Outcome of myringoplasty

ABSTRACT

The out come of graft acceptance and rejection in myringoplasty were evaluated in patient of 16-45 year of age, having dry central perforation. Admitted patients in ENT unit Post-Graduate Medical Institute Lady Reading Hospital, Peshawar. Myringoplasty was done in 60 patient admitted in ENT unit with dry central perforation. Age limit was 16 - 45 years. All patients were admitted in door a night before. All the relevant investigation including clinical examination, pure tone audio gram, x-ray mastoid and para nasal sinuses were done. Examination under microscope was carried out a day before admission. Operations were done under local anaesthesia graft was taken from temporalis fascia. After weeks the tympanic membrane were evaluated under Microscope, to assess the result of Myringoplasty. Myringoplasty was successful in 35 patients [60%] and in 24 patients [40%] graft was rejected due to infection. Myringoplasty is a beneficial procedure to protect the middle ear and inner ear for future hearing deterioration. The improvement of hearing is an added benefit. Overall 2/3rd of patients get their graft accepted. In absence of meddle ear cleft infection, the reason of high graft rejection is due to improper sterilization of instruments and environment