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J Audiol Otol > Epub ahead of print
DOI: https://doi.org/10.7874/jao.2021.00311    [Epub ahead of print] Published online August 25, 2021.
Myringoplasty Outcomes From a 5-Year Single Surgeon’s Experience and Important Surgical Technical Aspects
Dilhara Karunaratne  , Nick Violaris
Department of Otolaryngology, Eastbourne District General Hospital, Eastbourne, East Sussex, UK
Correspondence  Dilhara Karunaratne ,Tel: +44-1323-413704, Fax: +44-1323-43579, Email: d.karunaratne1@nhs.net
Submitted: May 15, 2021  Accepted after revision: July 7, 2020
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.
Keywords: Tympanic membrane perforation; Tympanoplasty; Mastoidectomy; Outcomes assessment
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