scholarly journals Office myringoplasty by chemical cauterization and paper patching: a prospective study

2018 ◽  
Vol 5 (1) ◽  
pp. 55
Author(s):  
Garima Upreti
Keyword(s):  
Tympanic Membrane ◽  
Tertiary Care ◽  
Psychological Trauma ◽  
Tertiary Hospital ◽  
Tympanic Membrane Perforation ◽  
Tertiary Care Centre ◽  
Post Surgery ◽  
Chemical Cauterization ◽  
Cigarette Paper ◽  
A Prospective Study

<p class="abstract"><strong>Background:</strong> Surgery for tympanic membrane perforation entails its own morbidity, risk of anesthesia, psychological trauma, along with long waiting periods for patients, especially in a tertiary care centre like ours. The purpose of this study was to evaluate outcomes of chemical cauterization and patching of perforation, performed as an office procedure in select cases.</p><p class="abstract"><strong>Methods:</strong> The study was conducted in a tertiary hospital from January 2016 to December 2017. The patients were selected based on the inclusion criteria, after thorough clinical assessment, examination under microscope and pure tone audiogram. All cases underwent cauterization of margins of perforation using 10% trichloroacetic acid (TCA), followed by patching with appropriately sized pre-sterilized cigarette paper patch. The patients were followed up weekly till the perforation was completely healed or till 12 weeks. If required, the procedure was repeated.  </p><p class="abstract"><strong>Results:</strong> 68 cases were included in the study. Most common site of perforation was antero-inferior quadrant of pars tensa. Most common etiology was inflammatory. Number of applications ranged from 1 to 3. The procedure was successful in 62 cases (91.2%). All cases with traumatic perforation, residual perforation post-surgery and persistent perforation after grommet extrusion healed well. All 6 cases with treatment failure had inflammatory etiology, 4 involving postero-superior quadrant.</p><p class="abstract"><strong>Conclusions:</strong> In patients with small, central, dry perforation of tympanic membrane, chemical cauterization using TCA and paper patching can yield results comparable to that of surgery, while abating the morbidity and psychological trauma of surgery and saving time for both patient and doctor.</p>

scholarly journals Traumatic tympanic membrane perforation: an overview in a tertiary care centre-Khammam

2021 ◽  
Author(s):  
Agni Vishnu Sailesh ◽  
Vivek Arumugham ◽  
Siva Subba Rao Pakanati ◽  
Shilpa Potnuru
Keyword(s):  
Tympanic Membrane ◽  
Tertiary Care ◽  
Pure Tone Audiometry ◽  
Good Prognosis ◽  
Endoscopic Examination ◽  
Tympanic Membrane Perforation ◽  
Physical Assault ◽  
Tertiary Care Centre ◽  
Female Ratio ◽  
Membrane Perforation

<p><strong>Background</strong>: Aim of the study was to distinguish traumatic tympanic membrane perforation (TTMP) by distribution, etiology and clinical presentation and to assess the prognosis and outcome of treatment and establish masterly inactivity as main treatment modality.</p><p><strong>Methods</strong>: A prospective observational study was performed on 60 cases of traumatic tympanic membrane perforation in the outpatient department of otorhinolaryngology, Mamatha medical college and general hospital, Khammam from October 2019 to March 2021. All the patients came to ENT OPD with the history of trauma to the ear and hearing loss were examined and after obtaining proper history, all the patients underwent ENT clinical examination, oto-endoscopic and audiological evaluation by pure tone audiometry. All the patients diagnosed with traumatic tympanic membrane perforation after obtaining informed written consent were included in the study. All the patients were followed at regular intervals and observations were recorded.</p><p><strong>Results</strong>: All patients were evaluated based on oto-endoscopic examination. Age ranges from 20-50 years, mean age of 33.6 years and with a male to female ratio of 1:1.4. Commonest etiology was physical assault (61.66%) followed by self-inflicted injury accounting 20%. Tinnitus (90%) was the common presenting complaint and the perforation spontaneously healing is about 90% patients.</p><p><strong>Conclusions</strong>: Traumatic perforation of tympanic membrane is under-reported otologic defect which has a good prognosis if treated at right time with a need to educate people on the consequences and about unskilled removal of wax/foreign body, early identification and apt diagnosis and management.</p>

scholarly journals USE OF PAPER PATCHING AND TINCTURE FERRI PERCHLORIDE FOR DAY CARE MANAGEMENT OF TYMPANIC MEMBRANE PERFORATION

