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VOLUME 9 , ISSUE 3 ( September-December, 2017 ) > List of Articles

Original Article

A Comparative Study of Myringoplasty Using Temporalis Fascia as a Graft Material by Underlay and Overlay Techniques

Rahul T Thakur, SL Sonawale, Samir Joshi

Keywords : Overlay, Temporalis fascia, Underlay,Myringoplasty

Citation Information : Thakur RT, Sonawale S, Joshi S. A Comparative Study of Myringoplasty Using Temporalis Fascia as a Graft Material by Underlay and Overlay Techniques. Int J Otorhinolaryngol Clin 2017; 9 (3):90-92.

DOI: 10.5005/jp-journals-10003-1273

License: CC BY-NC 4.0

Published Online: 00-12-2017

Copyright Statement:  Copyright © 2017; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Introduction: Comparative study of myringoplasty (CSOM) with perforation is one of the common otological condition for which patients seek advice from otorhinolaryngologist. Materials and methods: The study was carried out on patients diagnosed as CSOM in ENT department. Fifty patients were operated for myringoplasty with underlay (25) or overlay (25) technique with temporalis fascia as a graft material. The audiological evaluation was done after 3 months. Results and observation: Total 82% cases showed improvement in hearing. The mean preoperative hearing loss was 35.90 (+8.433 SD), and postoperative was 25.40 (+5.962SD) on paired t-test the differentiating factor was 8.832 and p ≤ 0.001 which is statistically highly significant. Mean improvement in hearing using temporalis fascia and underlay technique was 9.8 dB (+ 7.702 SD) and overlay technique was 11.2db (+ 9.160 SD. Conclusion: On applying paired t-test, the differentiating factor was 0.585 and p = 0.561 which is statistically nonsignificant. Thus underlay and overlay technique of myringoplasty are equally effective.


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