scholarly journals OUTCOMES OF CIRCUMFERENTIAL V/S ANTERIOR TUCKING TYMPANOPLASTY TECHNIQUE IN INACTIVE MUCOSAL CHRONIC OTITIS MEDIA WITH SUBTOTAL PERFORATIONS: A PROSPECTIVE OBSERVATIONAL STUDY

2021 ◽  
pp. 95-98
Author(s):  
Sultan Singh Rulania ◽  
Sushma Mahich ◽  
Rekha Harshvardhan
Keyword(s):  
Observational Study ◽  
Success Rate ◽  
Otitis Media ◽  
Uptake Rate ◽  
Prospective Observational Study ◽  
Chronic Otitis Media ◽  
Hearing Gain ◽  
Group I ◽  
The Mean ◽  
Group Ii

Objective: The objective of the study is to compare circumferential versus anterior tucking underlay tympanoplasty technique. Methods: In this prospective observational study, 100 patients with chronic otitis media (Inactive mucosal type) were included, who were randomly allocated in two groups; Group I which comprised of 50 patients in which tympanoplasty with anterior tucking was done, and Group II comprised of 50 patients in which circumferential flap tympanoplasty was done. Improvement in the hearing gain and graft uptake success rate was compared. Results: The mean air-bone gap (ABG) changed from 28.74 dB to 11.52 dB after anterior tucking with a mean change of 17.22 dB and this change was found to be statistically significant (p<0.001). Similarly, the mean ABG changed from 28.92 dB to 11.86 dB after a circumferential flap with a mean change of 17.06 dB and this change was also found to be statistically significant (p<0.001). There was a slightly better improvement (17.22 dB) in the anterior tucking group as compared to the circumferential flap (17.06 dB). This difference was, however, not found to be statistically significant (p=0.830). Three-month graft uptake rate in the anterior tucking group was found 92% and in the circumferential group was 94%. (p>0.05). Conclusions: Our study concluded that both techniques have almost the same results with good graft uptake. Results of hearing improvements in both techniques were also comparable.

scholarly journals Type 1 tympanoplasty: does the status of contralateral ear affect the outcome?

2019 ◽  
Vol 5 (3) ◽  
pp. 722
Author(s):  
Arindam Das ◽  
Sandipta Mitra ◽  
Debasish Ghosh ◽  
Arunabha Sengupta
Keyword(s):  
Success Rate ◽  
Otitis Media ◽  
Prospective Observational Study ◽  
Tertiary Care ◽  
Chronic Otitis Media ◽  
Care Hospital ◽  
Type 1 Tympanoplasty ◽  
The Status ◽  
Contralateral Ear

<p class="abstract"><strong>Background:</strong> The objective of the study was to investigate the effect of contralateral ear status on the success rate (anatomical closure) of type 1 tympanoplasty.</p><p class="abstract"><strong>Methods:</strong> The study is a prospective observational study comprising of 60 patients diagnosed with chronic otitis media, who underwent type 1 tympanoplasty during 2016-2018 in a tertiary care hospital.  </p><p class="abstract"><strong>Results:</strong> In our study, contralateral ear was normal in 40 (66.7%) cases &amp; diseased in 20 (33.3%) cases. Success rate of type 1 tympanoplasty in patients with normal contralateral ear was 90% (n=36) but success rate was only 60% (n=12) in diseased contralateral ear. This was statistically significant (p=0.006).</p><p class="abstract"><strong>Conclusions:</strong> Our study revealed that the status of the opposite ear is an individual prognostic factor for type 1 tympanoplasty. In other words, graft-healing rates are poorer in individuals whose opposite ears are atelectatic or perforated because of chronic otitis media.</p>

scholarly journals Effect of canalplasty in tympanoplasty

2018 ◽  
Vol 4 (4) ◽  
pp. 1049
Author(s):  
M. D. Prakash ◽  
Priya Badkar
Keyword(s):  
Tympanic Membrane ◽  
Otitis Media ◽  
Chronic Otitis Media ◽  
Study Group ◽  
Hearing Improvement ◽  
Group I ◽  
Uptake Rates ◽  
Group Ii

