Tympanoplasty for Central Tympanic Membrane Perforation Using Inferior Meatal Flap Technique: A Prospective Study | ||||
| International Journal of Medical Arts | ||||
| Articles in Press, Accepted Manuscript, Available Online from 25 May 2025 | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ijma.2025.165010.1518 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Ahmed Ramadan Sobhy  1; Wael Hassan Abo-Elwafa2; mohamed hussein abdelazim1
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| 1Department of Otorhinolaryngology, Damietta Faculty of Medicine, Al-Azhar University, Damietta, Egypt | ||||
| 2Department of Otorhinolaryngology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt | ||||
| Abstract | ||||
| Background: Tympanoplasty is a surgical reconstruction of the perforated tympanic membrane (TM). Many advancements were introduced. However, the optimal outcome and standard procedures were not yet determined. Aims: to evaluate the effectiveness of inferior meatal flap technique in the success of reconstruction of central tympanic membrane perforation and to evaluate the advantages and disadvantage of inferior meatal flap technique and to compare between that technique and the traditional posterior meatal flap technique. Patients and methods: This was a prospective study. It was conducted in Otorhinolaryngology Head and Neck Surgery Department, Al Azhar University Hospital (Damietta) between March 2021 and November 2021. Twenty patients with central TM perforations underwent tympanoplasty using inferior meatal flap technique (group A) and another twenty patients with central tympanic membrane perforation underwent tympanoplasty using posterior meatal flap technique. Demographic, surgical, and outcome data of these patients collected. Results: There were no significant differences between groups A and B regarding patient demographics, site of TM preformation and number of taken grafts on the anterior perforation. However, the taken grafts of posterior perforation were significantly reduced in group A than group B (62.5% vs. 100.0%, respectively). Both groups were comparable regarding the percentages of discharge after 1 and 4 weeks after surgery. At the end of the fourth week, only 3 patients in group A and 1 patient in group B had discharge. In addition, no significant difference between groups A and B regarding pure tone audiometry (PTA) at the end of the second month after surgery. Conclusion: Both surgical techniques (posterior and inferior tympanoplasty) showed a high incidence of surgical success but posterior tympanoplasty was associated with a significant decrease in post-operative discharge and a significant improvement of hearing when compared with inferior tympanoplasty. | ||||
| Keywords | ||||
| Tympanoplasty; Tympanic Membrane; Perforation; Inferior Meatal Flap; Prospective | ||||
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