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Interlay Technique Tympanoplasty: Surgical Difficulties with Variable Grafts

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Last updated: 01 Jan 2025

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Abstract

Background:  Perforation of the tympanic membrane is most commonly the result of chronic ear disease. However, it can also result from various forms of trauma, which includes iatrogenic and direct physical injuries, burns, scalds and pressure effects. Most of these perforations heal spontaneously, whereas the remaining long-standing perforations that lead to recurrent ear discharge need tympanoplasty. Objectives: the aim of this study was to evaluate the results of interlay  technique of tympanoplasty with respect to graft uptake and hearing status and to compare surgical difficulties between variable grafts. Patients and Methods:A total of 20 Patients included in the study were 6 males and 14 females, their age ranged from 10 years to 50 years presented with dry large central tympanic membrane perforations being inactive for at least one month without treatment were operated by interlay myringoplasty . ResultsIn our study, we recorded the success rate to be 90% in interlay myringoplasty and this is in accordance with the success rate reported by other studies using interlay technique. Conclusions: Interlay tympanoplasty results in excellent graft uptake and good post operative air bone gap (ABG) closure. A main advantage of this technique includes prevention of anterior blunting, lateralization and medialization of graft. Interlay tympanoplasty abolishes chances of epithelial cyst formation as in overlay technique and  myringitis due to endothelium overgrowth as in underlay technique Interlay Technique Tympanoplasty: Surgical Difficulties with Variable Grafts  

DOI

10.21608/zumj.2019.10135.10760

Keywords

Background: Perforation of the tympanic membrane is most commonly the result of chronic ear disease. However, it can also result from various forms of trauma, which includes iatrogenic and direct physical injuries, burns, scalds and pressure effects. Most of these perforations heal spontaneously, whereas the remaining long-standing perforations that lead to recurrent ear discharge need tympanoplasty. Objectives: the aim of this study was to evaluate the results of interlay technique of tympanoplasty with respect to graft uptake and hearing st, their age ranged from 10 years to 50 years presented with dry large central tympanic membrane perforations being inactive for at least one month without treatment were operated by interlay myringoplasty . Results: In our study, we recorded the success rate to be 90% in interlay myringoplasty and this is in accordance with the success rate reported by other studies using interlay technique. Conclusions: Interlay tympanoplasty results in excellent graft uptake and good post o, lateralization and medialization of graft. Interlay tympanoplasty abolishes chances of epithelial cyst formation as in overlay technique and myringitis due to endothelium overgrowth as in underlay technique

Authors

First Name

Alaa El-Din

Last Name

El-Feky

MiddleName

Mohamed

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First Name

Magdy

Last Name

Abdelmaksod

MiddleName

Kamel

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Email

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City

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Orcid

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First Name

Said

Last Name

Mohamed

MiddleName

Abdel-Monem

Affiliation

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Email

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Orcid

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First Name

Ramadhan

Last Name

Ramadhan Abd Aldaem

MiddleName

Yousuf

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Volume

25

Article Issue

4

Related Issue

6063

Issue Date

2019-07-01

Receive Date

2019-06-29

Publish Date

2019-07-01

Page Start

539

Page End

547

Print ISSN

1110-1431

Online ISSN

2357-0717

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https://zumj.journals.ekb.eg/article_37910.html

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https://zumj.journals.ekb.eg/service?article_code=37910

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7

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Original Article

Type Code

273

Publication Type

Journal

Publication Title

Zagazig University Medical Journal

Publication Link

https://zumj.journals.ekb.eg/

MainTitle

Interlay Technique Tympanoplasty: Surgical Difficulties with Variable Grafts

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Article

Created At

22 Jan 2023