Indian Journal of Otology

ORIGINAL ARTICLE
Year
: 2019  |  Volume : 25  |  Issue : 4  |  Page : 177--179

Topical silver nitrate application during myringoplasty for large tympanic membrane perforation


Mohammad Waheed El-Anwar, Mohammad El-Sayed AbdElbary, Ibrahim Mohammad Saber, Mohamed El-Sayed Elshora, Sameh Mohamed Hosny 
 Department of Otorhinolaryngology-Head and Neck Surgery, Faculty of Medicine, Zagazig University, Zagazig, Egypt

Correspondence Address:
Dr. Ibrahim Mohammad Saber
Department of Otorhinolaryngology.Head and Neck Surgery, Faculty of Medicine, Zagazig University, Zagazig
Egypt

Objective: The aim of this study was to assess the topical application of silver nitrate during myringoplasty for large tympanic membrane (TM) perforation. Patients and Methods: This study was applied on 70 patients who had large dry central TM perforations. The patients were randomly divided into two groups: silver nitrate group for whom silver nitrate 50% was used during myringoplasty and control group that was managed traditionally without silver nitrate. The patients were evaluated on the basis of postoperative graft taking, hearing improvement, and complications. Results: Both groups were statistically matched with regard to age and sex. At 6 months postoperatively, success rate (graft taking) in silver nitrate group was 88.57% and 82.86% in control group with statistically nonsignificant difference (P = 0.49). Success in terms of hearing gain (≥10 dB) was achieved in 23 patients (65.6%) in the silver nitrate group and 12 patients (34.4%) in the control group with statistically nonsignificant difference (P = 0.079). Conclusion: Topical application of 50% silver nitrate during myringoplasty for large TM perforations is safe, provides refreshing the edges of the large TM perforation, and avoids losing any part of the precious remnants of the large TM perforation.


How to cite this article:
El-Anwar MW, AbdElbary ME, Saber IM, Elshora ME, Hosny SM. Topical silver nitrate application during myringoplasty for large tympanic membrane perforation.Indian J Otol 2019;25:177-179


How to cite this URL:
El-Anwar MW, AbdElbary ME, Saber IM, Elshora ME, Hosny SM. Topical silver nitrate application during myringoplasty for large tympanic membrane perforation. Indian J Otol [serial online] 2019 [cited 2020 Feb 24 ];25:177-179
Available from: http://www.indianjotol.org/article.asp?issn=0971-7749;year=2019;volume=25;issue=4;spage=177;epage=179;aulast=El-Anwar;type=0