Our Experience with Single Sitting Bilateral Myringoplasty

Abstract

Background: Although bilateral same day myringoplasty scores over unilateral myringoplasty in terms of convenience and conservation of resources, it is rarely performed because of theoretical risk of postoperative sensorineural deafness. Objectives: This study was performed to evaluate single sitting bilateral myringoplasty. Materials and Methods: Twenty five patients (50 ears) opted for single sitting bilateral myringoplasty and underwent mini-endaural and permeatal routes with or without tympanomeatal flap. Other 25 patients (25 ears) opted for unilateral myringoplasty by post auricular route. Temporal fascia was used for graft by underlay technique in all patients. Results and Observations: Perforation closure was successful in 90% ears with single sitting bilateral myringoplasty and in 88% ears in the other group. Post operative assessment of hearing improvement started after 1.5 months in 90% ears of both the groups. None of the patients developed iatrogenic sensorineural hearing loss. Conclusion: Single sitting bilateral myringoplasty by any of conventional routes can be performed in most patients without much discomfort or apprehension of sensorineural hearing loss and results are comparable to that of other methods.

Background: Although bilateral same day myringoplasty scores over unilateral myringoplasty in terms of convenience and conservation of resources, it is rarely performed because of theoretical risk of postoperative sensorineural deafness. Objectives: This study was performed to evaluate single sitting bilateral myringoplasty. Materials and Methods: Twenty five patients (50 ears) opted for single sitting bilateral myringoplasty and underwent mini-endaural and permeatal routes with or without tympanomeatal flap. Other 25 patients (25 ears) opted for unilateral myringoplasty by post auricular route. Temporal fascia was used for graft by underlay technique in all patients. Results and Observations: Perforation closure was successful in 90% ears with single sitting bilateral myringoplasty and in 88% ears in the other group. Post operative assessment of hearing improvement started after 1.5 months in 90% ears of both the groups. None of the patients developed iatrogenic sensorineural hearing loss. Conclusion: Single sitting bilateral myringoplasty by any of conventional routes can be performed in most patients without much discomfort or apprehension of sensorineural hearing loss and results are comparable to that of other methods.