Outcomes of Myringoplasty In Underlay Technique

Background: Myringoplasty is one of the surgical techniques for the management of chronic suppurative otitis media with permanent perforation of tympanic membrane. It is defined as simple surgical repair of tympanic membrane perforation without doing ossicular reconstruction. Objective: To determine the success rate of myringoplasty and to examine whether the hearing improvement is a potential indication for surgery. Materials and Methods: This study was conducted in the Department of Otorhinolaryngology and Head and Neck Surgery, Shaheed Suhrawardy Medical College Hospital from January 2017 to December 2017 and 100 patients who underwent myringoplasty in this period were analyzed. A total of 100 patients with dry central tympanic membrane perforations of various sizes were included in this study. Results: Myringoplasty was performed in total of 100 patients. Male were (45%) and females were (55%). Twenty one (7%) of them belonged to age group of 10-20 years, 31 (31%) were in the age range of 21-33 years, 38(38%) were the age range 31-40 years while 24 (24%) aged between 41-50 years with mean age of 26.32 ±S.D 9.59 years. Overall success rate of graft uptake was noted in 88 (88%) out of 100 cases. Conclusion: Myringoplasty is a safe surgical procedure in achieving intact tympanic membrane and to improve the hearing loss. Therefore, underlay technique being technically simple should be preferred, but the ultimate decision about the technique to be employed depends on the surgeons preference and the site of perforation. J Shaheed Suhrawardy Med Coll, December 2018, Vol.10(2); 99-102

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Outcome of Myringoplasty in Underlay Technique

Bangladesh Journal of Otorhinolaryngology ◽

10.3329/bjo.v24i2.44173 ◽

2019 ◽

Vol 24 (2) ◽

pp. 131-136

Author(s):

Md Abdur Razzak ◽

KM Mamun Murshed ◽

AKMA Sobhan ◽

Md Rakib Hossain ◽

SM Nafeez Imtiaz

Keyword(s):

Success Rate ◽

Tympanic Membrane ◽

Surgical Techniques ◽

Neck Surgery ◽

Tympanic Membrane Perforation ◽

College Hospital ◽

Medical College ◽

Tympanic Membrane Perforations ◽

Membrane Perforation ◽

Age Range

Background: Myringoplasty is one of the surgical techniques for the management of chronic supportive otitis media with permanent perforation of tympanic membrane. It is defined as simple surgical repair of tympanic membrane perforation without doing ossicular reconstruction. Objective: To determine the success rate of myringoplasty and to examine whether the hearing improvement is a potential indication for surgery. Methods: This study was conducted in the Department of Otorhinolaryngology and Head and Neck Surgery, Shaheed Suhrawardy Medical College Hospital from January 2017 to December 2017 and 100 patients who underwent myringoplasty in this period were analyzed. About 100 patients with dry central tympanic membrane perforations of various size were included in this study Results: Myringoplasty was performed in 100 patients. Male were (45%) and females were (55%).Twenty one (7%) of them belonged to age group of 10-20 years, 31 (31%) were in the age range of 21-33 years, 38(38%) were the age range 31-40 years while 24 (24%) aged between 41-50 years with mean age of 26.32 ±S.D 9.59 years. Overall success rate of graft uptake was noted in 88 (88%) out of 100 cases Conclusion: Myringoplasty is a safe surgical procedure in achieving intact tympanic membrane and to improve the hearing loss. Therefore, underlay technique being technically simple should be preferred, but the ultimate decision about the technique to be employed depends on the surgeons preference and the site of perforation Bangladesh J of Otorhinolaryngology; October 2018; 24(2): 131-136

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Hearing Status after Stapedotomy in Otosclerotic Patients

Bangladesh Journal of Otorhinolaryngology ◽

10.3329/bjo.v25i2.45205 ◽

2020 ◽

Vol 25 (2) ◽

pp. 85-93

Author(s):

Ahmed Tariq ◽

Mostafizur Rahman ◽

Delwar Hossain ◽

Sheikh Hasanur Rahman

Keyword(s):

