Abstract
Objectives: To determine the best surgical approach of myringoplasty regarding healing of tympanic membrane and improvement of hearing.
 Methods: This was a cross sectional comparative study carried out in the departments of Otolaryngology and Head-Neck Surgery of Bangabandhu Sheikh Mujib Medical University, Dhaka Medical College Hospital, Sir Salimullah Medical college Mitford Hospital and Shaheed Suhrawardy Medical College Hospital during the period of July’2009 to March 2011. A total number of 75 patients of age 15-45years having inactive mucosal chronic otitis media with central perforation were included in this study. All patients has undergone myringoplasty and patients were divided into three groups according to surgical approach such as postaural, transcanal and endaural. All patients were followed up postoperatively and all postoperative findings were recorded. The three groups were compared with regard to healing of tympanic membrane and improvement of hearing.
 Results: The success rate in this study was 80% . graft take rate in postaural, transcanal and endaural approaches were 92.5%, 66.67% and 63.64% respectively. Improvement of mean airbone gap in postaural, transcanal and endaural approaches were 19.04dB, 10.02dB and 11.36dB
 Conclusion: Graft take rate and hearing improvement is significantly higher in postaural approach than other approaches.
 Bangladesh J Otorhinolaryngol; April 2016; 22(1): 21-25
Highlights
Chronic otitis media (COM) has been an important cause of middle ear disease
Chronic otitis media is still alarming in our country and day to day practical experience
Inactive mucosal chronic otitis media is characterized by permanent perforation of the pars tensa but the mucosa of middle ear and mastoid are not inflamed
Summary
Chronic otitis media (COM) has been an important cause of middle ear disease. The prevalence of COM in Bangladesh, India and different countries of Africa were in between 2 and 17% among children[1]. Chronic otitis media is still alarming in our country and day to day practical experience. Poor living condition, overcrowding, poor hygiene, malnutrition and inadequate health care all have been suggested as a basis for the widespread prevalence of chronic otitis media in our country it is the single most cause of hearing impairment in our rural population.[2]. Of five different sub types of chronic otitis media, inactive mucosal type is at the top of Bangladesh J Otorhinolaryngol the list. Inactive mucosal chronic otitis media is characterized by permanent perforation of the pars tensa but the mucosa of middle ear and mastoid are not inflamed
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