Endoscopic Push-Through Cartilage Myringoplasty for Anterior Perforations

• Published in: Iranian Journal of Otorhinolaryngology
• Main Authors: Ankita Aggarwal, Sanjeev Bhagat, Dimple Sahni, Dinesh Sharma, Vishav Yadav
• Format: Article
• Language: English
• Published: Mashhad University of Medical Sciences 2023-03-01
• Subjects: cartilage; endoscopy; myringoplasty; tympanic membrane perforation
• Online Access: https://ijorl.mums.ac.ir/article_21902_fce54d9ff2c995b7ea07dd98ec789a5e.pdf
• ISSN: 2251-7251; 2251-726X

AbstractIntroduction:The study aims to evaluate the anatomical and functional success rates of endoscopic push-through cartilage myringoplasty for anterior tympanic membrane (TM) perforations. Materials and Methods:Thirty patients with TM perforations in the anterior quadrant underwent endoscopic push-through cartilage tympanoplasty and underwent prospective evaluation. The graft uptake rate and hearing gain were the outcomes evaluated.Results:Out of the 30 patients, 15 were male, and 15 were female. The mean age was 32.60 ± 13.66 years (from 18-60 years). The overall graft uptake rate was 90%, with failure observed in three cases. The mean preoperative air conduction threshold was 37.9 ± 5.83 dB which improved to 27.66 ± 4.88 dB at 16 weeks post-operation. The mean postoperative ABG closure was 7.28 dB with a p-value of 0.001 which was statistically significant.Conclusions:Endoscopic push-through cartilage myringoplasty is the least invasive, safe, simple, and advantageous for healing TM perforation and hearing restoration.