scholarly journals HEARING IMPROVEMENT POST TYPE I TYMPANOPLASTY- RETROSPECTIVE STUDY

2017 ◽  
Vol 4 (87) ◽  
pp. 5086-5089
Author(s):  
Anil H.T ◽  
Shritha Shree S
Keyword(s):  
Retrospective Study ◽  
Type I ◽  
Hearing Improvement ◽  
Type I Tympanoplasty

Comparative study of efficacy of graft placement with and without anterior tagging in type one tympanoplasty for mucosal-type chronic otitis media

2011 ◽  
Vol 126 (2) ◽  
pp. 125-130 ◽  
Author(s):  
P Hosamani ◽  
L Ananth ◽  
S B Medikeri
Keyword(s):  
Otitis Media ◽  
Chronic Otitis Media ◽  
Type I ◽  
Graft Material ◽  
Hearing Improvement ◽  
Hearing Results ◽  
Graft Placement ◽  
Type I Tympanoplasty ◽  
Suitable Technique

AbstractObjectives:To assess the efficacy of anterior tagging of graft material with respect to graft uptake and hearing results, in type I tympanoplasty.Study design:Prospective, randomised, cohort study.Methods:Sixty patients with chronic otitis media of the mucosal type, with pars tensa perforations, were included in the study. Patients were randomly allocated to two groups: group one underwent type one tympanoplasty with anterior tagging, while group two underwent type one tympanoplasty without anterior tagging. Follow up included evaluation of graft uptake and hearing improvement.Results:There were 33 patients in group one and 27 patients in group two. The overall incidence of successful graft uptake was 96.96 per cent in group one and 81.5 per cent in group two. Closure of central and posterior perforations was successful in 100 per cent of both groups. Closure of anterior and subtotal perforations was successful in 95.45 per cent of group one and 54.54 per cent of group two.Conclusion:Type one tympanoplasty with anterior tagging of graft material is a suitable technique for anterior and subtotal perforations.

scholarly journals Research of Ear Endoscopic Type I Tympanoplasty——Single-institution Experiences in China

2021 ◽  
Author(s):  
Di Ji ◽  
Jun Jie Yang ◽  
Xian Bai Zhu ◽  
Xue Qin Zhou ◽  
Xiao Jun Liang ◽  
...  
Keyword(s):  
Tympanic Membrane ◽  
Tympanic Membrane Perforation ◽  
Type I ◽  
Hearing Level ◽  
Hearing Improvement ◽  
Suppurative Otitis Media ◽  
Mean Values ◽  
Before And After ◽  
The Mean ◽  
Type I Tympanoplasty

Abstract Purpose: To assess outcomes of one-handed ear endoscopic Type I Tympanoplasty and summarize the experience. Methods: This study retrospectively analyzed 34 cases (23 females and 11 males) of one-handed ear Endoscopic Type I Tympanoplasty. Result: The mean values of air conduction threshold before and after surgery were 48.22+18.36dB HL and 34.34+19.83dB HL, respectively. The mean values of the air-bone gap before and after surgery were 23.60+12.18 dB HL and 11.05+6.62 dB HL, respectively. The results showed statistically significant differences in hearing improvement(P<0.05). Among 34 ears, 30 ears had effective hearing improvement. No vertigo, intracranial infection, suppuration, and any other postoperative complications occurred. Although 1 ear occurred tympanic membrane perforation again, all ears achieved dry. Conclusion: Ear endoscopic Type I Tympanoplasty with fewer complications and shorter surgery time were suitable for the chronic suppurative otitis media. Healing of the tympanic membrane and recovery of hearing level was ensured. However, the experience is still insufficient in China, so a large number of clinical workers need to exchange experience to promote the development of ear minimally invasive surgery.

scholarly journals Effects of Sacrificing Tensor Tympani Muscle Tendon When Manubrium of Malleus Is Foreshortened in Type I Tympanoplasty

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Sohil Vadiya
Keyword(s):  
Effective Procedure ◽  
Type I ◽  
Hearing Improvement ◽  
Uptake Rates ◽  
Group A ◽  
Type I Tympanoplasty ◽  
Tensor Tympani Muscle ◽  
Tensor Tympani Tendon ◽  
Group B

The current study aims at observing effects of sacrificing the tensor tympani tendon when manubrium of malleus is foreshortened or retracted on graft uptake, hearing improvement, and occurrence of complications if any during type I tympanoplasty surgery for central perforations. 42 patients were included in group A where the tensor tendon was sectioned and 42 patients were included in group B where the tensor tympani tendon was retained and kept intact. Graft uptake rates are very good in both groups but hearing improvement was found significantly better in group A than group B. No unusual or undesired complications were seen in any of the cases. Sectioning of tensor tympani tendon is safe and effective procedure in cases where manubrium is foreshortened.

scholarly journals Graft uptake and post-operative hearing outcome with type-I tympanoplasty in dry versus wet ear: a comparative study

2019 ◽  
Vol 5 (6) ◽  
pp. 1557
Author(s):  
Kulwinder Singh Sandhu ◽  
Puneet Kaur ◽  
Jagdeepak Singh ◽  
Sania Arya
Keyword(s):  
Pure Tone ◽  
Type I ◽  
Hearing Improvement ◽  
Time Of Surgery ◽  
Hearing Gain ◽  
Pure Tone Average ◽  
The Mean ◽  
Type I Tympanoplasty ◽  
Group 2 ◽  
Group 1