Hearing Loss ◽

Conductive Hearing Loss ◽

Bone Conduction ◽

Surgical Techniques ◽

Neck Surgery ◽

Speech Discrimination ◽

College Hospital ◽

Medical College ◽

Medical University ◽

Conductive Hearing

Otosclerosis is the most frequent cause of conductive hearing loss in patients with intact tympanic membrane. It can be treated by surgery with various techniques. Because of limited manipulation and comparably similar results, stapedotomy at present is preferred over other surgical techniques by most surgeons. Here we present the operative results of 35 otosclerotic patients who underwent stapedotomy between January 2009 - October 2010 in the department of Otolaryngology- Head & Neck Surgery of Bangabandhu Sheikh Mujib Medical University, Dhaka Medical College Hospital and Shahid Suhrawardhy medical college & hospital, Dhaka. The aim of this study was to evaluate the hearing results following stapedotomy in otosclerosis surgery. The average air-bone gap of patients improved significantly to 21.74 dB after operation. Other hearing parameters of patients (including air conduction, bone conduction, speech discrimination score, and tinnitus) also improved. No patient experienced persistent vertigo after the operation and pre operative tinnitus resolved in 12 out of 22 patients. Stapedotomy is a safe and effective modality for improving conductive hearing loss in otosclerotic patients. Bangladesh J Otorhinolaryngol; October 2019; 25(2): 85-93

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Clinicopathological study on CSOM: a comparison between tubotympanic and atticoantral variety

Bangladesh Journal of Otorhinolaryngology ◽

10.3329/bjo.v18i2.11991 ◽

2012 ◽

Vol 18 (2) ◽

pp. 138-144 ◽

Cited By ~ 1

Author(s):

Phub Tshering ◽

Md. Abul Hasnat Joarder ◽

M Alamgir Chowdhury ◽

Kanu Lal Saha

Keyword(s):

Hearing Loss ◽

Neck Surgery ◽

College Hospital ◽

Cross Sectional ◽

Suppurative Otitis Media ◽

Medical College ◽

Intracranial Complications ◽

Group A ◽

Group B ◽

Medical University

Introduction: This study aimed to compare the clinico-pathological features of the tubotympanic and atticoantral variety of chronic suppurative otitis media (CSOM).Methods: This was a cross sectional observational study conducted in the department of Otolaryngology Head & Neck Surgery, Bangabandhu Sheikh Mujib Medical University (BSMMU) and Dhaka Medical College Hospital (DMCH), Dhaka, Bangladesh. The study was done over a period of six months and a total of 60 cases were selected. In group A 30 cases of CSOM tubotympanic variety were included while in group B 30 cases of atticoantral variety of CSOM were selected. The two groups were compared with regard to their clinical presentations, the type and degree of hearing loss and their associated complications by taking a detailed history followed by clinical examination and doing the relevant investigations.Results: In group A, the patients presented with a profuse non smelly discharge. All had a central perforation and majority had mild conductive hearing loss. There were no associated complications. In group B, the aural discharge were foul smelling and scanty. The perforations were 66% in the attic while 33.3% had marginal perforations. The hearing loss was mainly conductive in nature but in group B its more severe in degree and also there were more associated severe to profound sensori-neural hearing loss. There were also associated extracranial and intracranial complications in group B patients.Conclusion: The atticoantral variety of CSOM is associated with a foul smelling scanty discharge with severe hearing loss and complications than the tubotympanic variety of CSOM. Therefore early detection becomes essential especially in the primary care setting for appropriate referral to higher centers for better management DOI:http://dx.doi.org/10.3329/bjo.v18i2.11991 Bangladesh J Otorhinolaryngol 2012; 18(2): 138-144

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Platelet-Rich Plasma Fat Graft versus Cartilage Perichondrium for Repair of Medium-Size Tympanic Membrane Perforations

Otolaryngology ◽

10.1177/0194599818789146 ◽

2018 ◽

Vol 160 (1) ◽

pp. 116-121 ◽

Cited By ~ 3

Author(s):

Mahmoud Fawzy Mandour ◽

Mohamed Nasser Elsheikh ◽

Mohamed Fathy Khalil

Keyword(s):

