A COMPARATIVE STUDY OF THE DOUBLE DOOR TECHNIQUE AND ANTERIOR TUCKING IN TYMPANOPLASTY: EFFICACY, OUTCOMES, AND CHALLENGES

Objective: This study will assess and compare the effectiveness, results, and problems of the double door approach and anterior tucking in tympanoplasty. The double door procedure includes precise graft placement using a bi-flap approach, whereas anterior tucking focuses on placing the graft beneath the anterior rim of tympanic annulus. The key results include: Graft uptake rates are 94% for the double door method and 89% for anterior tucking. The double door approach resulted in an average hearing improvement of 20.5 dB, compared to 18.8 dB with anterior tucking.The double door group had lower complication rates (6%) than anterior tucking (11%). Although both methods showed high efficacy in terms of hearing improvement and graft success, the study found that the double door technique exhibits superior outcome for anterior perforations because it has better graft stability and lower complication rates. Anterior tucking may still be beneficial in certain subtotal perforation situations. These results provide essential insights for optimizing tympanoplasty approaches for different types of perforations.