EFFICACY OF UNDERLAY VERSUS OVERLAY TECHNIQUE FOR MYRINGOPLASTY IN TERMS OF HEARING IMPROVEMENT
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Abstract
To compare the efficacy of underlay and overlay technique for myringoplasty among patients with perforated tympanic membrane in terms of improvement in air bone gap.
MATERIAL AND METHODS:
This study was performed in the department of ENT Hayatabad Medical Complex, Peshawar. All patients were randomly allocated in two groups. In group A patients, underlay technique was performed while in group B patients overlay technique was performed. Temporalis fascia was used for grafting in all cases. All procedures were performed under general anesthesia. All patients were followed at 3 months to determine the effectiveness in terms of improvement in air bone gap of at least 10db.
RESULTS:
As per efficacy in both groups, in Group A, 70 (85.36%) patients showed effective results while in Group B, only 52 (63.41%) patients showed effective results. P Value = 0.001.
CONCLUSION:
It was concluded in this study that patients in Group A (Underlay) showed effective results as compared to patients in Group B (Overlay).
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