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Do we always need gelfoam packing in the middle ear cavity during tympanoplasty?

Results: Themeanagewas49.0years and themale: female ratio was76:151.Themean followupperiodwas26.3months (6–94 months). Patients were divided into two groups according to whether or not gelfoam packing was performed in the middle ear cavity; the gelfoam (GG, N= 105) and no-gelfoam groups (NG, N= 122). Graft uptake rates, postoperative hearing levels, and complication rates were compared as the measures of surgical outcomes. The graft uptake rates of each group were up to 99.1% in GG (104/105) and 99.2% in NG (121/122). The air-bone gap significantly decreased after surgery without statistical difference between the groups. Postoperative complications such as epithelial cyst and lateralization occurred very rarely in both groups, and the rates showed no significant differences between two groups.