title: Short-term evaluation of over-under myringoplasty technique.
abstract: Over-under tympanoplasty is a technique aimed at eliminating the disadvantages of the two classical techniques of overlay and underlay myringoplasty, which are employed in repairing the tympanic membrane. In this retrospective study, a total of 104 patients underwent myringoplasty, which was performed by means of the underlay technique in 46 patients and over-under technique in 58 patients. The mean follow-up period was 11 months. In the first group of patients, the underlay technique was performed; the grafted membrane was placed medial to the remaining drum and the manubrium of the malleus. In the second group, the over-under technique was performed; the grafted membrane was placed under the remaining drum and over the malleus. The rate of success in the first group of 46 patients was 91.5%, and that of atelectasis was 19.5%. The rate of success in the second group of 58 patients was 94.9% and 12%, respectively. Lateralization of the graft was not observed in either of the groups. In the patients operated on by means of the underlay technique, the air-bone gap decreased by 16.55 dB this rate was 16.96 dB in those operated on by the over-under technique. The authors consider over-under tympanoplasty to be superior to the other two classical methods not only because of its effectiveness, but also because of the results achieved by this technique.
authors.affiliation: Department of Otorhinolaryngology and Head and Neck Surgery, Sisli Etfal Teaching and Research Hospital, Istanbul, Turkey. dryigit@hotmail.com
authors.forename: Ozgur
authors.initials: O
authors.lastname: Yigit
authors.forename: Seyhan
authors.initials: S
authors.lastname: Alkan
authors.forename: Ebru
authors.initials: E
authors.lastname: Topuz
authors.forename: Berna
authors.initials: B
authors.lastname: Uslu
authors.forename: Ozlem
authors.initials: O
authors.lastname: Unsal
authors.forename: Burhan
authors.initials: B
authors.lastname: Dadas
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009225:Myringoplasty / Q000379:methods*; D012189:Retrospective Studies; D013069:Speech Reception Threshold Test; D016896:Treatment Outcome; D014432:Tympanic Membrane / Q000601:surgery*