Simultaneous bilateral myringoplasty as a single-stage operation

Abstract Background: Myringoplasty is a common otologic procedure that results in successful closure of the perforation in most cases; however, the theoretical risk of iatrogenic sensorineural hearing loss during surgery has induced a reluctance among otosurgeons to perform bilateral myringoplasty. Objectives: The aim of this study was to evaluate simultaneous bilateral myringoplasty as a single-stage operation. Patients and methods: A prospective study was carried out between December 2009 and March 2012 on 30 patients (60 ears) with bilateral tympanic membrane perforations. Bilateral myringoplasty was performed in the same sitting using an underlay technique. Results: Of the 60 ears operated upon, perforation closure was achieved in 56 (93.3%) ears and 51 (80%) ears gained hearing. No worsening of hearing was observed in any ear. Conclusion: Simultaneous bilateral myringoplasty is safe and effective as a single-stage operation, with a high success rate. © 2013, The Egyptian Oto - Rhino - Laryngological Society.