<p class="abstract"><strong>Background:</strong> The discharging ear presents the otologist with the dilemma of operating on it or not. This study is being undertaken to study and compare the results of type I tympanoplasty in dry ear (no ear discharge at the time of surgery) and wet ear (culture negative consistent ear discharge at the time of surgery).</p><p class="abstract"><strong>Methods:</strong> 50 patients of either sex aged between 18 to 50 years undergoing type-I tympanoplasty were included in the study on the basis of pre-determined clinical criteria. Type I tympanoplasty was performed using temporalis fascia graft by underlay technique. Post-operative data regarding graft uptake and hearing improvement was recorded in the follow up period of three months.  </p><p class="abstract"><strong>Results:</strong> The complete graft uptake was there in 88% of the patients in group 1 and 84% patients in group 2. The difference in the two groups was statistically insignificant (p&gt;0.05). The mean pre-operative pure tone average in group 1 was 30.57±7.80 dB while post-operative pure tone average was 20.68±8.22 dB with a mean hearing gain of 9.89 dB. The mean pre-operative pure tone average in group 2 was 35.21±5.98 dB while the post-operative pure tone average was 27.07±9.25 dB with a mean hearing gain of 8.12 dB. There was marked hearing improvement in both the groups post operatively (p&lt;0.001 i.e., highly significant). When hearing improvement was compared between two groups there was no significant statistical difference (p&gt;0.05).</p><p class="abstract"><strong>Conclusions:</strong> The outcome is equally good for type 1 tympanoplasty in dry and wet ear in safe (mucosal) type of chronic suppurative otitis media with respect to graft uptake and hearing improvement.</p>

scholarly journals A Comparative Study of Outcomes of Type I Tympanoplasty with or without Fibrin Glue

2019 ◽  
Vol 27 (1) ◽  
pp. 15-18
Author(s):  
Somu Lakshmanan ◽  
Preethi Umamaheswaran
Keyword(s):  
Comparative Study ◽  
Fibrin Glue ◽  
Tertiary Care ◽  
Type I ◽  
Hearing Improvement ◽  
Uptake Rates ◽  
Significant Difference ◽  
Group A ◽  
Type I Tympanoplasty ◽  
Group B

Introduction: Various materials have been used in tympanoplasty to ensure the adherence of the graft with the remnant tympanic membrane. This study aims to compare the clinical outcomes of type I tympanoplasty done with and without fibrin glue. Materials and Methods:           This is a prospective comparative study conducted in a tertiary care centre between August 2014 and July 2016. A sample size of 70 patients was used. The patients were randomly divided into two groups – Group A and Group B. Patients in group A underwent tympanoplasty with fibrin glue and patients in group B underwent tympanoplasty without fibrin glue. The patients were followed up for 6 months and the postoperative hearing improvement and graft uptake rates were compared. Results: The pre-operative mean pure tone average for group A was 34.33±7.3dB; it improved to 22.14±6.5 at the end of 6 months. In group B, it improved from 34.25±8dB to 22.64±7.4dB at the end of 6 months. There was no statistical significance in hearing improvement between both the groups. Though there was no statistically significant difference in the graft uptake rates between group A (94.3%) and group B (91.4%), fibrin glue had better outcomes with larger perforations. Conclusion: The use of fibrin glue in tympanoplasty is safe and it has a particular advantage in the graft uptake in subtotal perforations.

scholarly journals A Randomized Prospective Study on Interlay Vs Underlay of Type I Tympanoplasty in Remote Tertiary Center

2020 ◽  
Vol 3 (1) ◽  
pp. 26-30
Author(s):  
Md Sharif Alam ◽  
Om Prakash ◽  
R P Thakur
Keyword(s):  
Prospective Study ◽  
Otitis Media ◽  
Uptake Rate ◽  
Chronic Otitis Media ◽  
Type I ◽  
Hearing Improvement ◽  
Medical College ◽  
Central Perforation ◽  
Tertiary Center ◽  
Type I Tympanoplasty

Background: Type I tympanoplasty is a surgical technique used to restore the integrity of tympanic membrane as well as improve the hearing in inactive mucosal chronic otitis media. There are two main methods that are underlay and overlay in between both is interlay. The aim of the present study is to analyse and compare the results of the two most commonly used type I tympanoplasty techniques, underlay and the interlay technique in chronic otitis media with mucosal disease in large central perforation, in terms of graft uptake and hearing improvement. Subjects and Methods: This is a randomized prospective study of 100 cases of inactive mucosal chronic otitis media with total or large anterior central perforation between October2017 to September 2019 in Anugarah Narayan Magadh Medical College & Hospital, Gaya. Half had gone through Interlay and half by Underlay technique of Type I Tympanoplasy surgery. Results: The graft uptake rate in this study was 96% and 90% for Interlay and Underlay technique respectively. Postoperatively mean air bone gap maximally reduced in the Interlay technique. Conclusion: The present study showed that Interlay method had better graft uptake rate as well as hearing improvement in total and large anterior central perforation of inactive mucosal chronic otitis media than the Underlay technique.

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