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Abstract
COMPLICATION OF MYRINGOPLASTY
*Ayad Shakir Ibrahim, Ahmed Saad Allah Ahmed and Awf. A. Abdulmaged
ABSTRACT
Objectives: Anon randomized clinical trial study carried out to assess complications of myringoplasty Background: Myringoplasty is a surgical procedure used to repair a perforation in the tympanic membrane. Various surgical techniques and graft materials are in practice. Most common indications are to prevent further infection of the ear and to improve hearing. Methods: Nonrandomized clinical trial study was carried out on 61 ears with chronic tympanic membrane perforations, who underwent myringoplasty for the period from September 2010 to July 2012 at Otolaryngology Department, Al-Jamhory Teaching Hospital in Mosul, Iraq. All cases operated under general anesthesia. Post aural approach was performed, using autologous temporalis fascia or conchal cartilage grafts by underlay technique. Results: The study was performed on 61 ears of 59 patients with chronic tympanic membrane perforations, 31(52.54%) were males and 28(47.45%) were females. The mean age of the patients was 27.18 years. Chorda tympani nerve injury most common complication in 30 ears (49.18%) followed by Graft failure in our patients occurs in 8 ears (13.11%) and there is direct relation to the size of perforation.Graft infection occurs in 4(8.16%) cases of cartilage myringoplasty. Auricular hematoma occur in concha of 3(6.122%) ears of cartilage myringoplasty. Sensorineural hearing loss occur in 1(2.04%) ear of cartilage myringoplasty.
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