Volume 3, Issue 2 (Summer 2000)
J Arak Uni Med Sci 2000, 3(2): 8-12 |
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Jafari A. The Success Rate of Standby Myringoplasty in Comparison with Medical Treatment. J Arak Uni Med Sci 2000; 3 (2) :8-12
URL: http://jams.arakmu.ac.ir/article-1-6615-en.html
URL: http://jams.arakmu.ac.ir/article-1-6615-en.html
School of Medicine, Arak University of Medical Sciences, Arak, Iran.
Abstract: (1204 Views)
The tympanic membrane (T.M) perforations, which last more than three months, usually are associated with irreversible changes in the middle ear mucosa, and underlying bone. In this condition symptoms are chronic discharge of the ear and hearing loss. The best way for prevention of the above complications is T.M repair with or without middle ear reconstruction if needed. The usual way for achieving these goals is, myringoplasty or tympanoplasty, In some instances with medical treatment spontaneous repair of the T.M is possible. Myringoplasty is done in either outpatient department (o.p.d) or hospital. The primary goal is cessation of purulent discharges from the ear and hearing reconstruction is the second point. In the current study, rate of the recovery and follow up of the o.p.d patients is disaussed in comparison with the non-operated ear. The goal of the current study is comparison of the spontaneous repair with standby myringoplasty. Sixty-eight patients were studied which had bilateral, T.M perforation with approximately same condition in both ears. Medical treatment with standby myringoplasty was performed, and in the other ear only medical treatment was done. The rate of repair in the operated ear was 86 percent comparing with 0.076 percent in the non-operated ear. From the statistical point of view P-value was less than 0.0001 that showed meaningful difference between these two methods.
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