Myringoplasty, only Versus Underlay Technique

This is a retrospective study of sixty patients to compare the results of onlay and underlay techniques of myringoplasty for the closure of subtotal tympanic membrane perforation. Thirty three (33) patients underwent myringoplasty by onlya and twenty seven (27) by underlay technique. Teh graft taken rate for underlay technique was better than that for onlay technique. Similarly the underlaytechnique gave better hearing results post operatively. The degree of pst operative high frequency sensorineural hearing loss was greater with the only technique. Postoperative complications such as retraction ofanterior angle, medical proplase of graft and squamous epithelal pearl formation were not reported with the underlay technique.