Otoendoscopic management of small to medium sized tympanic membrane perforation

Showkat A. Showkat, Nadhia Bhagat, Kiran Bala, Aamir Yousuf


Background: Chronic suppurative otitis media (CSOM) is a wide spread disease of developing countries like India especially in rural areas. A perforated tympanic membrane results in loss of hearing due to decreased drum area and liability to recurrent infection of the middle ear mucosa.

Methods: A prospective study was conducted over a period of 18 months in the Department of ENT, HNS, Government Medical College, Srinagar with total of 36 patients were enrolled.  

Results: This study consists of male 12 and 24 females mean age 32 yrs hearing loss average 26 db. Management methods were grouped in group A, B, C and D fat myringoplasty, chemical cauterization (trichloroacetic acid), fat myringoplasty + chemical cauterization: and transcanal transtympanic myringoplasty using tragal perichondrium respectively with least success seen in group B 55% and 100% seen in group D.

Conclusions: Otoendoscopic management of small to medium sized TM perforations with different methods is a cost effective, less traumatic procedure, cosmetically better and functionally effective in terms of hearing improvement.



Otoendoscope, CSOM, Tympanic membrane

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