Abstract

To compare the outcome of placing graft, medial or lateral to handle of malleus in Inlay technique of myringoplasty in terms of graft take-up rate, hearing improvement and complications. Material method- Prospective randomized single blind study on a total of 52 patients (age 18-40 years) who had dry central, medium sized perforation secondary to Chronic Otitis Media(mucosal disease) were included in our study. These patients were divided into two groups. Group A had 23 patients, in which graft was placed medial to handle of malleus and group B had 29 patients in which graft was placed lateral to handle of malleus in modified inlay technique of myringoplasty. The results of two techniques were compared in terms of graft take- up rate, hearing improvement and complications at the end of 6 months of follow up. Result- The graft take-up rate and post operative gain in air conduction in group A was 91.30% and 3.57+/-6.61 dB ( mean+/-SD) respectively whereas 96.55% and 6.62+/-6.86 Db (mean+/-SD) respectively in group B (p value is >0.05). Results was statistically analysed by Chi-square and T-test. Conclusion- We can conclude here that although there is no difference in graft take-up rate, gain in hearing and complications in both the technique, but in consideration of the duration of surgery, technicality, healing and lateral placement of graft was found better than medial placement in modified inlay technique of myringoplasty.

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