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58±5.92 years with a male to female ratio of 1.21. Hearing improvement was significantly higher (97.5% vs. 77.5%) in patients undergoing underlay versus overlay myringoplasty. The frequency of effectiveness in terms of graft uptake was significantly higher in patients undergoing underlay (95.0% vs. 57.5%) as compared to overlay myringoplasty. The underlay procedure is more effective in terms of graft uptake and lesser complications as compared to overlay myringoplasty. The underlay procedure is more effective in terms of graft uptake and
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