Tympanic Membrane ◽

Platelet Rich Plasma ◽

Neck Surgery ◽

Tympanic Membrane Perforation ◽

Fat Graft ◽

Controlled Study ◽

Medium Size ◽

Tympanic Membrane Perforations ◽

Group 2 ◽

Group 1

Objectives To compare clinical and audiologic outcomes among patients who underwent myringoplasty with fat graft enriched with platelet-rich plasma and cartilage perichondrium graft. Study Design Prospective randomized controlled study. Setting Department of Otolaryngology–Head and Neck Surgery, Tanta University, Egypt. Subjects and Methods The study comprised 50 patients who had tympanic membrane perforation of medium size (25%-50% of its surface area) without evidence of active otitis media or ossicular abnormalities and who had surgery between December 2016 and December 2017. Patients randomly underwent myringoplasty with fat graft enriched with platelet-rich plasma (group 1) or cartilage perichondrium graft (group 2). Results Twenty-five patients were included in each group. Rates of successful closure at 3-month follow-up were 88% (group 1) and 92% (group 2). The mean overall improvement in pure tone average was 18.08 dB (95% CI, 16.9-19.25) for group 1 and 18.24 dB (95% CI, 16.94-19.53) for group 2. Conclusion Fat graft enriched with platelet-rich plasma can be recommended as an alternative choice for first-line treatment of medium-size central perforations of the tympanic membrane, with healing and hearing results comparable to those of conventional cartilage perichondrium myringoplasty.

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Regeneration of the tympanic membrane using fibroblast growth factor-2

The Journal of Laryngology & Otology ◽

10.1017/s002221511800083x ◽

2018 ◽

Vol 132 (06) ◽

pp. 470-478 ◽

Cited By ~ 8

Author(s):

Z-C Lou ◽

Z-H Lou ◽

J Xiao

Keyword(s):

Growth Factor ◽

Success Rate ◽

Tympanic Membrane ◽

Fibroblast Growth Factor ◽

Tympanic Membrane Perforation ◽

Fibroblast Growth Factor 2 ◽

Fibroblast Growth ◽

Tympanic Membrane Perforations ◽

Membrane Perforation ◽

Chronic Tympanic Membrane Perforation

AbstractObjectiveA systematic review was conducted to investigate the effectiveness of fibroblast growth factor-2 on the regeneration of tympanic membrane perforation.MethodsThe PubMed database was searched for relevant studies. Experimental studies, human randomised controlled trials, prospective single-arm studies and retrospective studies reporting acute and chronic tympanic membrane perforations in relation to two healing outcomes (success rate and closure time), were selected.ResultsAll 11 clinical studies investigating the effect of fibroblast growth factor-2 on traumatic tympanic membrane perforations in humans reported a success rate of 89.3–100 per cent, with a closure time of around 2 weeks. Three studies of fibroblast growth factor-2 combined with Gelfoam showed that the success rate of chronic tympanic membrane perforation was 83–98.1 per cent in the fibroblast growth factor-2 group, but 10 per cent in the gelatine sponge groups.ConclusionFibroblast growth factor-2 with or without biological material patching promotes regeneration in cases of acute and chronic tympanic membrane perforation, and is safe and efficient. However, the best dosage, application time and administration pathway of fibroblast growth factor-2 are still to be elucidated.

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SINONASAL POLYPOSIS;

The Professional Medical Journal ◽

10.29309/tpmj/2019.26.02.2633 ◽

2019 ◽

Vol 26 (02) ◽

Author(s):

Ashfaq Hussain Rana ◽

M. Jamil Memon ◽

Sohail A. Malik Qureshi

Keyword(s):

Sphenoid Sinus ◽

Complete Removal ◽

Neck Surgery ◽

College Hospital ◽

Female Age ◽

Medical College ◽

Co Morbidity ◽

Age Range ◽

Sinonasal Polyposis ◽

Sphenoid Sinuses

Objectives: Practice to see the sphenoid sinuses for the presence of fungus to get the objective of complete removal of sinonasal polypi and its recurrence. Study Design: Retrospective observational study. Place and Duration: Department of ENT and Head and Neck surgery Al-Tibri Medical College Hospital, Isra University Karachi Campus from June 2016 to December 2017. Method: 60 cases of sinonasal polyposis with no co-morbidity like hypertension, diabetes etc, underwent FESS, 32 were male, 28 were female, age range from 18 year to 60 year. In 24 patients we found fungus in sphenoid sinus after removing polyps from other areas. Result: We found in 40% of cases in sphenoid sinuses with pure sionasal polypi. Conclusion: There is always possibility of finding fungus in hidden areas of sphenoid sinus when we are dealing sinonasal undergoing FESS.

