Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2019 Aug 26:33:323.
doi: 10.11604/pamj.2019.33.323.18060. eCollection 2019.

Prognostic factors of myringoplasty: study of a 140 cases series and review of the literature

Youssef Darouassi  1 , Abdelfettah Aljalil  1 , Amine Ennouali  1 , Mohamed Amine Hanine  1 , Youness Chebraoui  1 , Brahim Bouaity  1 , Mohamed Mliha Touati  1 , Haddou Ammar  1
Affiliations
Review

Prognostic factors of myringoplasty: study of a 140 cases series and review of the literature

Youssef Darouassi et al. Pan Afr Med J. .

Abstract

Myringoplasty is one of the most frequent interventions in otology. It aims to restore the eardrum in order to protect against extrinsic contamination by water and to improve hearing. Our study aimed to analyze the factors that may affect anatomical and functional results of myringoplasty or type I tympanoplasty. A retrospective study was performed of a series of 140 cases of myringoplasty over a 6-years period from 2010 to 2015. The approach was post-auricular in 69% of cases and all the patients underwent an underlay technique. Temporal fascia was used in 90.71% of the cases. After an average follow-up of 13 months, the anatomical and functional results were acceptable, with a tympanic closure rate of 88% and an average audiometric gain of 14.22 dB. Several factors affected our results, including the location of the perforation, the active or inactive status of the chronic otitis media, the condition of the opposite ear and the graft material. In light of our results and those of the literature, we believe that the middle ear should be dry at least two months prior to surgery, use of cartilaginous graft material and underlay technique should be preferred and special precautions should be taken in case of anterior or contralateral perforation.

Keywords: Myringoplasty; surgery; tympanic membrane perforation.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Distribution in our series according to the location of the perforation
See this image and copyright information in PMC

References

    1. Pinar E, Sadullahoglu K, Calli C, Oncel S. Evaluation of prognostic factors and middle ear risk index in tympanoplasty. Otolaryngol-Head Neck Surg. 2008;139(3):386–390. - PubMed
    1. Denoyelle F, Darrouzet V. Traitement chirurgical des perforations tympaniques de l'enfant. Rev Laryngol Otol Rhinol. 2004;125(1):3–16. - PubMed
    1. Emir H, Ceylan K, Kizilkaya Z, Gocmen H, Uzunkulaoglu H, Samim E. Success is a matter of experience: type 1 tympanoplasty. Eur Arch Otorhinolaryngol. 2007;264(6):595–599. - PubMed
    1. Das A, Sen B, Ghosh D, Sengupta A. Myringoplasty: impact of size and site of perforation on the success rate. Indian J Otolaryngol Head Neck Surg. 2015;67(2):185–189. - PMC - PubMed
    1. Hakuba N, Taniguchi M, Shimizu Y, Sugimoto A, Shinomori Y, Gyo K. A new method for closing tympanic membrane perforations using basic fibroblast growth factor. The Laryngoscope. 2003;113(8):1352–1355. - PubMed