Volume 28, Issue 153, November 2024

Comparative review of surgical techniques for the repair of tympanic membrane perforation: Systematic review

Abdulhakeem Almutiari^1♦, Rawabi Fahad Alfawzan², Manal Abdulaziz Alkhowaiter², Mohammed Abdullah M Al-Shalwan³

¹Otolaryngology Consultant, Department of Otolaryngology, Head and Neck Surgery, College of Medicine, Qassim University, Saudi Arabia
²General practitioner, Department of Otolaryngology, Head and Neck Surgery, College of Medicine, Qassim University, Saudi Arabia
³Medical Intern, College of Medicine, King Khalid University, Abha, Saudi Arabia

^♦Corresponding Author
Otolaryngology Consultant, Department of Otolaryngology, Head and Neck Surgery, College of Medicine, Qassim University, Saudi Arabia

ABSTRACT

Background: Tympanic membrane perforation can be repaired surgically by various methods of tympanoplasty, restoring middle ear function and hearing. The purpose of this review was to contrast various surgical techniques used to treat tympanic membrane perforations. Method: From 2018 to 2022, the PubMed, Embase, and Cochrane Library databases were screened as part of a systematic search. The authors independently found the studies that met the requirements for selection. Every contributor evaluated the whole text of the selected articles. Outcomes and study features were documented. Results: Three treatment groups had CT, two had FGM, five had TFT, and seven had BCT. There was variation in the closure rates in the TFT groups (mean 83.2%), BCT groups (mean 91.2), CT groups (mean 88.3), and FGM groups (mean 87%). In the TFT, the closure rates ranged from 83% to 96% (mean 83.2%). The closure rate statistics indicate that BCT has higher closure rates than TFT, CT, and FGM. The BCT and other surgical procedures did not significantly differ from one another for hearing improvement, showing that the hearing benefits from these treatments were equivalent. The six papers in total indicated improvements in hearing. Conclusion: When correcting tiny to medium-sized TM perforations, butterfly cartilage tympanoplasty works satisfactorily. In addition, this approach is highly tolerated and results in a shorter recovery period and postoperative pain.

Keywords: Surgical techniques, tympanic membrane perforation, surgical repair

Medical Science, 2024, 28, e142ms3469

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DOI: https://doi.org/10.54905/disssi.v28i153.e142ms3469

Published: 30 November 2024