Composite chondro-perichondrial clip myringoplasty: our experience

Shrikrishna B. H.; Jyothi A. C.

doi:10.18203/issn.2454-5929.ijohns20163475

Authors

Shrikrishna B. H. Department of Otolaryngology and Head & Neck Surgery, Navodaya Medical College, Raichur (Karnataka), India
Jyothi A. C. Department of Otolaryngology and Head & Neck Surgery, Navodaya Medical College, Raichur (Karnataka), India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20163475

Keywords:

Tympanic membrane, Myringoplasty, Grafts, Perichondrium, Cartilage, Otitis media

Abstract

Background: There are several studies on the efficacy of the commonly used temporalis fascia for myringoplasty where the temporalis fascia is placed by underlay method after incising external canal wall skin. This study was conducted assess the success rate and efficacy of use of a composite chondro-perichondrial graft in a combined overlay-underlay fashion where the external canal wall is not incised.

Methods: A prospective study was conducted where 30 cases of non-marginal perforation of tympanic membrane were properly selected based on the inclusion criteria. All the 30 cases underwent myringoplasty using composite chondro-perichondrial graft harvested from tragal cartilage and placed in a combined overlay-underlay fashion.

Results: There was complete closure of the perforation in 27 of the total 30 cases. Also there was reduction in the air-bone gap post-operatively in all the 27 cases with complete closure of the tympanic membrane perforations.

Conclusions: Composite chondro-perichondrial clip myringoplasty is an effective method of closing non-marginal perforations of the tympanic membrane.

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Author Biography

Jyothi A. C., Department of Otolaryngology and Head & Neck Surgery, Navodaya Medical College, Raichur (Karnataka), India

PROFESSOR

DEPT OF ENT

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