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Minimally invasive cartilage myringoplasty: our technique and experience

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20192557 ◽

2019 ◽

Vol 5 (4) ◽

pp. 866

Author(s):

Venkatesh C. Ballal ◽

Lohith Shivappa ◽

Subramanya B. Tmmappaiah ◽

Sphoorthi Basavannaiah ◽

Chandralekha T. V. Rangaswamy

Keyword(s):

Minimally Invasive ◽

Tympanic Membrane ◽

Tympanic Membrane Perforation ◽

Common Procedure ◽

Suppurative Otitis Media ◽

Tympanic Membrane Perforations ◽

Fascia Graft ◽

First Choice ◽

Important Health ◽

The Mean

Background: Chronic suppurative otitis media is an inflammatory process in the middle ear and is an important health problem in India. Myringoplasty is the most common procedure performed that aims to close the tympanic membrane perforation which is traditionally done with temporalis fascia graft under microscope. Recent studies using the transcanal cartilage “push-through” technique of myringoplasty have demonstrated that it to be very feasible and effective. The aims and objectives of the study was to analyze the results of endoscopic transcanal ‘push-through’ myringoplasty in dry small central perforations in cases of inactive mucosal type of chronic ottitis media.Methods: This retrospective study was conducted in 16 patients who underwent transcanal endoscopic cartilage ‘push through’ myringoplasty and patients were called for regular follow up for 12 weeks and results were statistically analysed. Results: A total of 16 cases were included in the present study. The graft uptake rate in the present study was found to be 93.75%. The mean preoperative air bone gap was 21.76 dB and the mean postoperative air bone gap was reduced to 12.6 dB. The air bone gap was 10 dB or less in 37.5% ears.Conclusions: Endoscopic push-through technique of cartilage myringoplasty is an effective, minimally invasive and feasible method and has good success rate in terms of graft uptake as well as hearing gain. It may also represent a first choice approach for small and medium sized tympanic membrane perforations.

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Frequency of Extracranial Complications of Chronic Suppurative Otitis Media

Journal of Bangladesh College of Physicians and Surgeons ◽

10.3329/jbcps.v34i1.29115 ◽

2016 ◽

Vol 34 (1) ◽

pp. 3-8

Author(s):

Md Harun Ar Rashid Talukder ◽

Md Monwar Hossain ◽

Md Tariqul Islam ◽

Mohammad Idrish Ali ◽

Mujibur Rahman ◽

...

Keyword(s):

Epidemiological Data ◽

Lower Class ◽

Neck Surgery ◽

Cross Sectional Study ◽

College Hospital ◽

Cross Sectional ◽

Suppurative Otitis Media ◽

Medical Practitioners ◽

Medical College ◽

Extracranial Complications

Objectives: To see the way of presentation of extracranial complication, relationship between socio-economic conditions and extracranial complication of chronic suppuration otitis media.Methods: This is a cross-sectional study carried out in Department of Otolaryngology Head and Neck Surgery, Sir Salimullah Medical College & Mitford Hospital and Dhaka Medical College Hospital from 1st July 2009 to 30th June 2010. The diagnosis was made by detailed history, clinical examination & investigation. Analyzed data was presented by various tables.Results: In this study male (59%), lower class people (57%), age 11-20 years, rural (66%) and less educated patients were more affected. Having bath in the ponds and rivers suffers more. Clinical presentation of CSOM with complications were aural discharge (100%), hearing impairment (94%), post auricular swelling (15%), pain in the ear (21%), postauricular discharge (27%) and mass in the EAC (12%). Here found aural discharge mostly malodorous and scanty, attic perforation and cholesteatoma. Post auricular abscess most common (47%) extracranial complication and labyrinthitis was the lowest (3%). Atticoantral variety was more common (89%) than that of tubotympanic disease (11%).Conclusion: From the review of the series we found the frequency & types of extracranial complications arising from CSOM and known the current epidemiological data. It can produce awareness among all level of medical practitioners and enhance prompt diagnosis and treatment.J Bangladesh Coll Phys Surg 2016; 34(1): 3-8

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Evaluation of Post-operative Complications following Thyroid Surgery

Journal of Dhaka Medical College ◽

10.3329/jdmc.v27i2.45819 ◽

2020 ◽

Vol 27 (2) ◽

pp. 108-113

Author(s):

Debesh Chandra Talukder ◽

Satinath Chandra Sarker ◽

Syed Ali Ahasan ◽

Muhammad Mozammal Haque ◽

Mostafa Kamal Arefin ◽

...

