COMPARATIVE STUDY IN UNDERLAY MYRINGOPLASTY WITH TEMPORALIS FASCIA GRAFT ON EITHER SIDE OF HANDLE OF MALLEUS IN TERMS OF GRAFT UPTAKE AND HEARING OUTCOME

MANASAVEENA P.; RAGHU CHANAKYA K. S.; YUGANDHAR G.; UDAY SRIKAR V. S.

doi:10.22159/ijcpr.2025v17i4.7040

Authors

MANASAVEENA P. Department of Oto Rhino Laryngology, GITAM Institute of Medical Sciences and Research, GITAM Deemed to be University, Visakhapatnam-530045, Andhra Pradesh, India
RAGHU CHANAKYA K. S. Department of Oto Rhino Laryngology, GITAM Institute of Medical Sciences and Research, GITAM Deemed to be University, Visakhapatnam-530045, Andhra Pradesh, India
YUGANDHAR G. Department of Oto Rhino Laryngology, GITAM Institute of Medical Sciences and Research, GITAM Deemed to be University, Visakhapatnam-530045, Andhra Pradesh, India
UDAY SRIKAR V. S. Department of Oto Rhino Laryngology, GITAM Institute of Medical Sciences and Research, GITAM Deemed to be University, Visakhapatnam-530045, Andhra Pradesh, India

DOI:

https://doi.org/10.22159/ijcpr.2025v17i4.7040

Keywords:

Myringoplasty, Underlay technique

Abstract

Objective: The objective of the study was to compare the two techniques of underlay myringoplasty with graft placed lateral to the handle of malleus.

Methods: 50 patients of chronic otitis media, mucosal, inactive, aged between 18-55 years who presented to ENT OPD with small, medium, large and subtotal perforations having mild to moderate conductive hearing loss were included in the study. After taking informed consent, patients were randomly divided into 2 groups containing 25 patients each. In group A, graft was placed lateral to the handle of malleus and medial to the annulus (underlay technique), while in group B, graft was placed medial to the handle of malleus and medial to the annulus (over underlay technique). Both groups were reviewed after 6 mo. Pre-operative and post-operative air bone gap were compared. Surgery was considered successful based on post-operative graft uptake, hearing improvement and maintenance of middle ear space.

Results: In both groups, 1 participant (4.0%) had not taken the graft, while 24 participants (96.0%) had taken the graft successfully. The total number of participants in each group was 25. The p-value for this comparison is 1.000, indicating no statistically significant difference in the graft position outcomes between the two groups.

Conclusion: Placement of temporalis fascia graft, medial or lateral to the handle of malleus are equally effective in terms of complete graft uptake and post operative hearing gain after 6 mo follow up.

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