الفهرس | Only 14 pages are availabe for public view |
Abstract Objectives: To evaluate the feasibility, success rate and complications of Single-Sitting Bilateral Myringoplasty and its effect on quality of life. Patients and methods: This is a prospective study, thirty participants were recruited aging between 18 to 60 years old, with bilateral dry central tympanic membrane perforations, presenting at otorhinolaryngology outpatient clinic at faculty of medicine, Cairo University. The 30 patients were then divided into 2 groups. group A 15 patients underwent unilateral type 1 tympanoplasty by underlay technique while group B 15 patients underwent bilateral type 1 tympanoplasty in the same sitting by underlay technique. Follow up included otoscopic examination and audiological assessment by pure tone audiometry (PTA) was done 3 months post-operatively Results: For group A , 73.3% of the patients had a completely healed tympanic membrane post-operatively, 26.7% of the patients had a residual perforation. Mean air-bone gap closure was 5.67 dB. For group B , 90 % of the patients had a completely healed tympanic membrane post-operatively, 10% of the patients had a residual perforation. Mean air-bone gap closure was 6.17 dB. No major complications were reported in both groups. These results show no statistically significant difference between both groups in terms of graft take (P = 0.199) and hearing improvement (P = 0.745). The comparison of pre-operative and post-operative quality of life for all patients on both group revealed a significant decrease in post-operative P value (p < 0.001). When we compared quality of life pre-operative and post-operative within both groups, there was high significant difference (p < 0.001) |