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Outcome of Hearing Improvement in Myringoplasty A Study of Fifty One Sudanese Patients

Received: 1 September 2015     Accepted: 14 September 2015     Published: 14 September 2015
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Abstract

Myringoplasty is a reconstructive operation of the tympanic membrane to prevent recurrent ear infection and improve the hearing. Objective: to assess the hearing improvement after myringoplasty and factors that might affect the outcome. Patients and methods: Fifty one patients who had undergone myringoplasty were taken on this prospective study. They were subjected to clinical and audiological examination by a questionnaire, and the results of pure tone audiogram were analyzed. Results: Most of the patients (51 %) were in the age group 0-20 years. Male to female ratio was 1:1.12. The common cause of perforation was chronic ear infection and its commonest size was subtotal (34 patients=66.7%). Most of the patients had conductive hearing loss (47 patients=92.2 %), while mixed hearing loss was found in 4 patients (7.8%). Postauricular approach was used in18 patients (35.3%) and had higher hearing threshold improvement (94.4%).Underlay technique and temporalis fascia graft both had a higher hearing threshold improvement. The overall hearing threshold improvement was 80.4% and air-bone gap had decreased in 80.4%. Conclusion and recommendations: in this study myringoplasty was mainly performed in young age, had best hearing threshold improvement and better outcome in female, temporalis fascia, underlay technique and postauricular approach. We recommend for further studies conducted with more number of patients and long time follow up after myringoplasty for assessment of hearing improvement.

Published in International Journal of Otorhinolaryngology (Volume 1, Issue 1)
DOI 10.11648/j.ijo.20150101.12
Page(s) 5-8
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2015. Published by Science Publishing Group

Keywords

Chronic ear infection, Myringoplasty, Hearing Improvement

References
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  • APA Style

    Rasha A., Ahmed SAO. (2015). Outcome of Hearing Improvement in Myringoplasty A Study of Fifty One Sudanese Patients. International Journal of Otorhinolaryngology, 1(1), 5-8. https://doi.org/10.11648/j.ijo.20150101.12

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    ACS Style

    Rasha A.; Ahmed SAO. Outcome of Hearing Improvement in Myringoplasty A Study of Fifty One Sudanese Patients. Int. J. Otorhinolaryngol. 2015, 1(1), 5-8. doi: 10.11648/j.ijo.20150101.12

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    AMA Style

    Rasha A., Ahmed SAO. Outcome of Hearing Improvement in Myringoplasty A Study of Fifty One Sudanese Patients. Int J Otorhinolaryngol. 2015;1(1):5-8. doi: 10.11648/j.ijo.20150101.12

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  • @article{10.11648/j.ijo.20150101.12,
      author = {Rasha A. and Ahmed SAO},
      title = {Outcome of Hearing Improvement in Myringoplasty A Study of Fifty One Sudanese Patients},
      journal = {International Journal of Otorhinolaryngology},
      volume = {1},
      number = {1},
      pages = {5-8},
      doi = {10.11648/j.ijo.20150101.12},
      url = {https://doi.org/10.11648/j.ijo.20150101.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijo.20150101.12},
      abstract = {Myringoplasty is a reconstructive operation of the tympanic membrane to prevent recurrent ear infection and improve the hearing. Objective: to assess the hearing improvement after myringoplasty and factors that might affect the outcome. Patients and methods: Fifty one patients who had undergone myringoplasty were taken on this prospective study. They were subjected to clinical and audiological examination by a questionnaire, and the results of pure tone audiogram were analyzed. Results: Most of the patients (51 %) were in the age group 0-20 years. Male to female ratio was 1:1.12. The common cause of perforation was chronic ear infection and its commonest size was subtotal (34 patients=66.7%). Most of the patients had conductive hearing loss (47 patients=92.2 %), while mixed hearing loss was found in 4 patients (7.8%). Postauricular approach was used in18 patients (35.3%) and had higher hearing threshold improvement (94.4%).Underlay technique and temporalis fascia graft both had a higher hearing threshold improvement. The overall hearing threshold improvement was 80.4% and air-bone gap had decreased in 80.4%. Conclusion and recommendations: in this study myringoplasty was mainly performed in young age, had best hearing threshold improvement and better outcome in female, temporalis fascia, underlay technique and postauricular approach. We recommend for further studies conducted with more number of patients and long time follow up after myringoplasty for assessment of hearing improvement.},
     year = {2015}
    }
    

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  • TY  - JOUR
    T1  - Outcome of Hearing Improvement in Myringoplasty A Study of Fifty One Sudanese Patients
    AU  - Rasha A.
    AU  - Ahmed SAO
    Y1  - 2015/09/14
    PY  - 2015
    N1  - https://doi.org/10.11648/j.ijo.20150101.12
    DO  - 10.11648/j.ijo.20150101.12
    T2  - International Journal of Otorhinolaryngology
    JF  - International Journal of Otorhinolaryngology
    JO  - International Journal of Otorhinolaryngology
    SP  - 5
    EP  - 8
    PB  - Science Publishing Group
    SN  - 2472-2413
    UR  - https://doi.org/10.11648/j.ijo.20150101.12
    AB  - Myringoplasty is a reconstructive operation of the tympanic membrane to prevent recurrent ear infection and improve the hearing. Objective: to assess the hearing improvement after myringoplasty and factors that might affect the outcome. Patients and methods: Fifty one patients who had undergone myringoplasty were taken on this prospective study. They were subjected to clinical and audiological examination by a questionnaire, and the results of pure tone audiogram were analyzed. Results: Most of the patients (51 %) were in the age group 0-20 years. Male to female ratio was 1:1.12. The common cause of perforation was chronic ear infection and its commonest size was subtotal (34 patients=66.7%). Most of the patients had conductive hearing loss (47 patients=92.2 %), while mixed hearing loss was found in 4 patients (7.8%). Postauricular approach was used in18 patients (35.3%) and had higher hearing threshold improvement (94.4%).Underlay technique and temporalis fascia graft both had a higher hearing threshold improvement. The overall hearing threshold improvement was 80.4% and air-bone gap had decreased in 80.4%. Conclusion and recommendations: in this study myringoplasty was mainly performed in young age, had best hearing threshold improvement and better outcome in female, temporalis fascia, underlay technique and postauricular approach. We recommend for further studies conducted with more number of patients and long time follow up after myringoplasty for assessment of hearing improvement.
    VL  - 1
    IS  - 1
    ER  - 

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Author Information
  • ENT Consultant in Omdurman Friendship Hospital, Omdurman, Sudan

  • Omdurman Islamic University, Khartoum, Sudan

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