Article: Prevalence of Perforated Graft in Underlay and Pop-in Technique Myringoplasty
| creativeworkseries.issn | JNMA Print ISSN: 0028-2715; Online ISSN: 1815-672X | |
| dc.contributor.author | Pandey, Bhuwan Raj | |
| dc.contributor.author | KC, Poonam | |
| dc.date.accessioned | 2026-08-20T06:15:19Z | |
| dc.date.available | 2026-08-20T06:15:19Z | |
| dc.date.issued | 2019 | |
| dc.description | Bhuwan Raj Pandey Department of ENT-HNS, Lumbini Medical College, Palpa, Nepal Poonam KC Department of ENT-HNS, Ganeshman Singh Memorial Hospital and Research Center, Lalitpur, Nepal | |
| dc.description.abstract | Abstract Introduction: Underlay technique myringoplasty is most commonly used technique to repair tympanic membrane perforation by temporalis fascia graft and Trans-tympanic pop-in technique is an another technique that allows temporalis fascia graft placement medial to tympanic membrane remnant through the perforation without the need for tympano-meatal flap elevation. This study was undertaken to find the prevalence of perforated graft in underlay and Pop-in Technique Myringoplasty. Methods: This descriptive cross-sectional study was done at Manipal teaching hospital, Pokhara, Nepal and comprises of 86 patients between January 2014 and June 2015. Patients undergoing Underlay Trans-canal approach by tympano-meatal flap elevation and Trans-canal, Trans-tympanic pop-in technique were included. Sample size calculation was done and convenient sampling method was applied. Point estimate at 95% CI was done for binary data along with frequency and proportion. The descriptive statistical analysis was done. Results: The prevalence of perforated graft was 15 (17.4%) at 95% Confidence Interval (39.75-60.25%). In underlay technique there were 8 (18.60 %) perforation and 35 (81.39%) were intact while in pop-in technique there were 7 (16.27%) perforation and 36 (83.72%) were intact. The postoperative mean Pure Tone Average (PTA) of underlay was 9.53 and pop-in was 8.31. The mean Pure Tone Average (PTA) gain after underlay technique was 16.095 and pop in technique was 16.87. Conclusions: Trans-tympanic pop-in myringoplasty gives similar hearing & graft uptake results when compared with tympano-meatal flap method of underlay myringoplasty done by trans-canal. | |
| dc.identifier | https://doi.org/10.31729/jnma.4709 | |
| dc.identifier.uri | https://hdl.handle.net/20.500.14572/7388 | |
| dc.language.iso | en_US | |
| dc.publisher | Nepal Medical Association | |
| dc.subject | myringoplasty | |
| dc.subject | pop-in | |
| dc.subject | trans-tympanic | |
| dc.subject | underlay | |
| dc.title | Prevalence of Perforated Graft in Underlay and Pop-in Technique Myringoplasty | |
| dc.type | Article | |
| dspace.entity.type | Publication | |
| local.article.type | Original Article | |
| oaire.citation.endPage | 419 | |
| oaire.citation.startPage | 416 | |
| relation.isJournalIssueOfPublication | be7d1a34-2b91-4b3e-bb4a-3917e95083e7 | |
| relation.isJournalIssueOfPublication.latestForDiscovery | be7d1a34-2b91-4b3e-bb4a-3917e95083e7 | |
| relation.isJournalOfPublication | e6e146a0-0ece-4aba-aa0a-6ccfbd10a12a |