Objectives: To observe the surgical outcome of myringoplasty in children in terms of graft uptake and improvement in hearing. Materials and Methods: The prospective study was conducted on 30 children of either sex upto the age of 15 years both from urban and rural population irrespective of socioeconomic status and was conducted in Department of ENT, Government Medical College and Rajindra Hospital, Patiala. All the patients had central perforation and dry ear having duration of atleast 6 weeks. The myringoplasty was performed under either general anesthesia or local anesthesia, using either per meatal or post auricular approach Patients were followed up in post operative period at 4th, 8th and 12th weeks for any complication, assessment of graft status and audiological evaluation. Results: Out of 30 patients taken for myringoplasty, 17 (56.7%) were males and 13 (43.3%) were females. 70% of the patients were from rural background and 30% were from urban area. The mean age was 13.6 ± 1.49 years with majority (76.66%) of the patients in 13–15 years age group, while 7 patients (23.33%) were in the 9–12 years age group. In this study, successful graft uptake was seen in 24 (80%) cases while 6 (20%) cases had graft rejection and all successful patients had improvement in hearing ranging from 20dB to 30dB. Conclusion: Myringoplasty is safe and effective and can be performed in pediatric population regardless of age, location and type of perforation.

Keywords: Chronic otitis media; Myringoplasty; Central perforation.