2016•Journal of Evolution of Medical and Dental SciencesOpen access

A COMPARATIVE STUDY OF OVERLAY AND UNDERLAY MYRINGOPLASTY CONSIDERING CLOSURE OF PERFORATION AND HEARING RESULTS: OUR EXPERIENCE

Indira Arumugam, Aarthy Kannappan, Rizwan Rafeeque M

Abstract

BACKGROUNDMyringoplasty is an established procedure for closure of tympanic membrane perforations.The quest is on to improve the results further by studying various technique. METHODSIn the present randomized prospective study of one-year duration, 103 patients having a dry large or a subtotal perforation were subjected to myringoplasty by overlay (51 cases) and underlay (52 cases) techniques. RESULTSThe underlay technique resulted in a 94.2% (49 cases) success rate in comparison with overlay technique in a success rate of 91.5% (46 cases). CONCLUSIONFrom this study we understand that the technical ease, better ossicular judgement, hearing results and healing were found to be better in underlay technique.

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Key concepts: Underlay, Myringoplasty, Medicine, Overlay, Tympanic Membrane Perforation, Perforation, Closure (psychology), Audiology