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A Comparative Study of Various Office Procedures for the Management of Small to Medium Size Tympanic Membrane Perforations

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Abstract

A hospital based prospective study to compare and evaluate the efficacy and convenience of various office procedures like chemical cauterization, fat plug myringoplasty and butterfly cartilage tympanoplasty. This interventional, prospective, longitudinal study carried out on 300 patients in the ENT department of a tertiary care medical college hospital in central India between January 2009 and January 2015. The success rate was found to be 94.54, 91.12 and 97% in chemical cauterization, fat plug and butterfly cartilage tympanoplasty respectively (p value 0.246). In all the groups there were significant improvement in terms of hearing in decibels and AB gap postoperatively. No statistically significant association was found in between the failure rates in all the groups. From this study we conclude that all the procedures were simple, rapid, reliable, cost effective, takes less time and minimum hospital stay (day care) than conventional tympanoplasty. We strongly recommend these procedures in place of tympanoplasty in small to medium size central tympanic membrane perforations according to condition and convenience of the patients.

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References

  1. Uppal KS et al (1997) Closure of tympanic membrane perforations by chemical cautry. Indian J Otolaryngol Head Neck Surg 49:151–153

    PubMed  PubMed Central  CAS  Google Scholar 

  2. Quinn FB et al (2003) Tympanoplasty, grand round presentations. Department of Otolaryngology, UTMB

  3. Ringenberg JC (1978) Closure of tympanic membrane perforation by the use of fat. Laryngoscope 88(6):982–993

    Article  PubMed  CAS  Google Scholar 

  4. Chalishazar U (2005) Fat plug myringoplasty. Ind J Otolaryngol Head Neck Surg 57(1):43–44

    CAS  Google Scholar 

  5. Eavey RD (1998) Inlay tympanoplasty: cartilage butterfly technique. Laryngoscope 108(5):657–661

    Article  PubMed  CAS  Google Scholar 

  6. Toss M (2009) Cartilage tympanoplasty: classification of methods–techniques–results. Thieme, Stuttgart, New York

    Book  Google Scholar 

  7. Dursun E, Dogru S, Gurgor A, Clineik H et al (2008) Comparison of paper patch, fat & perichindrium myringoplasty in repair of small tympanic membrane perforations. Otolaryngol Head Neck Surg 138(3):353–356

    Article  PubMed  Google Scholar 

  8. Landsberg R, Fishman G, Derowe A, Berger G (2006) Fat plug myringoplasty: results of a long term follow up. J Otolaryngol 35(1):44–47

    Article  PubMed  Google Scholar 

  9. Gloz A, Goldenberg G, Natzer A, Fradis M, Westerman ST et al (2003) Paper patching for chronic tympanic membrane perforation. Otolaryngol Head Neck Surg 28(4):565–570

    Article  Google Scholar 

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Correspondence to Leena Jain.

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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.

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

Conflict of interest

Ashish Mourya, Leena Jain, Shalini Jadia, Sadat Qureshi, declare that they have no conflict of interest.

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Mourya, A., Jain, L., Jadia, S. et al. A Comparative Study of Various Office Procedures for the Management of Small to Medium Size Tympanic Membrane Perforations. Indian J Otolaryngol Head Neck Surg 70, 351–354 (2018). https://doi.org/10.1007/s12070-018-1356-x

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  • DOI: https://doi.org/10.1007/s12070-018-1356-x

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