Naveed Aslam, Javaid Iqbal, Khalid Mehmood.
Type I Tympanoplasty underlay technique and results.
Proceeding Shaikh Zayed Postgrad Med Inst Jan ;15(2):77-80.

Type I Tympanoplasty is a commonly performed procedure in otological surgical practice. It is performed to clear disease from the middle ear and seal central type of tympanic membrane perforation. We present here a review of our experience of 34 cases of tubotympanic type of chronic suppurative otitis media with central perforation of the eardrum who were treated with Type l Tympanoplasty with underlay technique using temporalis fascia as a graft material. The selection criteria, technique and results of surgery are discussed here in detail and compared with international studies. This underlay technique with temporalis fascia graft was found to be successful with total closure of perforation in 94% of cases and significant improvement ill hearing thresholds in 74% of cases. There was no anesthetic or surgical complication of the procedure in this series. In conclusion Type I Tympanoplasty with temporalis fascia graft using careful underlay grafting technique gives good anatomic and functional results in patients with central perforation of tympanic membrane.

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