<p class="abstract"><strong>Background:</strong> Objective of the study was to analyse the role of canalplasty in tympanoplasty in terms of intra operative ease, complete visualisation of tympanic membrane, graft uptake rates and hearing improvement.</p><p class="abstract"><strong>Methods:</strong> 100 patients with chronic otitis media presenting to our institution from August 2016 to July 2017 were included in this study. Group I consisted of 50 patients who underwent tympanoplasty with canalplasty and Group II had 50 patients who underwent tympanoplasty without canalplasty. Both groups were followed up for 3 months, compared and analysed for hearing improvement and graft uptake.  </p><p class="abstract"><strong>Results:</strong> Our results showed that Group I achieved 98% graft uptake rates compared to group II which achieved 92%. In Group II gain in air bone gap was 11.26 dB where as in Group I was about 13.48 dB. Group I had significant hearing improvement compared to Group II.</p><p><strong>Conclusions:</strong> It is advisable to combine canalplasty with tympanoplasty as it gives better visualisation of tympanic membrane facilitating the placement of graft and prevents lateralization of the graft. </p>

A comparative study of endoscopic cartilage myringoplasty used to treat wet and dry ears with mucosal-type chronic otitis media

2020 ◽  
Vol 134 (9) ◽  
pp. 773-778
Author(s):  
Z Lou ◽  
X Li
Keyword(s):  
Comparative Study ◽  
Success Rate ◽  
Tympanic Membrane ◽  
Otitis Media ◽  
Chronic Otitis Media ◽  
Success Rates ◽  
Hearing Gain ◽  
Tympanic Membrane Perforations ◽  
The Difference ◽  
Graft Success

AbstractObjectiveThe outcomes of dry and wet ears were compared following endoscopic cartilage myringoplasty performed to treat chronic tympanic membrane perforations in patients with mucosal chronic otitis media.MethodsPatients with chronic perforations, and with mucosal chronic otitis media with or without discharge, were recruited; all underwent endoscopic cartilage myringoplasty. The graft success rate and hearing gain were evaluated at six months post-operatively.ResultsThe graft success rates were 85.9 per cent (67 out of 78) in dry ears and 86.2 per cent (25 out of 29) in wet ears; the difference was not significant (p = 0.583). Among the 29 wet ears, the graft success rates were 100 per cent in 11 ears with mucoid discharge and 77.8 per cent in the 18 patients with mucopurulent otorrhoea.ConclusionThe wet or dry status of ears in patients with chronic perforations with mucosal chronic otitis media did not affect graft success rate or hearing gain after endoscopic cartilage myringoplasty. However, ears with mucopurulent discharge were associated with increased failure rates and graft collapse, whereas ears with mucoid discharge were associated with higher graft success rates.

scholarly journals A study to evaluate bone and cartilage ossiculoplasty in patients of ossicular disruption due to chronic suppurative otitis media

2021 ◽  
Vol 8 (1) ◽  
pp. 69
Author(s):  
Hema Mehra ◽  
Sushma Mahich ◽  
Navneet Mathur ◽  
Mahima Singh
Keyword(s):  
Hearing Loss ◽  
Otitis Media ◽  
Prospective Observational Study ◽  
Tertiary Care ◽  
Chronic Otitis Media ◽  
Pure Tone Audiometry ◽  
Suppurative Otitis Media ◽  
Hearing Gain ◽  
Conductive Hearing ◽  
And Cartilage

<p class="abstract"><strong>Background:</strong> Ossiculoplasty for ossicualar disruption in patients of chronic otitis media (COM) can be done by using either bone or cartilage. The present study was planned to compare bone and cartilage ossiculoplasty in patients of ossicular disruption due to COM.</p><p class="abstract"><strong>Methods:</strong> The prospective observational study was carried out in patients, who were admitted in the department of otorhinolaryngology of a tertiary care teaching hospital of Rajasthan during two years from November 2017 to November 2019. All patients with ossicular disruption due to COM and conductive hearing loss more than 40db were included in the study. Patients with sensorineural hearing loss were excluded from the study. Pure tone audiometry (PTA) was done before surgery. Hearing improvement was assessed 3, 6 and 12 months after surgery.  </p><p class="abstract"><strong>Results:</strong> In the present study 20 patients underwent bone ossiculoplasty using autologous incus and autologous cartilage was used in 80 patients for ossiculoplasty. Post-operative hearing gain was significantly more in autologous incus patients (22.7±4.2 db) compared to autologous cartilage (19.5±3.4 db) (p=0.002).</p><p><strong>Conclusions:</strong> The present study concluded that post-operative hearing gain was significantly better with autologous incus compared to autologous cartilage although both showed good results in terms of hearing gain. </p>

scholarly journals VESICO-VAGINAL FISTULA

2011 ◽  
Vol 18 (03) ◽  
pp. 354-360
Author(s):  
ABDUL RASHEED SHAIKH ◽  
SHAHIDA SHAIKH ◽  
SHABNUM NAZ SHAIKH ◽  
Abdul Haleem Shaikh ◽  
Aijaz Ahmed Memon ◽  
...  
Keyword(s):  
Success Rate ◽  
College Teaching ◽  
Vaginal Fistula ◽  
Group I ◽  
Significant Difference ◽  
The Mean ◽  
Group Ii ◽  
Group 2 ◽  
Vesico Vaginal Fistula ◽  
Group 1

