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Longitudinal Study of Type I Interlay Tympanoplasty

  • Manish Chandra
  • Satveer Singh JassalEmail author
Original Article

Abstract

The aim of the present study was to access success rate of tympanoplasty and complications with interlay technique of tympanoplasty. This Longitudinal Prospective study was carried out in the Department of Otorhinolaryngology and Head and Neck Surgery, Era’s Lucknow Medical College, Lucknow. 50 patients aged between 10 and 50 years of chronic otitis media mucosal type disease with dry ears were selected. Otomicroscopic, tunning fork test, pure tone audiometry were done in all patients. All patients underwent interlay tympanoplasty. Patients were followed up regularly for a minimum period of 1.5 years. Successful graft uptake was noted in 48 (96%) cases. Interlay tympanoplasty results in excellent graft uptake and good post operative Air Bone Gap closure.

Keywords

Chronic otitis media Mucosal disease Interlay Type I tympanoplasty 

Notes

Compliance with Ethical Standards

Conflict of interest

The authors have no conflicts of interest to disclose.

References

  1. 1.
    Matsuda Y, Kurita T, Ueda Y, Ito S, Nakashima T (2009) Effect of tympanic membrane perforation on middle-ear sound transmission. J Laryngol Otol 123((Suppl. S31)):81–89CrossRefGoogle Scholar
  2. 2.
    Athanasiadis-Sismanis A (2010) Tympanoplasty: tympanic membrane repair. In: Gulya AJ, Minor LB, Poe DS (eds) Glasscock-Shambaugh surgery of the ear, 6th edn. Peoples Medical Publishing House, Shelton, pp 465–488Google Scholar
  3. 3.
    Athanasiadis-Sismanis A (2010) Ossicular chain Reconstruction. In: Gulya AJ, Minor LB, Poe DS (eds) Glasscock-Shambaugh surgery of the ear, 6th edn. Peoples Medical Publishing House, Shelton, pp 489–500Google Scholar
  4. 4.
    Merchant SN (2003) Chronic otitis media, Scott Brown's Otorhinolaryngology, Head and Neck Surgery, 7th edn, vol 237c, pp 3404–3405Google Scholar
  5. 5.
    Wallstein H (1952) Fusktionelle Operationen in Mittelohr mit Hilfe des freien Spalt lappen Transplantes. Arch Ohren Naseen-u- Kehlkoph 161–242Google Scholar
  6. 6.
    Zollner F (1963) Panel myringoplasty. In: Second workshop on reconstructive middle ear surgery. Arch Otol pp. 78–301Google Scholar
  7. 7.
    Heerman H (1960) Tympanic membrane plastic with temporal fascia. Hals Nasen Ohrenh 9:136Google Scholar
  8. 8.
    Kartush JM (1994) Ossicular chain reconstruction. capitulum to malleus. Otolaryngol Clin North Am 27:89–715Google Scholar
  9. 9.
    Sengupta A, Basak B, Ghosh D, Basu D, Adhikari D, Maity K (2012) A study on outcome of underlay overlay and combined techniques of myringoplasty. Indian J Otolaryngol Head Neck Surg 64(1):63–66CrossRefGoogle Scholar
  10. 10.
    Labatut Pesce T, Granon S, Mora Rivas E, Madrid CM (2009) Primary myringoplasty results, 2 year follow up. Acta Otorhinolaryngol Esp 60(2):79–83CrossRefGoogle Scholar
  11. 11.
    Collins WO, Telischi FF, Balkany TJ, Buchman CA (2003) Pediatric tympanoplasty: effect of contralateral ear status and outcomes. Arch Otolaryngol Head Neck Surg 129:646–651CrossRefGoogle Scholar
  12. 12.
    Denoyelle F, Gilles R, Chauvin P, Garabedian EN (1999) Myringoplasty in children: predictive factors of outcome. Laryngoscope 109:47–51CrossRefGoogle Scholar
  13. 13.
    Yung M, Neumann C, Vowler S (2007) A longitudinal study on pediatric myringoplasty. Otol Neurotol 28:353–355CrossRefGoogle Scholar
  14. 14.
    Gersdorff M, Garin P, Decat M, Juantegui M (1995) Myringoplasty: long term results in adults and children. Am J Otol 16:532–535PubMedPubMedCentralGoogle Scholar
  15. 15.
    Kartush JM, Michaelides EM, Becvarovskiz Z et al (2002) Over—under tympanoplasty. Laryngoscope 112:802–807CrossRefGoogle Scholar
  16. 16.
    Guo M, Huang Y, Wang J (1999) Report of myringoplasty with interlay method in 53 ears perforation of tympani. Lin Chuang Er Bi Yan Hou Ke Za Zhi J Clin Otorhinolaryngol 13(4):147–149Google Scholar
  17. 17.
    Komune S, Wakizono S, Hisashi K, Uemura T (1992) Interlay method For myringoplasty. Larynx Auris Nasus 19(1):17–22CrossRefGoogle Scholar
  18. 18.
    She W, Dai Y, Chen F, Qin D, Ding X (2008) Comparative evaluation of over-under myringoplasty and underlay myringoplasty for repairing tympanic membrane perforation. Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 22(10):433–435PubMedGoogle Scholar
  19. 19.
