Total annulus excision tympanoplasty – a solution to recurrent myringitis: double blind randomised trial

In spite of continuous refinements in tympanoplasty techniques, results are variable, and it is not uncommon to see a discharging eardrum even after a good graft uptake. This study aimed to evaluate the efficacy of total annulus excision tympanoplasty in comparison with conventional underlay tympano...

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Bibliographic Details
Published in:Journal of laryngology and otology 2022-03, Vol.136 (3), p.223-228
Main Authors: Verma, N, Singhal, P, Prabhu, K P Surendra, Sehra, R, Yadav, R, Aeron, B Singh, Munjal, S, Hussain, A, Agarwal, S, Sharma, M Prakash
Format: Article
Language:English
Subjects:
Adolescent
Adult
Auditory Threshold
Chronic Disease
Double-Blind Method
Double-blind studies
Ear diseases
Female
Hearing loss
Humans
India
Main Articles
Male
Middle Aged
Otitis Media - surgery
Otolaryngology
Otology
Treatment Outcome
Tympanic Membrane Perforation - surgery
Tympanoplasty - methods
Young Adult
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Summary:In spite of continuous refinements in tympanoplasty techniques, results are variable, and it is not uncommon to see a discharging eardrum even after a good graft uptake. This study aimed to evaluate the efficacy of total annulus excision tympanoplasty in comparison with conventional underlay tympanoplasty. This was a double blinded, randomised, controlled trial performed at a tertiary care centre. After inclusion and exclusion criteria were met, 56 patients were enrolled and randomised, and 28 patients were allocated to each group (group A (conventional tympanoplasty) and group B (total annulus excision)). Patients and evaluators were blind to the procedure performed. Patients in group B (total annulus excision) showed better graft uptake and no discharge with better gains in air conduction thresholds (p < 0.05) when compared with group A (conventional tympanoplasty). In view of the advantages it offers, total annulus excision tympanoplasty may be preferred over the conventional techniques in patients with central perforations.
ISSN:0022-2151
1748-5460
DOI:10.1017/S0022215121003182