Evaluation of endoscopic cartilage myringoplasty with endoscopic temporalis fascia myringoplasty in patients from Bihar region
Dr. Sonu Kumar Singh, Dr. Satyendra Sharma
Myringoplasty is a surgical procedure of closure of tympanic membrane perforation. Myringoplasty surgery involves the use of a graft as a scaffold for the epithelium to grow over the graft and close the perforation. The goal of myrongoplasty surgery is to achieve a dry ear by eradicating middle ear disease and also to improve hearing by the closure of tympanic membrane perforation by grafting. The results of myringoplasty are usually measured in terms of success or failure of graft take-up and hearing improvement. Hence based on above findings the present study was planned for Evaluation of Endoscopic Cartilage Myringoplasty with Endoscopic Temporalis Fascia Myringoplasty in Patients from Bihar Region. The present study was planned in Department of ENT, Nalanda Medical College and Hospital Patna, Bihar, India. The study was conducted from May 2019 to October 2019. In the present study total 30 patients were enrolled in the present study. Out of that Group I consist of 15 patients were undergone the myringoplasty using temporalis fascia. The remaining 15 patients were compared in Group II in that palisade cartilage was used as a graft material to close the tympanic membrane retraction with perforation. Various types of grafts and techniques are used to close the perforation of the tympanic membrane. Tympanoplasty by cartilage palisade and temporalis fascia yielded near to equal graft uptake rates. Improvement in hearing is was slightly better with temporalis fascia as graft when compared to cartilage palisade graft. Endoscopic tympanoplasty has following advantage it’s sutureless, minimally invasive & reduced operative time. The cartilage tympanoplasty offers an otologist another reliable material in his armamentarium for tympanic membrane reconstruction.