    Hay A, Blanshard J (2014) The anterior interlay myringoplasty: outcome and hearing results in anterior and subtotal tympanic membrane perforations. Otol Neurotol 35(9):1569–1576CrossRefGoogle Scholar
  20. 20.
    Lee P, Kelly G, Mills RP (2002) Myringoplasty: does the size of the perforation matter? Clin Otolaryngol Allied Sci 27:331–334CrossRefGoogle Scholar
  21. 21.
    Sergi B, Galli J, De Corso E, Parrilla C, Paludetti G (2011) Overlay versus underlay myringoplasty: report of outcomes considering closure of perforation and hearing function. Acta Otorhinolaryngol Ital 31(6):366–371PubMedPubMedCentralGoogle Scholar
  22. 22.
    Singh BJ, Sengupta A, Das S, Ghosh D, Basak B (2009) A comparative study of different graft materials used in myringoplasty. Indian J Otolaryngol Head Neck Surg 61:131–134CrossRefGoogle Scholar
  23. 23.
    Yadav S, Aggarwal N, Julaha M, Goel A (2009) Endoscopic assisted myringoplasty. Singap Med J 50(5):510–512Google Scholar
  24. 24.
    Patil BC, Misale PR, Mane RS, Mohite AA (2014) Outcome of interlay grafting in type 1 tympanoplasty for large central perforation. Indian J Otolaryngol Head Neck Surg 66(4):418–424CrossRefGoogle Scholar
  25. 25.
    Fouad T, Rifaat M, Buhaibeh Q (2010) Utilization of amniotic membrane for graft repair of the tympanic membrane perforation. Egypt J Ear Nose Throat Allied Sci 11:97–101Google Scholar
  26. 26.
    Yigit U, Seyhan U, Ebru T, Berne USLV, Ozlem UNSAL, Barsan D (2005) Short term evaluation of over-underlay myringoplasty and underlay technique. Eur Arch Otorhinolaryngol 262(5):400–405 (Issue 0937-4447) CrossRefGoogle Scholar
  27. 27.
    Lima JCBD, Marone SAM, Martucci O, Goncalez F, Silva Neto JJD, Ramos ACM (2011) Evaluation of the organic and functional results of tympanoplasties through a retro-auricular approach at a medical residency unit. Braz J Otorhinolaryngol 77(2):229–236CrossRefGoogle Scholar
  28. 28.
    Saha Ashok K, Munshi DM, Ghosh SN (2006) Evaluation of improvement of hearing in type 1 tympanoplasty and its influencing factors. Indian J Otolaryngol Head Neck Surg 58(3):253–257Google Scholar
  29. 29.
    Umar AS, Ahmed Z (2008) Anatomical and functional outcome following type 1 tympanoplasty in chronic tubotympanic suppurative otitis media. Pak Armed Forces Med J 1:1–5Google Scholar
  30. 30.
    Mokhtarinejad F, Okhovat S, Barzegar F (2012) Surgical and hearing results of the circumferential subannular grafting technique in tympanoplasty: a randomized clinical study. Am J Otolaryngol 33:75–79CrossRefGoogle Scholar
  31. 31.
    Mehta K, Sinha V, Chhaya V, Barot D, Patel P, Patil S, Parmar V, Prashant C, Maniyar H (2009) Audiometric and operative results in type I tympanoplasty. World Article EAR, NOSE, THROAT www.waent.org.oct. Vol 2–2
  32. 32.
    Karela M, Sandeep B, Watkins A, Phillips J (2008) Myringoplasty: surgical outcomes and hearing improvement: is it worth performing to improve hearing? Eur Arch Otorhinolaryngol 265:1039–1042CrossRefGoogle Scholar
  33. 33.
    Mishra P, Sonkhya N, Mathur N (2007) Prospective study of 100 cases of underlay tympanoplasty with superiorly based circumferential flap for subtotal perforations. Indian J otolaryngol Head Neck Surg 59:225–228CrossRefGoogle Scholar
  34. 34.
    Singh M, Rai A, Bandyopadhyay S, Gupta SC (2003) Comparative study of underlay and overlay techniques of myringoplasty in large and subtotal perforations of the tympanic membrane. J Laryngol Otol 117(6):444–448CrossRefGoogle Scholar
  35. 35.
    Stage J, Bak-Pedersen K (1992) Underlay tympanoplasty with the graft lateral to the malleus handle. Clin Otolaryngol Allied Sci 17(1):6–9CrossRefGoogle Scholar
  36. 36.
    Glasscock ME III (1973) Tympanic membrane grafting with fascia: overlay vs. undersurface technique. Laryngoscope 83:754–770CrossRefGoogle Scholar
  37. 37.
    Fadl AF (2003) Outcome of type-1 tympanoplasty. Saudi Med J 24(1):58–61Google Scholar
  38. 38.
    Gupta SC (2000) Myringoplasty with a single flap. Ear nose Throat J 79(12):946-8, 950-1CrossRefGoogle Scholar
  39. 39.
    Brown CYQ, McCarty DJ, Briggs RJS (2002) Success rate following myringoplasty at the Royal Victoria Eye and Ear Hospital. Aust J Otolaryngol 5:21Google Scholar

Copyright information

© Association of Otolaryngologists of India 2017

Authors and Affiliations

  1. 1.Department of ENTEra’s Lucknow Medical CollegeLucknowIndia
  2. 2.Department of ENTEra’s Lucknow Medical CollegeLucknowIndia

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