A Comparative Evaluation between Tympanoplasty with or Without Cortical Mastoidectomy
DOI:
https://doi.org/10.7439/ijbar.v8i7.4317Keywords:
Beta Vulgaris, Anti-inflammatory activity, Antioxidant activityAbstract
Aims and Objectives: To compare the results of tympanoplasty alone and tympanoplasty with cortical mastoidectomy in chronic suppurative otitis media (CSOM) patients in terms of graft uptake, perforation closureand improvement in hearing. Method: The study enrolling total 60 patients of either sex, age between 15 to > 45 years and were divided in two equal groups. Group A operated by type 1 tympanoplasty alone and group B operated by type 1 tympanoplasty with cortical mastoidectomy.The graft uptake rate and hearing improvement was compared between these two groups based on follow up and repeat audiogram on 12th postoperative week. Results: In the presentstudy, majority of patients were in the age group of 26-35 years with female predominant by male to female ratio of 1: 3.6.Graft uptake success rate were more in group B (93.3 %)than in group A(90 %).Three months after the surgery, 22 (73.33%) patients showed hearing improvement in group A and 25 (83.3%) patients in group B which was not statistically significant. Conclusion: The graft uptake and hearing improvement were clinically better in group B but difference in two groups was statistically insignificant. Combining cortical mastoidectomy with tympanoplasty does not give additional benefit in terms of hearing improvement or graft uptake but ABC closure after 3 months of surgery was significantly better in group B.Downloads
References
. Jahn AF, Chronic otitis media: diagnosis and treatment. Med Clin North America, 1991; 75(6):1227.
. Gupta S, Kalsotra P. Hearing gain in different types of tympanoplasties. Indian Journal of Otology. 2013; 19(4): 186-93.
. Macfadyen CA, Acuin JM, Gamble C. Systemic versus topical antibiotic treatments for chronically discharging ears with underlying eardrum perforations. Cochrane Database Syst Rev. 2006.
. Ruhl CM and Pensak ML: Role of aerating mastoidectomy in non cholesteatomatous CSOM. The Laryngoscope 1999; 109(12): 1924-1927.
. Holmquist J, Bergstrom B. The mastoid air cell system in ear surgery. Archives of otolaryngology (Chicago, Ill : 1960). 1978; 104(3): 127-9.
. Kamath MP, Sreedharan S, Rao AR, Raj V, Raju K. Success of myringoplasty: our experience. Indian Journal of Otolaryngology and Head and Neck Surgery 2013; 65(4): 358-62.
. McGrew BM, Jackson CG, Glasscock ME, 3rd. Impact of mastoidectomy on simple tympanic membrane perforation repair. The Laryngoscope. 2004; 114(3): 506-11.
. Mutoh T, Adachi O, Tsuji K, Okunaka M, Sakagami M. Efficacy of mastoidectomy on MRSA-infected chronic otitis media with tympanic membrane perforation. Auris, nasus, larynx. 2007; 34(1): 9-13.
. Mishiro Y, Sakagami M, Kondoh K, Kitahara T, Kakutani C. Long-term outcomes after tympanoplasty with and without mastoidectomy for perforated chronic otitis media. European Archives of Oto-Rhino-Laryngology. 2009; 266(6): 819-22.
. Kakkar V et al. Role of cortical mastoidectomy on the results of tympanoplasty in tubotympanic type of CSOM. Natl J Otorhinolaryngol Head Neck Surg 2014; 2(11): 3.
. Khan F, Ebenezer R, Manonmani S. Assessment of factors affecting the outcome of Myringoplasty and type-1 tympanoplasty. International Journal of Biomedical Research. 2014; 5(5): 340-3.
. Biswas SS, Hossain MA, Alam MM, Atiq MT, Al-Amin Z. Hearing evaluation after myringoplasty. Bangladesh Journal of Otorhinolaryngology. 2010; 16(1): 6.
. Lasisi AO. Mastoid Surgery For The Chronic Ear: A Ten Year Review. The Internet Journal of Head and Neck Surgery. 2007; 2(2): 8-11.
. Singha V, Debbarma A. Type 1 tympanoplasty with cortical mastoidectomy: results and complications. Indian J Otol 2015; 4(82): 14348-53.
. Nagle SK, Jagade MV, Gandhi SR, Pawar PV. Comparative study of outcome of type I tympanoplasty in dry and wet ear. Indian Journal of Otolaryngology and Head & Neck Surgery. 2009; 61(2): 138-40.
. Kaur M, Singh B, Verma B, Kaur G, Kataria G, Sinh S, et al. Comparative Evaluation between Tympanoplasty Alone and Tympanoplasty Combined With Cortical Mastoidectomy in Non-Cholesteatomatous Chronic Suppurative Otitis Media in Patients with Sclerotic Bone. IOSR Journal of Dental and Medical Sciences (IOSR-JDMS). 2014; 13(6): 40-5.
. Merchant Saumil N, John R. Acaustics and mechanics of th middle ear, Glasscock- Shambaugh SURGERY OF THE ER. 6th ed. USA: People's Medical Publishing House; 2012.
. Halik JJ, Smyth GD. Long-term results of tympanic membrane repair. Otolaryngology--head and neck Surgery: official journal of American Academy of Otolaryngology-Head and Neck Surgery. 1988; 98(2): 162-9.
. Krishnan A, Reddy EK, Chandrakiran C, Nalinesha KM, Jagannath PM. Tympanoplasty with and without cortical mastoidectomy
. Saha AK, Munsi D, Ghosh S. Evaluation of improvement of hearing in type I tympanoplasty & its influencing factors. Indian Journal of Otolaryngology and Head and Neck Surgery. 2006; 58(3): 253-7.
Downloads
Published
Issue
Section
License
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (SeeThe Effect of Open Access).
How to Cite
