title: Role of circumferential subannular tympanoplasty in anterior and subtotal perforations.
abstract: OBJECTIVE
  This study aimed to evaluate the surgical success of a modified inlay tympanoplasty technique, known as circumferential subannular tympanoplasty, for anterior and subtotal perforations.
  
  
  METHODS
  This prospective study was performed in a tertiary care teaching hospital between October 2013 and April 2016. A total of 58 adult patients of both sexes with anterior or subtotal perforations underwent circumferential subannular tympanoplasty under local anaesthesia. In this technique, after tympanomeatal flap elevation, the temporalis fascia graft is placed directly onto the annulus instead of being tucked underneath the tympanic membrane remnant. Outcome data were graft uptake and hearing improvement.
  
  
  RESULTS
  This technique had a surgical success rate of 97 per cent and led to significant hearing improvement.
  
  
  CONCLUSIONS
  Circumferential subannular tympanoplasty has a definitive role in managing anterior and subtotal perforations.
authors.affiliation: Department of Otolaryngology - Head & Neck Surgery,Lady Hardinge Medical College and Associated Hospitals,New Delhi,India.
authors.forename: G B
authors.initials: GB
authors.lastname: Singh
authors.affiliation: Department of Otolaryngology - Head & Neck Surgery,Lady Hardinge Medical College and Associated Hospitals,New Delhi,India.
authors.forename: S
authors.initials: S
authors.lastname: Ranjan
authors.affiliation: Department of Otolaryngology - Head & Neck Surgery,Lady Hardinge Medical College and Associated Hospitals,New Delhi,India.
authors.forename: R
authors.initials: R
authors.lastname: Arora
authors.affiliation: Department of Otolaryngology - Head & Neck Surgery,Lady Hardinge Medical College and Associated Hospitals,New Delhi,India.
authors.forename: S
authors.initials: S
authors.lastname: Kumar
mesh_terms: D001301:Audiometry, Pure-Tone; D002908:Chronic Disease; D005205:Fascia / Q000637:transplantation*; D005260:Female; D006801:Humans; D008297:Male; D009225:Myringoplasty / Q000379:methods*; D010035:Otitis Media, Suppurative / Q000601:surgery*; D011446:Prospective Studies; D013703:Temporal Muscle; D016896:Treatment Outcome; D018058:Tympanic Membrane Perforation / Q000601:surgery*
keywords: Tympanic Membrane Perforation; Tympanoplasty