The role of simple office-based surgery in small central tympanic membrane perforation

Abdel-Latif I El-Rasheedy, Ayman A Abdel-Fattah, Heba A Abo El-Naga, Mustafa M El-Barbary

The Egyptian Journal of Otolaryngology 2019 35(1):12-16

Objective The aim of this study was to evaluate the outcome of simple office-based surgery in small central tympanic membrane (TM) perforation. Background The purpose of closure of TM perforations is to restore the continuity of the TM in order to improve hearing and decrease the risk of middle ear infections. Rapid and cost-effective procedures like chemical cauterization and fat plug myringoplasty have been found to be effective in healing small central perforations with significant hearing improvement. Patients and methods Our prospective study was carried out on 40 patients aged more than 15 years with dry small central persistent perforation during the period spanning from April 2017 to March 2018, divided in two groups: group A (20 patients underwent fat graft myringoplasty) and group B (20 patients underwent chemical cautery of the edge of perforation). Results Our study included 26 male patients and 14 female patients; the mean age was 27.2±9.3 years. Our study showed a 70% success rate in the healing of TM perforation in group A while there was a 55% success rate in group B. Conclusion From our study, we found that the two procedures are easy to perform, reliable with a satisfactory outcome, simple, rapid, risk free, and also lessen the financial burden and morbidity on the patient.

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