2019 ◽  
pp. 1-2
Author(s):  
Raj Rajendra Singh Seth
Keyword(s):  
Tympanic Membrane ◽  
Surgical Procedures ◽  
Surgical Procedure ◽  
Care Management ◽  
Psychological Trauma ◽  
Tertiary Hospital ◽  
Tympanic Membrane Perforation ◽  
Inclusion Criteria ◽  
Membrane Perforation ◽  
Common Etiology

INTRODUCTION: Perforation of tympanic membrane constitutes a major portion of patients attending ENT OPD for which they are advised surgical procedures. Most of the cases with small perforations can be managed by doing OPD procedure of cautery patching and hence surgical procedure can be avoided. METHODS: The study was conducted in the tertiary hospital from August 2018 to July 2019. The patients were selected on the basis of the inclusion criteria after doing clinical examination, and audiometry. All the patients underwent cautery patching with tincture ferri perchloride and patch placed. The patients were followed up weekly till the perforation was completely closed or uptill 3 months. RESULTS: Total of 65 patients was included in the study. Most common etiology of perforation was inflammatory involving anteroinferior quadrant as most common etiology with success achieved in 56 patients. CONCLUSION: patients with small central dry perforation of tympanic membrane, cautery patching using tincture ferri per chloride and paper patching gives good results comparing to the surgical procedure, while ablating the morbidity and psychological trauma of the surgery.

scholarly journals Otoendoscopic management of small to medium sized tympanic membrane perforation

2017 ◽  
Vol 4 (1) ◽  
pp. 56 ◽  
Author(s):  
Showkat A. Showkat ◽  
Nadhia Bhagat ◽  
Kiran Bala ◽  
Aamir Yousuf
Keyword(s):  
Tympanic Membrane ◽  
Rural Areas ◽  
Recurrent Infection ◽  
Cost Effective ◽  
Tympanic Membrane Perforation ◽  
Middle Ear Mucosa ◽  
Suppurative Otitis Media ◽  
Chemical Cauterization ◽  
Group B ◽  
A Prospective Study

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Chronic suppurative otitis media (CSOM) is a wide spread disease of developing countries like India especially in rural areas. A perforated tympanic membrane results in loss of hearing due to decreased drum area and liability to recurrent infection of the middle ear mucosa. </span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">A prospective study was conducted over a period of 18 months in the Department of ENT, HNS, Government Medical College, Srinagar with total of 36 patients were enrolled.  </span></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">This study consists of male 12 and 24 females mean age 32 yrs hearing loss average 26 db. Management methods were grouped in group A, B, C and D fat myringoplasty, chemical cauterization (trichloroacetic acid), fat myringoplasty + chemical cauterization: and transcanal transtympanic myringoplasty using tragal perichondrium respectively with least success seen in group B 55% and 100% seen in group D. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">Otoendoscopic management of small to medium sized TM perforations with different methods is a cost effective, less traumatic procedure, cosmetically better and functionally effective in terms of hearing improvement.</span></p><p> </p>

scholarly journals Pattern of Ear Diseases among Paediatric ENT Patient: An Experience from Tertiary Care Centre, Pokhara, Nepal

2012 ◽  
Vol 32 (2) ◽  
pp. 142-145 ◽  
Author(s):  
B Sigdel ◽  
R Nepali
Keyword(s):  
Tertiary Care ◽  
Age Group ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Suppurative Otitis Media ◽  
Ear Diseases ◽  
Paediatric Age ◽  
One Year ◽  
A Prospective Study ◽  
Nose And Throat

