51(2):101–104
Mishra P, Sankhya N, Mathur N (2007) Prospective study of 100 cases of underlay tympanoplasty with superiorly based circumferential flap and subtotal perforation. Springle India 59(3):225–228
Strauss P, Kress M, Hinz R, Wohl K (1975) Medial and lateral placement of graft, comparative study with electronic data processing. Laryngol Rhinol Otol (Stuttg) 54(3):183–190
Javid Md, Iqbal M, Hidiatullah, Javail Iqbal Shah JI (2002) Overlay vs underlay technique in original article. 16(2):174–177
Brown CYQ, McCarty DJ, Briggs RJS (2002) Success rate following myringoplasty at the Royal Victoria Eye and Ear Hospital. Aust J Otolaryngol Apr
Vartiainen E, Nuutinen J Success, pitfalls in myringoplasty; follow up of 404 cases. Department of Otolaryngology, University of Kuopio
Franklin M, Rizer MD Overlay vs underlay technique. Laryngoscope 107(84):26–36
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Sengupta, A., Basak, B., Ghosh, D. et al. A Study on Outcome of Underlay, Overlay and Combined Techniques of Myringoplasty. Indian J Otolaryngol Head Neck Surg 64, 63–66 (2012). https://doi.org/10.1007/s12070-011-0257-z
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DOI: https://doi.org/10.1007/s12070-011-0257-z