title: [Clinical analysis of bilateral same-day myringoplasty for 22 cases with bilateral tympanic membrane perforation].
abstract: OBJECTIVE
  To investigate the feasibility of bilateral same-day myringoplasty and the indications for myringoplasty for patients with bilateral tympanic membrane perforation, and to summarize relevant experience.
  
  
  METHODS
  Twenty-two patients underwent bilateral same-day underlay myringoplasty, and all cases were consistent with the indications for myringoplasty. The preoperative hearing and postoperative hearing at three months were compared, and the postoperative symptoms and complications were observed. Forty patients underwent monaural myringoplasty as the control group over the same period. All cases were followed up for 1 - 3 years.
  
  
  RESULTS
  The postoperative hearing was increased by an average of 18 dB, and the rate of closure of tympanic membrane perforation was 93.2% (41/44). There were seven patients with ear fullness after operation in the bilateral myringoplasty group and two patients in the control group (χ(2) = 4.5374, P = 0.0332). There were no differences in the postoperative hearing improvement, the rate of closure and the rates of other discomfort symptoms except for ear fullness between the two groups (P > 0.05).
  
  
  CONCLUSIONS
  It was feasible and safe to perform bilateral same-day myringoplasty for bilateral tympanic membrane perforation, but the postoperative temporary discomfort of bilateral ear fullness should be informed the patients in advance.
authors.affiliation: Medical College of People's Liberation Army, Department of Otorhinolaryngology Head and Neck Surgery, Institute of Otorhinolaryngology, General Hospital of People's Liberation Army, Beijing 100853, China.
authors.forename: Hui-bing
authors.initials: HB
authors.lastname: Wang
authors.forename: Fei
authors.initials: F
authors.lastname: Yu
authors.forename: Xi-zheng
authors.initials: XZ
authors.lastname: Shan
authors.forename: Feng
authors.initials: F
authors.lastname: Zhang
authors.forename: Long-zhu
authors.initials: LZ
authors.lastname: Zhao
authors.forename: Shun-bo
authors.initials: SB
authors.lastname: Long
authors.forename: Li-tao
authors.initials: LT
authors.lastname: Ma
authors.forename: Dong-yi
authors.initials: DY
authors.lastname: Han
mesh_terms: D006309:Hearing; D006320:Hearing Tests; D006801:Humans; D009225:Myringoplasty / Q000706:statistics & numerical data*; D011184:Postoperative Period; D016896:Treatment Outcome; D014432:Tympanic Membrane / Q000601:surgery; D018058:Tympanic Membrane Perforation / Q000601:surgery*