Outcomes of Myringoplasty Operation in Dry and Wet Ears in Adults

Background: Chronic suppurative otitis media is a significant health issue described by recurrent ear release, lasting tympanic membrane perforation, and hearing impairment. Aim: To assess the outcomes and possible complications of microscopic Myringoplasty in dry and wet ears in adults. Patients and methods: This comparative investigation was conducted on sixty individuals diagnosed with chronic otitis media with central perforation, and these cases were presented at the outpatient clinic of the Otorhinolaryngology department at Al-Azhar University Hospitals in the period from May 2023 to July 2024. They have been categorized into two groups: Collection (A) for 30 patients with dry ears at the time of the procedure and Collection (B) for 30 patients with wet ears at the time of the operation. All these patients had Myringoplasty and followed up using an audiogram to determine the hearing improvement. Results: Mean age in group A was 33.97±9.3, while in group B was 35.27±10.1. Our study demonstrates that 2 patients (6.7%) were <15dB, 28 patients (93.3%) were >15dB in Group (A), 4 patients (13.3%) were <15 dB, and 26 patients (86.7%) were >15 dB in Group (B). There was statistically insignificant variance amongst the two groups as regards hearing improvement (p>0.05). Only three patients (10%) had graft failure in group A compared with 6 patients (20%) had graft failure in group B. According to the postoperative infection, a statistically insignificant variance has been found among the two collections (p>0.05). Conclusion: Myringoplasty surgery yielded satisfactory outcomes for both wet & dry ears according to hearing development & graft uptake. It suggests that proper surgery procedures and effective post-surgery guidance can lead to satisfactory outcomes.