Objectives: The aim of this study was to compare the outcome of tympanic graft and the rate of postoperative infection following myringoplasty for the treatment of chronic tympanic membrane perforations.
Background: Tympanic membrane perforation is one of the most common conditions that otologists have to deal with in daily clinical practice. The majority (up to 80%) of these perforations have tendency to heal spontaneously. The remaining cases may be addressed to surgery, especially when patients experience major discomfort due to recurrent otorrhoea, conductive hearing loss, or interdiction to water activities.
Methods: This prospective randomized study was conducted on 155 patients with chronic suppurative otitis media with perforation. These patients were divided into two groups as patients with or without local antibiotic usage after myringoplasty (Group A and B). All these patients were prepared for myringoplasty. Clinical assessment, audiogram and tympanogram was done before and after surgery (3 months) to all groups.
Results: There were female predominance in patients with chronic otitis media with perforation. There was also higher recurrence in group B than group A after operation during 6 months follow-up. There were no significant improvement between both groups in all items of audiogram and tympanogram after 3 months postoperatively.
Conclusion: Our study revealed that there are no difference about hearing in usage of local ointment after myringoplasty but with less recurrence rate of infection and residual perforation in patients who had used local antibiotic ointment.