Tympanoplasty for anterior perforation

ABSTRACT

This study included 25 patients having chronic mucosal suppurative otitis media with anterior perforation. The surgical closure of the anteriorly located tympanic membrane perforation can present a problem. Anterior canaloplasty together with a good support of the graft which is placed medial to the tympanic membrane remnant, lateral to the malleus and deep to the tympanomeatal flap anteriorly and posteriorly can increase the success rate. The success rate [determined by an intact tympanic membrane at the end of the follow up period, which was one year] was 96% with only one case presented with graft failure identified at two months postoperatively. The postoperative mean air-bone gap gain was 9.5 dB at the four frequencies tested. The use of this method was recommended on the repair of the anteriorly located tympanic membrane perforation