The Outcome of The Different Techniques of Myringoplasty in Safe Perforations of Tympanic Membrane in Kirkuk City

Abstract

Background: Perforations of the tympanic membrane are common problem that usually arise after trauma (accidental or iatrogenic) or inflammation as chronic suppurative otitis media. They tend to heal spontaneously if the causative factor is disappeared. Myringoplasty will be necessary when perforations persist for long periods, to restore the normal anatomy and function of the middle ear.

Patients and methods: All patients with tympanic membrane perforation enrolled in elective myringoplasty procedure in the period between august 2022-july 2025were included in the study. patients were examined and investigated by pure tone audiometry (PTA)preoperatively and postoperatively. patients were followed postoperatively for at least 6-9 months.

Results: A total of 30 patients included in the study had been operated by the author for closure of the perforation (myringoplasty) during the period of study. There were 21 female and 9 male patients and the age range of them14-57 years and mean age of 35years.  Preoperative PTA done and showed24 patients (80 %) had ABG>20dB.but postoperatively just seven patients remained with ABG>20dB.the success rate of perforation closure was93%.

Conclusion: Myringoplasty is a useful technique for management of tympanic membrane perforation to improve hearing and prevent ear discharge. The success rate of myringoplasty in this series was 93%, which was comparable with other international studies. Endoscopic trans canal approach allows the access to the TM perforation avoiding the post-auricular approach. We think that endoscopic tympanoplasty approach will likely become the most performed technique to repair TM perforation even in children.