Objective: To evaluate the outcome of Vesico-vaginal Fistulae (VVF) repair by abdominal and vaginal route. Design: Interventional / clinical trial. Setting: Department of Urology, Chandka Medical College Teaching Hospital and Almas Medical Centre Larkana. Period: Feb; 2005 to Nov; 2010. Patients/Methods: After routine clinical examination and investigation, patients having Vesico-vaginal Fistulae (VVF) were selected for repair. All patients had under gone examination those anesthesia (EUA) and cystoscopy. The patients having complex fistulae or associated with urethral, ureteric and colonic involvement or with preexisting malignant pelvic pathology were excluded from the study. Patients were divided in to 02 groups on the basis of the site of the fistula and the method of repair. Group-I comprised of those patients who had low type or uncomplicated fistulae and were operated by vaginal approach. Group-II consisted of those patients who had high type or large fistulae and were operated by abdominal approach. Postoperative follow up was carried out on weekly basis for 03 to 06 months. Results: Our study included 32 cases. Group-I and II comprised of 18 and 14 patients respectively. The mean age was 34 years (ranged from 22 to 45 years). The main cause of vesico-vaginal fistulae was obstetrical in 28(87.5%) and iatrogenic gynecological (hysterectomy) in 04 (12.5%) patients. No major difficulty was experienced except in 01(0.83%) case in group-1 who had a previous failure history of repair. The mean operative time was 95 minutes (range 80 to 125 minutes) & 145 minutes (range 110 to 175 minutes) in group-1 and group-2 respectively. Peroperative blood transfusion was required in 06 (33.33%) and 13 (93%) patients of group-1 and group-II respectively. Statistically significant difference was found between these two groups (P< 0.05). Postoperative complications like wound infection occurred in 01(7.15%) of group- 1 and haematuria was present for few days in o4 (22.22%) and 05(35.5%) in group-1 and group-2 respectively. The mean hospital stay was 07 (range 5-10) days. Foleys catheter was removed at 02 week time in all cases. The success rate was achieved 15(83.33%) and in all 14 (100%) cases for group-1 and group-2 respectively and statistically no significant difference was found between two groups (P=NS). All the patients were followed up regularly except 03 (16.5%) and 05 (35.5%) patients of group-1 and group-II respectively. Long term complications like urinary stress incontinence was observed in 2 (11.1%) patients of group-I, where as small capacity bladder and stone formation was observed in 02(14.3%) of group-11 cases. Conclusions: Birth trauma is still a major cause of vesico vaginal fistula in our region. Although, there is no significant difference in outcome of different technique but interposition of tissue between suture lines have a vital role to achieve a high success rate. Further more, best chance of success achieved with first attempt of repair. Strategic approach and proper training of medical and paramedical staff is recommended.

scholarly journals Evaluation of Graft Uptake and Hearing Assessment after Palisade Myringoplasty

2018 ◽  
Vol 56 (212) ◽  
pp. 770-773 ◽  
Author(s):  
Poonam KC
Keyword(s):  
Tympanic Membrane ◽  
Otitis Media ◽  
Uptake Rate ◽  
Pure Tone ◽  
Statistical Significance ◽  
Chronic Otitis Media ◽  
Pure Tone Audiometry ◽  
Long Term Results ◽  
Hearing Improvement ◽  
Hearing Gain

Introduction: Cartilage as a graft for closure of tympanic membrane has got superior benefits than other usual grafts (temporalis fascia and perichondrium). Cartilage supported myringoplasty with palisade technique has good result of graft uptake rate, even under difficult conditions. This technique brings very good functional and better long-term results. This study is done to assess graft uptake rate and hearing improvement after myringoplasty with cartilage palisade technique. Methods: It is a descriptive, hospital based observational study done at Manipal Teaching Hospital, Pokhara between 2014-2017. A total of 45 patients aged between 13 years and 44 years diagnosed with chronic otitis media-mucosal were taken. Pure tone audiometry was done before and six months after surgery. Graft uptake and Post-operative hearing gain was evaluated after six months. Statistical analysis was done by Statistical Package for Social Sciences version 16.0. Statistical significance was set at P<0.05. Results: Graft uptake rate was 41 (91.1%). The mean pre-and post-operative pure tone average were 26.88dB and 8.44dB respectively. The post-operative hearing gain was 18.36dB. Hearing improvement after surgery was found to be statistically highly significant with P<0.001. Conclusions: Cartilage supported myringoplasty using palisade technique is preferred for chronic otitis media-mucosal with large and sub-total tympanic membrane perforation.