Keyword(s):

Malignant Lesion ◽

Superior Laryngeal Nerve ◽

Neck Surgery ◽

Extent Of Resection ◽

Thyroid Lesion ◽

College Hospital ◽

Medical College ◽

Extent Of Surgery ◽

Laryngeal Nerve Injury ◽

Age Range

Objectives: This study evaluates the incidence, Frequency and risk factors of complications in patients submitted to thyroidectomy for various benign and malignant lesion and to corroborate the results in relation to the extent of surgery in a Tertiary level hospital. Study design : An analytical study of 100 consecutive patients who underwent thyroidectomy for benign and malignant thyroid lesion. Material s and methods: The study was carried out at Department of ENT and Head-Neck surgery in Dhaka Medical College Hospital over a period of 1.5 years from January 2017 to June 2018. Data were collected from 100 patients who underwent thyroidectomies for various thyroid diseases at this center. Results: There were 80 females (80%) and 20 males (20%) with female-to-male ratio of 4:1, and The age range of the patients were 15 to 80 years, the mean age was 39.29 years. Preoperative diagnosis of benign and malignant pathologies was made in 86% and 14% cases respectively. Most common pathological diagnosis was colloid goiter 46%,nodular of cases, whereas papillary carcinoma accounting for 11% was the commonest malignant lesion .The types of thyroid operations done were as follows (Table-II). The commonest operation performed was hemithyroidectomy (45%). The overall postoperative complication rate was 17%.Temporary and permanent RLNI occurred in 3% and 2% respectively. The less common complications were wound hematoma, seroma formation, and superior laryngeal nerve injury. There was no mortality observed in this study. Conclusion: In conclusion, extent of resection, surgical technique and thyroid pathologic condition had a greater impact on the rates of postoperative complications. By developing understanding of the anatomy and the ways to prevent each complication, the surgeon can minimize each patient’s risk and can handle complications expediently and avoid worse consequence. J Dhaka Medical College, Vol. 27, No.2, October, 2018, Page 108-113

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Pattern of hearing loss in tubotympanic type of chronic suppurative otitis media

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20183699 ◽

2018 ◽

Vol 4 (5) ◽

pp. 1267

Author(s):

Vinay V. Rao ◽

Shilpa M. J. ◽

Mahesh Bhat

Keyword(s):

Hearing Loss ◽

Tympanic Membrane ◽

Otitis Media ◽

Pure Tone Audiometry ◽

Tympanic Membrane Perforation ◽

Chronic Suppurative Otitis Media ◽

P Value ◽

Sound Perception ◽

Suppurative Otitis Media ◽

Medical College

Background: The aim of the study was to assess the degree of hearing loss with the pattern of tympanic membrane perforation in tubotympanic type of chronic suppurative otitis media (CSOM TTD).Methods: This is a descriptive study conducted at Father Muller Medical College, Department of Otorhinolaryngology from Oct 2016 till Feb 2017.110 cases aged between 20-50 years with CSOM TTD were included in the study. Detailed clinical examination and history was carried out followed by hearing evaluation by pure tone audiometry. All the data collected was statistically analyzed. Results: 110 patients with 137 perforated tympanic membrane, aged between 20 to 50 years, were included in the study. Large central perforation involving all the four quadrants was the most common otologic findings. Significant correlation observed between size of perforation and degree of hearing loss (p value- 0.018) and no significant relation is observed between site of perforation and degree of hearing loss (p=0.107).Conclusions: The larger the perforation, the greater the decibel loss in sound perception. The location of perforation does not have significant effect on magnitude of hearing loss.

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