In this series of patients, the underlay or overlay positioning of a graft achieves successful outcome for both repair of perforation and hearing function, with better hearing gain in the underlay group. In myringoplasty, the two most common techniques for positioning the graft relative to the remnant of both the tympanic membrane and the annulus are the "overlay" and the "underlay" techniques....

Department of Otolaryngology and Head and Neck Surgery, B.P.Koirala Institute of Health Sciences, Dharan, Nepal. Corresponding author: Dr. Ajit Nepal, MS, Department of Otolaryngology and Head and Neck surgery, BPKIHS, Dharan, Nepal. [email protected] ABSTRACT The objective of this study was to assess the extent of conductive hearing loss in relation to different sizes and sites of...

OBJECTIVE In recent years, there has been a tendency to search for regulatory substances that can optimize the healing process of perforated tympanic membranes (TMs). The purpose of this study was to determine the effects of using topical insulin on the healing process of traumatic TMs perforations. STUDY DESIGN Experimental. METHODS Tympanic membranes of 20 Wistar rats were perforated in t...

OBJECTIVE Review largest series of patients treated with transtympanic steroids, including outcomes, steroid dosing and adverse outcomes. Review first reported cases of systemic side effects from transtympanic steroids. METHODS A retrospective case series of 166 patients who underwent placement of transtympanic Silverstein tube with microwick for steroid administration was reviewed. RESULTS...