J Audiol Otol.  2021 Oct;25(4):224-229. 10.7874/jao.2021.00311.

Myringoplasty Outcomes From a 5-Year Single Surgeon’s Experience and Important Surgical Technical Aspects

• Karunaratne D
• Violaris N

• KMID: 2521620
• DOI: http://doi.org/10.7874/jao.2021.00311

Abstract

Background and Objectives
The United Kingdom (UK) national standard for the closure rate for myringoplasty is 89.5% (90.6% and 84.2% for primary and revision surgeries, respectively). The average hearing gains for primary and revision myringoplasty are 9.14 dB and 7.86 dB, respectively. This study compared the myringoplasty outcomes for a single surgeon over 5 years.
Subjects and Methods
Data for 68 cases were analyzed retrospectively. The outcome measures were achievement of the tympanic membrane closure and the average hearing gain or loss.
Results
The overall and primary closure rates were 97% and 98%, respectively and significantly higher than the UK national standard (p=0.0210 and p=0.0287, respectively). The revision closure rate was 93%; however, it was not significantly higher than the national standard (p=0.1872). The average hearing gain was 5.18 dB. The gains for primary and revision surgeries were 5.15 dB and 5.25 dB, respectively.
Conclusions
We propose that these outcomes are a result of our surgical technique, including the simultaneous use of cortical mastoidectomy in ears with discharge.

Keyword

Tympanic membrane perforation; Tympanoplasty; Mastoidectomy; Outcomes assessment