Introduction: Ear diseases are common in children mainly due to altered anatomy of Eustachian tube which is straighter in children as compared to that in adults. However, the cause of hearing loss in children is more varied, including the etiologies. This study was done to find out the pattern of ear diseases in paediatric age group attending ear, nose and throat OPD in a tertiary care centre in Pokhara, Nepal. Materials and Methods: This is a prospective study done in paediatric patients attending ENT OPD over a period of one year from January 2010 to January 2011. The diagnoses were made on the basis of history and clinical examination. Results were expressed in numbers and percentages. Results: Out of 1632 Pediatric ENT patients, 944 had ear diseases, 59.2% were males and 40.8% females. Wax (33.4%) was the commonest diagnosis followed by Chronic suppurative otitis media (24.3%) and Acute ottitis media (13%). Conclusion: Ear diseases are most common condition in ENT OPD among paediatric age group. Wax, CSOM and ASOM were the three most common ear diseases. J. Nepal Paediatr. Soc. 32(2) 2012 142-145 doi: http://dx.doi.org/10.3126/jnps.v32i2.5673

Surgical results and factors affecting outcome in patients with fat-graft myringoplasty

2021 ◽  
pp. 014556132110632
Author(s):  
Hong Chan Kim ◽  
Kyeong Suk Park ◽  
Hyung Chae Yang ◽  
Chul Ho Jang
Keyword(s):  
Success Rate ◽  
Tympanic Membrane ◽  
Surgical Outcomes ◽  
Underlying Disease ◽  
Tertiary Hospital ◽  
Tympanic Membrane Perforation ◽  
Fat Graft ◽  
Ear Surgery ◽  
Closure Rate ◽  
Diabetes Status

Objectives: We evaluated the closure rate after fat-graft myringoplasty (FGM) of perforations differing in size and location. We explored whether patient’s factors and the FGM surgical technique influenced surgical outcomes. Methods: We retrospectively studied patients with tympanic membrane perforations who underwent FGM from March 2015 to March 2019. All procedures were performed by a single senior surgeon at our tertiary hospital. The patients who followed-up for at least 6 months after surgery were enrolled. We recorded hypertension and diabetes status, age, any prior ear surgery, any calcific plaques adjacent to the perforation, and perforation size and location. Results: A total of 150 patients were enrolled. Our success rate of FGM was 90%. Hypertension, diabetes, prior ear surgery history, and eardrum calcific plaques did not affect the surgical outcomes. There was no statistical difference in the surgical success rate according to the size (< 50%) or location of perforation. The closure rate was 97.2% in patients aged 1660 and 87.5% in patients aged > 60, respectively. However, FGM was successful in only two of six children (33.3%) aged ≤ 15 years, thus significantly less than in the other groups. Conclusion: FGM is a fast, safe, and efficient method for repairing tympanic membrane perforation. The surgical outcome is not significantly affected by underlying disease, perforation size or location, or by the condition of the tympanic membrane or older age. However, it may be poor in children with dysfunctional Eustachian tube.

scholarly journals Magnitude of hypothyroidism among patients of cholelithiasis in a tertiary care centre in rural West Bengal: a prospective study

2021 ◽  
Vol 8 (11) ◽  
pp. 3375
Author(s):  
Jaganmoy Maji ◽  
Debjyoti Mandal
Keyword(s):  
Stone Formation ◽  
Tertiary Care ◽  
Gall Stone ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Medical College ◽  
Elder Patients ◽  
A Prospective Study

Background: Cholelithiasis is a common pathology of the gall bladder affecting about 10 to 15% of the adults in western countries and 2 to 29% in India. More than 80% of the patients with cholelithiasis are asymptomatic. Hypothyroidism may cause gall stone formation due to the hyperlipidemia, motility disorders affecting the bile duct and sphincter of Oddi.Methods: This was a descriptive cross-sectional study conducted at Department of Surgery, Bankura Sammilani Medical College and Hospital, Bankura from March 2019 to February 2020 for duration of one and half year. The sample size was 54 and consecutive non-probability sampling technique was used for the sampling. All the collected data were recorded in a pre-designed proforma and analyzed in MS excel.Results: Out of 54-patients with cholelithiasis, 28% patients were from the age group 45-54 years.40% patients were hypothyroid pre-dominantly females. Among 30-female patients 11 (26.82%) were hypothyroid and among 11-male patients 2 (15.38%) were hypothyroid. Hypothyroidism in male and female was statistically significant.Conclusions: This study was introduced to determine the relationship between hypothyroidism and cholelithiasis. It was concluded that hypothyroidism was more common in female, obese and elder patients. The gender distribution of the hypothyroidism in patients with cholelithiasis was statistically significant while all other variables were statistically not significant.  

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