Skip to main content
SpringerLink
Log in

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

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

Abstract

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.

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
Fig. 4

Similar content being viewed by others

References

  1. Yung M, Neumann C, Vowler SL (2007) A longitudinal study of pediatric myringoplasty. Otol Neurotol 28(3):353–355

    Article  Google Scholar 

  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):1–5

    CAS  Google Scholar 

  3. Ribeiro JC, Rui C, Natercia S, Jose R, Antonio P (2011) Tympanoplasty in children: a review of 91 cases. Auris Nasus Larynx 38:21–25

    Article  Google Scholar 

  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):36–42

    Article  Google Scholar 

  5. Lee P, Kelly G, Mills RP (2002) Myringoplasty: does the size of the perforation matter? Clin Otolaryngol Allied Sci 27(5):331–334

    Article  CAS  Google Scholar 

  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):115–120

    Article  CAS  Google Scholar 

  7. Seidman D (2008) Anterior trans canal tympanoplasty: a novel technique to repair anterior perforations. Otolaryngol Head Neck Surg 138(2):242–245

    Article  Google Scholar 

  8. Adkins WY, White B (1984) Type 1 tympanoplasty: influencing factors. The Laryngoscope 94(7):916–918

    Article  CAS  Google Scholar 

  9. Fadl FA (2003) Outcome of type-1 tympanoplasty. Saudi Med J 24(1):58–61

    PubMed  Google Scholar 

  10. Bhat NA, De R (2000) Retrospective analysis of surgical outcome, symptom changes, and hearing improvement following myringoplasty. J Otolaryngol 29(4):229–232

    CAS  PubMed  Google Scholar 

  11. Gersdorff M, Garin P, Decat M, Juantegui M (1995) Myringoplasty: long-term results in adults and children. Am J Otol 16(4):532–535

    CAS  PubMed  Google Scholar 

  12. Singh GB, Sidhu TS, Sharma A (2005) Tympanoplasty type 1 in children: an evaluative study. Int J PediatrOtorhinolaryngol 69(8):1071–1076

    Article  Google Scholar 

  13. Vartiainen E, Nuutinen J (1993) Success and pitfalls in myringoplasty: follow-up study of 404 cases. Am J Otol 14(3):301–305

    CAS  PubMed  Google Scholar 

  14. Black JH, Wormald PJ (1995) Myringoplasty-effects on hearing and contributing factors. S Afr Med J 85(1):41–43

    CAS  PubMed  Google Scholar 

  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):595–599

    Article  Google Scholar 

  16. Blanshard JD, Robson AK, Smith I, Maw AR (1990) A long term view of myringoplasty in children. J Laryngol Otol 4(10):758–762

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of E.N.T., Government Medical College, Ambedkarnagar, U.P., India

    Sushil K. Sharma

  2. Department of E.N.T., MLN Medical College, Prayagraj, U.P., India

    Dinesh kumar, Ramsiya Singh, Ved P. Upadhyay & Abhishek K. Dubey

Authors
  1. Sushil K. Sharma
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Dinesh kumar
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Ramsiya Singh
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Ved P. Upadhyay
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Abhishek K. Dubey
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Dinesh kumar.

Ethics declarations

Conflict of interest

The authors declare that they have no competing interests.

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

Sharma, S.K., kumar, D., Singh, R. et al. Study of the Etiological Factors of Failures of Myringoplasty: A Observational Study. Indian J Otolaryngol Head Neck Surg 71 (Suppl 2), 1562–1566 (2019). https://doi.org/10.1007/s12070-019-01640-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12070-019-01640-y

Keywords

Search

Navigation