الفهرس 
Aim of the workOnly 14 pages are availabe for public view
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Abstract
Untreated TM perforations may lead to hearing loss and middle ear infection even if they are of small size. Further, the patients have to observe water restrictions. The aim of myringoplasty is to close these perforations and thus improve hearing quality and reduce the susceptibility to middle ear infections.
To close a TM perforation, myringoplasty with post auricular incision has been routinely performed all over the world for the past four decades and surgeons have chosen a preferred method among underlay, overlay, and inlay (sandwich) techniques. The repair of the TM has been attempted with large variety of synthetic, homologous and autogenous tissue; however temporalis fascia, areolar fat and perichondrium are used most commonly today. Trans canal techniques have also been attempted to simplify myringoplasty using perichondrium graft, temporalis fasia graft and so on.
In our study we include 40 patients and all patients were subjected to SUM which done transcanal under local anaesthesia with use of perichondrium graft and fibrin glue to increase chance of healing. The study was carried out in Otorhinolaryngology Department of Beni Suef University Hospitals.
In our study the success rate is 82.5%.
In conclusion, SUM with the use of Perichondrium graft and fibrin glue is a simple, quick, minimally invasive and safe procedure which can be performed on outpatient’s basis and it is suitable to repair small to medium sized perforations of the TM.