Methelene blue stained temporalis fascia graft in myringoplasty: a clinical study

Authors

  • M. D. Prakash Department of Otorhinolaryngology, Bangalore Medical College and Research Institute, Bangalore, Karnataka, India
  • Rajashree . Department of Otorhinolaryngology, Bangalore Medical College and Research Institute, Bangalore, Karnataka, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20191720

Keywords:

Methelene blue, Temporalis fascia graft, Myringoplasty

Abstract

Background: The objective of the study were to know advantages of using methelene blue stained graft in tympanoplasty and to compare results between tympanoplasty with or without methelene blue stained graft.

Methods: This is a prospective study involving 60 patiens diagnosed with of chronic suppurative otitis media (CSOM) of mucosal type. Selected patients were aged between 20 years to 45 years. Those patients with active discharge, treated initially with antibiotics, to contro infection, and once dry ears maintained for minimum 6 weeks were planned for surgery. Among 60 cases, 30 patients underwent tympanoplasty (I) with methelene blue stained graft and other 30 patients underwent tympanoplasty (I) using unstained graft. Patients were followed up for 6 months.  

Results: Patients outcomes were compared in terms of graft uptake and hearing improvement. Among all patients graft uptake was better in cases where methelene blue stained graft was used, but the results were not statistically significant. Hearing improvement in terms of air bone gap closure was assessed, study showed there was better air bone gap closure in cases where methelene blue stained graft is used and results were statistically significant.

Conclusions: Advantages of methelene blue staining allows better identification and proper placement of the graft, gives good results in terms of improved graft uptake, as it has antimicrobial properties. Hearing improvement results in terms of closure of air-bone are good.

Author Biography

M. D. Prakash, Department of Otorhinolaryngology, Bangalore Medical College and Research Institute, Bangalore, Karnataka, India

postgraduate student department of ENT, bangalore medical college and research institute, bangalore

References

Browning G, Burton M, Clarke R. Scott-Brown's Otorhinolaryngology, Head and Neck Surgery. 7th ed. Great Britain: Edward Arnold. 2008: 3396-3397.

Gulya J, Minor L, Poe D. Glasscock-Shambaugh Surgery of the Ear.6th ed. Shelton: PMPH USA, Ltd.; 2000: 466-473.

Applebaum E, Deutsch E. An Endoscopic Method of Tympanic Membrane Fluorescein Angiography. Ann Otol Rhinol Laryngol. 1986;95(5):439-43.

Farrior J. Sandwich Graft Tympanoplasty. The Laryngoscope. 1989;99(2):213-7.

Weider DJ. Use of the williamsmicroclip in various aspects of tympanoplastic surgery. The Laryngoscope. 1981;91(12):2106-25.

Lee H, Auo H, Kang J. Loop overlay tympanoplasty for anterior or subtotal perforations. Auris Nasus Larynx. 2010;37(2):162-6.

Jung T, Park S. Mediolateral Graft Tympanoplasty for Anterior or Subtotal Tympanic Membrane Perforation. Otolaryngol Head Neck Surg. 2005;132(4):532-6.

Talas D, Nguyen-Huynh A, Blevins N. Intraoperative staining of tympanoplasty grafts: A technique to facilitate graft placement. Otolaryngol Head Neck Surg. 2008;138(5):682-3.

Vaiman M, Sarfaty S, Gavriel H, Kraus M, Kaplan D, Puterman M. Intravital staining with methylene blue in tympanoplasty. Eur Arch Oto-Rhino-Laryngol. 2010;267(9):1351-4.

Wong R. Methylene blue stained temporalis fascia graft in tympanoplasty. The Laryngoscope. 1983;93(2):241.

Todd M, Lee J, Marks V. Rapid Toluidine Blue Stain for Mohs' Micrographic Surgery. Dermatol Surg. 2006;31(2):244-5.

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Published

2019-04-26

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Section

Original Research Articles