Abstract
We herein report a simple and easy method for performing in-office myringoplasty and describe our results. Regarding this procedure, the epithelium around the perforations was transmeatally removed following local anesthesia using an anesthetic for the eardrum, and thereafter a skin graft from the extenal ear was placed using the over-lay method. This method was parformed on 30 patients which included 24 patients with otitis media, 5 perforations after inserting tubes for secretory otitis media and 1 case of traumatic perforation. A total of 83.3% (25/30) of the patients demonstrated a successful closure after the initial surgery and 5 perforations could also be successfull closed by the same operation. Our surgical technique is relatively easy to perform and is therefore appropriate for in-office operations. The advantages of this method include a decreased invasiveness with minimal anesthesia and no ear canal packing or fixatives are needed. In addition, there is also a plan to study the usefulness of this method by further increasing the number of cases undergoing this surgical procedure.
