Comparative Study of Outcome of Endoscopic Myringoplasty in Active and Inactive Mucosal Chronic Otitis Media Patients

Aim: aim to assess the eustachian tube function before and after tympanoplasty. Materials and methods: The present prospective comparative study was conducted in the Department of ENT, Sri Krishna Medical College and Hospital, Muzaffarpur, Bihar India .Among 60 patients confirmed with the diagnosis of chronic otitis media. Preoperative PTA and eustachian tube function tests were taken. Patients were then subjected to ear surgery. Results: Majority of patients were young adults the mean age group was 28.16±6.61 years. Of these patients, 55.0% were males and 45.0% were females. Mean preoperative PTA was 40.32±3.41 and post operatively the PTA was 31.41±4.65 improved significantly (p<0.05). Conclusion: The prognosis of middle ear surgery has a direct correlation with the Eustachian tube functions, i.e. good Eustachian tube functions is essential for obtaining a good prognostic value and vice versa. Keywords: eustachian tube functions, pure tone audiometry, tympanoplasty, chronic otitis media

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A Comparative Study on Morphological and Audiological Outcome in Type Ι Tympanoplasty for Chronic Otitis Media Mucosal Disease Using Temporalis Fascia versus Cartilage Graft

Journal of Medical Science And clinical Research ◽

10.18535/jmscr/v7i11.136 ◽

2019 ◽

Vol 7 (11) ◽

Author(s):

Amrutha P Raman ◽

Keyword(s):

Comparative Study ◽

Otitis Media ◽

Chronic Otitis Media ◽

Cartilage Graft ◽

Temporalis Fascia ◽

Mucosal Disease

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A Prospective Comparative Study between Dry and Wet Tympanoplasty

Annals of Otology and Neurotology ◽

10.1055/s-0038-1676951 ◽

2018 ◽

Vol 01 (02) ◽

pp. 083-088 ◽

Cited By ~ 1

Author(s):

Hepsiba Pothala ◽

Sunita Shukla ◽

Wasim Khan ◽

Ravi Ramalingam ◽

Kombupalayam Ramalingam

Keyword(s):

Comparative Study ◽

Otitis Media ◽

Uptake Rate ◽

Chronic Otitis Media ◽

Hearing Improvement ◽

Temporalis Fascia ◽

Suppurative Otitis Media ◽

Significant Difference ◽

Prospective Comparative Study ◽

Contralateral Ear

Abstract Background Tympanoplasty is the well-established procedure for closure of perforations of tympanic membrane. Study Design This study was a prospective comparative study. Objective The objective of this study was to compare the hearing improvement and graft uptake rate between dry and wet tympanoplasty performed on tubotympanic type of chronic suppurative otitis media. Materials and Methods One hundred forty patients with tubotympanic type of chronic otitis media were selected and categorized into dry and wet ears. Tympanoplasty was performed using temporalis fascia by underlay technique in all cases. Postoperatively, graft uptake rate and hearing improvement were analyzed. Results The graft uptake rate was equal in both dry and wet ears, which was statistically insignificant. There was no statistically significant difference in the hearing improvement between the dry ears and wet ears (χ – 2.39, p = 0.122). Conclusion Factors such as age, sex, and status of the contralateral ear and wet ear did not have any impact on the postoperative graft uptake of tympanoplasty. There was no difference in the graft uptake between the dry and wet ears and there was no statistically significant difference between hearing improvement in both and wet ears.

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Comparative Study of Two Different Myringoplasty Techniques in Mucosal Type of Chronic Otitis Media

JOURNAL FOR CLINICAL AND DIAGNOSTIC RESEARCH ◽

10.7860/jcdr/2016/16843.7194 ◽

2016 ◽

Cited By ~ 1

Author(s):

Abhilash Shambulingegowda

Keyword(s):

Comparative Study ◽

Otitis Media ◽

Chronic Otitis Media

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Endoscopic myringoplasty: outcome and hearing gain in inactive mucosal chronic otitis media

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20185511 ◽

2019 ◽

Vol 5 (2) ◽

pp. 330

Author(s):

B. T. Subramanya ◽

S. Lohith ◽

B. Sphoorthi

Keyword(s):

Otitis Media ◽

Chronic Otitis Media ◽

Hearing Improvement ◽

Suppurative Otitis Media ◽

Hearing Gain ◽

Endoscopic Myringoplasty ◽

A Prospective Study ◽

Postoperative Scar ◽

Middle Ear Cleft

Background: Chronic otitis media is an inflammatory process in the middle ear cleft that poses serious health problem in developing countries. Myringoplasty is a common otological procedure to reconstruct the tympanic membrane to prevent recurrent otorrhea, and restore sound-conducting mechanism. The use of rigid endoscope in transcanal myringoplasty has significant advantage as it provides magnified, close up as well as wide angle view, less morbidity and early postoperative wound healing with better cosmetic results without compromising success rate and postoperative hearing gain. The aims and objectives of the study were to analyze the results of endoscopic transcanal interlay myringoplasty, in terms of graft uptake and hearing improvement in cases of chronic suppurative otitis media with inactive mucosal disease with central perforation.Methods: This is a prospective study conducted from January 2016 to August 2018 in 30 patients of inactive mucosal chronic otitis media (COM). All patients underwent transcanal endoscopic interlay myringoplasty and patients were called for regular follow up for 12 weeks and results were statistically analysed. Results: The graft uptake rate in the present study was found to be 93.33%. Pre operatively mean air bone gap (ABG) was 27.33 dB and post operatively after 12 weeks mean air bone gap improved to 10.5 dB. Mean ABG gain was 16.33%.Conclusions: Endoscopic transcanal interlay myringoplasty with superiorly based TM flap is an effective technique over conventional microscopic technique in terms of graft uptake, hearing improvement, better postoperative scar and less morbidity in cases of inactive mucosal COM.

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