A method of myringoplasty in patients with chronic suppurative tubotimpanal otitis media

This article describes the original method of myringoplasty in patients with chronic suppurative tubotimpanal otitis media, aimed at the improvement of efficacy of tympanoplasty. The authors have given a brief description of classical myringoplasty methods, their features and drawbacks depending on the graft location. They have analyzed the specific features of laying the eardrum graft using the authors’ method, which makes it possible to form the anterior meatotympanic angle and prevent the graft from sinkage. The authors’ method was used in surgical treatment of 30 patients of the main group with suppurative tubotimpanal otitis media in the remission stage, whereas 30 patients of the control group were operated on using the classical myringoplasty method; the age of the patients varied from 18 to 60 years. The authors conducted a comparative analysis of morphological and functional results of treatment of the patients in the main and control groups in the early (in 1 and 3 months) and in the late (in 6 and 12 months) postsurgical period and performed a comparative audiological assessment of the functional results of the treatment. Based on the statistical processing of the study results in the early and late postsurgical periods, the article presents the efficacy of using the authors’ myringoplasty method in patients with chronic suppurative tubotimpanal otitis media.