scholarly journals Comparison of Graft Uptake and Postoperative Hearing Results between Butterfly-Cartilage and Temporalis-Fascia Myringoplasty

2020 ◽  
Vol 42 (1) ◽  
pp. 7-11
Author(s):  
Amiya K Sah ◽  
Pabina Rayamajhi ◽  
Hari Bhattarai
Keyword(s):  
Otitis Media ◽  
Uptake Rate ◽  
Chronic Otitis Media ◽  
Temporalis Fascia ◽  
Hearing Results ◽  
Pars Tensa ◽  
Hearing Status ◽  
Significant Difference ◽  
The Mean ◽  
The Difference

Introduction Myringoplasty is one of the commonest surgeries done in Otology for chronic otitis media- mucosal type (COM-mucosal type). The objective of this study was to compare the graft uptake and post-operative hearing status between butterfly-cartilage and temporalis-fascia myringoplasty. MethodsPatients of age ≥15 years with COM-mucosal type with dry, small to medium sized central perforation of pars tensa with clearly visible perforation margin were randomized into two groups of butterfly-cartilage myringoplasty and temporalis-fascia myringoplasty. Graft uptake and hearing results were assessed after six weeks and results were compared within and between the groups. ResultsThirty-one patients in butterfly cartilage group and twenty-nine patients in temporalis fascia group were analysed. Graft uptake rate was 93.5% (29/31) in butterfly group and it was 86.2% (25/29) in temporalis fascia group with no statistically significant difference (p= 0.34) between the two groups. The mean pre and post-operative air bone gap in butterfly cartilage group were 20.65dB±8.35 dB; 12.86dB±7.39dB and that in the temporalis fascia group were 19.72±6.14dB, 13.16dB±6.26dB respectively. The difference of preoperative and postoperative hearing status, obtained within the two groups was statistically highly significant (p< 0.001). However, there was no statistically significant difference in hearing results between the two groups (p= 0.54). ConclusionThe graft uptake rate and hearing results of butterfly-cartilage group and temporalis-fascia group were statistically significant within the group after myringoplasty but there was no statistically significant difference in between the two methods.

scholarly journals Correlation Between MERI and Hearing After Tympanoplasty

2017 ◽  
Vol 13 (2) ◽  
pp. 6-9 ◽  
Author(s):  
Anshu Sharma ◽  
R. K. Saxena ◽  
Lok Ram Verma ◽  
Shama Bhandari
Keyword(s):  
Otitis Media ◽  
Middle Ear ◽  
Analytical Study ◽  
Risk Index ◽  
Chronic Otitis Media ◽  
Hearing Improvement ◽  
Hearing Gain ◽  
Different Types ◽  
The Mean ◽  
The Impact

Background: Chronic otitis media is otological challenge in the developing countries it is particularly single most common cause of hearing impairement.Objective: The objective of this study was to observe the impact of prognostic factor middle ear risk index on hearing of patients undergoing tympanoplasty for chronic otitis media.Methods: This was a prospective analytical study conducted in 50 patients planned for tympanoplasty for chronic otitis media and evaluation done by MERI (Middle Ear Risk Index) and pure tone audiometry.Results: This study shows that most of the patients had mild MERI (64%), followed by severe MERI (20%) and then moderate MERI (16%). The mean preoperative PTA average was 44.34 dB (SD 8.01 dB) for patient with mild MERI, 44.75 dB (SD 5.87 dB) for patient with moderate MERI, and 54.9 dB (SD 14.05 dB) for patient with severe MERI and the mean preoperative A-B gap was 37.36 dB (SD 5.73 dB). Post operatively for mild MERI mean hearing gain is 12-14dB, for moderate MERI mean hearing gain is 10-13dB and for severe MERI mean hearing gain is 10-13dB and post operative mean A-B gap was improved by 10-11dB. There is a statistically significant hearing improvement in A-B gap with different types of MERI.Conclusion: MERI scoring is useful for predicating the outcome of hearing after tympanoplasty.JNGMC Vol. 13 No. 2 December 2015, Page: 6-9

Sign in / Sign up

Export Citation Format

Share Document