Clinical Usefulness of Simple Underlay Myringoplasty

Abstract

Background and Objectives Recently, myringoplasty, which does not require elevation of tympanomeatal flap, has drawn attention again as a minimally invasive surgery. This study assessed clinical usefulness of simple underlay myringoplasty in repairing dry perforated eardrum or chronic suppurative otitis media in aged and/or frail patients.Subjects and Method This retrospective study included patients who underwent simple underlay myringoplasty from February 1, 2017 to September 30, 2020, and who were monitored for more than 6 months after surgery. Major outcome measurements were determined by graft success and hearing results.Results A total of 106 cases were studied. The overall graft success rate was 84.0% and the mean air-bone gap decreased by 7.8 dB postoperatively. The graft take was quite successful even in the cases of recurrent or chronic otorrhea in aged (≥70 years old) and/or frail patients.Conclusion Simple underlay myringoplasty could be used as a minimally invasive surgery in dry perforated eardrum. It could be also considered as the first surgical choice for recurrent or chronic otorrhea in chronic suppurative otitis media in aged and/or frail patients.