Otitis Media: Comparison of outcome of underlay versus overlay myringoplasty
Abstract
Objective: To compare the outcome of underlay versus overlay myringoplasty procedure in the management of otitis media.
Methodology: This comparative study was conducted at the Department of Ear, Nose, Throat, Head & Neck Surgery, Postgraduate Medical Institute, Lady Reading Hospital, Peshawar from January 2008 to December 2009. It included eighty-six patients with dry ears for at least six weeks and no focus of infection in nose, sinuses or throat were included in the study. Forty three patients underwent underlay technique while other 43 patients were operated through onlay techniques.
Results: Myringoplasty was performed in total of 86 patients. Male were 69 (80.02%) and females were 17 (19%). Thirty-five (40.70%) of them belonged to age group of 10-25 years. Thirty (34.88%) were in the age range of 26-35 years, while 21 (24.42%) aged between 36-45 years with mean age of 27.48 ± S.D 10.20 years. Overall success rate of graft uptake was noted in 70 (81.40%) out of 86 cases. All 86 cases were equally divided into two group’s i.e. 43 patients in each group. Thirty-eight out of 43 perforated drums were treated with underlay techniques having success rate of 88.37% as compared to 32 out of 43 patients with only techniques where the graft uptake was 74.4%.
Conclusion: Underlay technique is more successful statistically as compared to overlay technique of myringoplasty in all age groups.
Methodology: This comparative study was conducted at the Department of Ear, Nose, Throat, Head & Neck Surgery, Postgraduate Medical Institute, Lady Reading Hospital, Peshawar from January 2008 to December 2009. It included eighty-six patients with dry ears for at least six weeks and no focus of infection in nose, sinuses or throat were included in the study. Forty three patients underwent underlay technique while other 43 patients were operated through onlay techniques.
Results: Myringoplasty was performed in total of 86 patients. Male were 69 (80.02%) and females were 17 (19%). Thirty-five (40.70%) of them belonged to age group of 10-25 years. Thirty (34.88%) were in the age range of 26-35 years, while 21 (24.42%) aged between 36-45 years with mean age of 27.48 ± S.D 10.20 years. Overall success rate of graft uptake was noted in 70 (81.40%) out of 86 cases. All 86 cases were equally divided into two group’s i.e. 43 patients in each group. Thirty-eight out of 43 perforated drums were treated with underlay techniques having success rate of 88.37% as compared to 32 out of 43 patients with only techniques where the graft uptake was 74.4%.
Conclusion: Underlay technique is more successful statistically as compared to overlay technique of myringoplasty in all age groups.
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