Abstract
BackgroundThe study aims at reporting our experience with loop underlay tympanoplasty, a modification of the underlay technique previously reported, for the reconstruction of anterior, subtotal or total tympanic membrane perforations.MethodsA retrospective review of charts of patients who have undergone loop underlay tympanoplasty from January 2002 to January 2012 was performed. One thousand one hundred patients were included. Hearing test results preoperatively and postoperatively were reported. On follow up visits, the closure of the tympanic membrane perforation and the improvement of hearing compared to preoperative measurements with absence of complications were considered as successful outcomes of the surgery.ResultsAt the three-month follow-up visit, the perforation closure rate was found to be 99.3% and Air-Bone Gap closure rate to less than 10 dB was 99.5%. The complication rate, including post-operative infection, was 0.72%.ConclusionThe loop underlay technique combines advantages of both underlay and overlay techniques with excellent postoperative outcomes.
Highlights
The study aims at reporting our experience with loop underlay tympanoplasty, a modification of the underlay technique previously reported, for the reconstruction of anterior, subtotal or total tympanic membrane perforations
Type I tympanoplasty involves the repair of tympanic membrane perforations in the presence of an intact ossicular chain and would result in normal postoperative hearing results [1]
Many techniques and modifications have been developed for the repair of tympanic membrane perforations and can generally be divided into the underlay or overlay grafting techniques, which involve, respectively, the insertion of a graft either medially or laterally to the fibrous tympanic membrane annulus [2, 3]
Summary
The study aims at reporting our experience with loop underlay tympanoplasty, a modification of the underlay technique previously reported, for the reconstruction of anterior, subtotal or total tympanic membrane perforations. Many techniques and modifications have been developed for the repair of tympanic membrane perforations and can generally be divided into the underlay or overlay grafting techniques, which involve, respectively, the insertion of a graft either medially or laterally to the fibrous tympanic membrane annulus [2, 3]. We introduce the loop underlay tympanoplasty, a novel modified underlay technique with a superiorly based skin flap, for the reconstruction of anterior, subtotal or total tympanic membrane perforations. Our aims are to present the loop underlay grafting surgical technique and to evaluate its success rate in a large patient series
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
