Eardrum repair showdown: which surgical technique wins for better hearing?
NCT ID NCT07149480
First seen Jun 26, 2026 · Last updated Jun 26, 2026
Summary
This study compares two surgical techniques for repairing large eardrum holes caused by chronic ear infections. The interlay method places the graft between eardrum layers, while the underlay method places it beneath. Researchers measured hearing improvement in 60 adults to see which technique works better. The goal is to help surgeons choose the best approach for restoring hearing.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- surgical procedure (interlay or underlay tympanoplasty)
- What this could lead to
- If one technique proves better, it could guide surgeons to choose the method that offers better hearing recovery for patients with chronic ear infections.
- What could go wrong
- This is a small, single-center study with only 60 participants, so results may not apply to all patients. The techniques are already established, so no major breakthrough is expected.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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60 people
The number who actually took part.
- Started
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Jan 2025
- Finished
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Jul 2025
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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16 to 60 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Patients aged l6-60 years, of any gender. * individuals with chronic otitis media characterized by inactive mucosal disease (absence of discharge) accompanied by a large central perforation persisting for at least 6 weeks and exhibiting pure conductive hearing loss as established through pure-tone audiometry. Exclusion Criteria: * Presence of active otitis media manifesting acute infection or discharge. * Patients diagnosed with tympanosclerosis or ossicular necrosis, adversely affecting ossicular chain mobility, as identified in preoperative assessments. * History of ear surgeries, excluding myringotomy, that could potentially impact tympanoplasty outcomes, such as ossiculoplasty or mastoidectomy. * Individuals with sensorineural or mixed hearing loss, as determined by pure-tone audiometry, indicating a possible alternate or additional source of hearing impairment. * Conditions potentially hindering wound healing or compliance with postoperative care, including but not limited to uncontrolled diabetes mellitus or immunodeficiency disorders. * Patients exhibiting eustachian tube dysfunction, as confirmed through clinical evaluation or medical records. * Patients with an active focus of infection in the throat, nose, paranasal sinuses, or oral cavity, as determined by medical records.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
Shaikh Zayed Medical college/hospital, Lahore
Lahore, Punjab Province, 54000, Pakistan
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