Bilateral same-day myringoplasty: a feasible option?

Eur Arch Otorhinolaryngol. 2024 Sep;281(9):4715-4718. doi: 10.1007/s00405-024-08692-z. Epub 2024 May 2.

Abstract

Purpose: Retrospective evaluation of bilateral same-day myringoplasty outcomes.

Methods: Patients who underwent bilateral same-day myringoplasty from 2005 to 2019.

Results: Thirty-eight patients underwent bilateral myringoplasty. Mean age was 44.5 years and 55.3% patients were male. Tragal perichondrium-cartilage composite graft was the most frequently used graft material (82.9%). Perforation closure was achieved in 78.9%. Postoperative Pure Tone Average and Air-Bone Gap decreased significantly (p < 0.05), except for the Air-Bone Gap of the right ear (p = 0.058). The complications were cholesteatoma (1.3%), otorrhea (6.6%) and tympanic membrane retraction (1.3%).

Conclusions: Bilateral same-day myringoplasty is a feasible procedure in selected patients. Good anatomic and functional outcomes, as well as a low rate of complications, are achieved with this procedure, improving patient comfort and allowing for a reduction in operation time and costs.

Keywords: Air–bone gap; Bilateral myringoplasty; Bilateral tympanoplasty; Tympanic membrane perforation.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Ambulatory Surgical Procedures / methods
  • Feasibility Studies
  • Female
  • Humans
  • Male
  • Middle Aged
  • Myringoplasty* / methods
  • Postoperative Complications / epidemiology
  • Retrospective Studies
  • Treatment Outcome
  • Tympanic Membrane Perforation* / surgery
  • Young Adult