ASSESSMENT OF OUTCOME OF TYMPANOPLASTY TYPE-1 ON HEARING AND CONTRIBUTING FACTORS

2021 ◽  
pp. 62-64
Author(s):  
Manish Kumar ◽  
MD Tausiful Haque ◽  
Debarshi Jana
Keyword(s):  
Hearing Loss ◽  
Average Length ◽  
Medium Size ◽  
Type I ◽  
Hearing Improvement ◽  
Temporalis Fascia ◽  
Contributing Factors ◽  
Hearing Outcome ◽  
Subsequent Improvement

Aim:To assess the effect of size of perforation on the hearing loss and on the degree of improvement after myringoplasty. Materials and methods: In the present study a series of 100 patients of Tympanoplasty Type I, done by postaural underlay technique using temporalis fascia were studied over a period of 18 months (May 2019 to May 2020). Age of the patient ranged from 10-50 years with an average of 24.9 years. Out of 100 cases 41 were males and 59 were females. The average length of time the ear remained dry prior to surgery was 14 months ranging from 2 months to 6 years. Result:It was seen that the size of the perforation signicantly affects the degree of hearing loss and degree of subsequent improvement after Tympanoplasty Type I; large and medium size perforation had greater hearing loss and greater postoperative hearing improvement compared to small perforations which was statistically signicant (P<0.05). Conclusion: The only factor which signicantly inuenced the hearing outcome post operatively is the size of the perforation. The size of the perforation affects the degree of hearing loss and degree of subsequent improvement after Type I Tympanoplasty; large and medium sized perforations had a greater hearing loss and greater post operative hearing improvement compared to small perforations.

scholarly journals Audiological evaluation in between patients with type 1 tympanoplasty alone and type 1 tympanoplasty with cortical mastoidectomy

2017 ◽  
Vol 4 (1) ◽  
pp. 45
Author(s):  
K. Mallikarjuna Swamy ◽  
Arati Ganiger
Keyword(s):  
Hearing Loss ◽  
Pure Tone Audiometry ◽  
Type I ◽  
Hearing Improvement ◽  
Temporalis Fascia ◽  
Type 1 Tympanoplasty ◽  
Postoperative Assessment ◽  
Group A ◽  
Group B

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Evaluation of success of tympanoplasty depends on various host and surgical factors has been subject of interest for many years and still continues to be challenge</span><span lang="EN-IN">. </span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">Present study was undertaken to observe results of type I tympanoplasty using tragal cartilage and perichondrium with temporalis fascia grafts using endomeatal and postauricular approach.  </span></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">Study group comprises of 30 patients in Group A and B operated by tympanoplasty type I by endomeatal and postauricular techniques. Success was 96.3% in Group A and 94.7% in Group B for closure of membrane perforation.<strong> </strong>During postoperative period average time taken for wound healing was 23 days in Group A and 35 days in Group B. Preoperative and postoperative assessment of hearing performed with pure tone audiometry revealed an average hearing loss of 36.50 dB in Group A before surgery and postoperative assessment at end of 1 year revealed hearing improvement of 14.23 dB. In Group B preoperative assessment revealed hearing loss of 38.23 dB lowered to 15.12 dB after surgery. When hearing improvement in both groups were compared preoperatively and postoperatively, in Group A there was improvement of 22.27 dB while in Group B was 23.11 dB. The hearing improvements in both the groups appear to be similar when the results were compared. In present study overall success rate was 89.7% which is comparable to outcome of surgery performed with post auricular approach with temporalis fascia graft which is 91.3%. When postoperative complications were studied it was observed that Group A had fewer numbers of complications as over Group B which was documented in Table 2. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">Success of tympanoplasty depends on several host and surgical factors. Tragal perichondrium appears as proven alternate for closure of perforation of tympanic membrane. Cosmetically endomeatal approach appears promising over post auricular approach.</span></p>

scholarly journals A prospective observational study of comparison of tympanoplasty using endomeatal approach using tragal cartilage and perichondrium with post auricular approach using temporalis fascia graft: an institutional study

2017 ◽  
Vol 4 (1) ◽  
pp. 41
Author(s):  
V. Krishna Chaitanya ◽  
N. Janardhan ◽  
Teja . ◽  
Vinay Singh Bhat ◽  
Rajaram .
Keyword(s):  
Hearing Loss ◽  
Pure Tone Audiometry ◽  
Preoperative Assessment ◽  
Type I ◽  
Hearing Improvement ◽  
Temporalis Fascia ◽  
Postoperative Assessment ◽  
Fascia Graft ◽  
Group A ◽  
Group B

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Evaluation of success of tympanoplasty depends on various host and surgical factors has been subject of interest for many years and still continues to be challenge</span><span lang="EN-IN">. </span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">Present study was undertaken to observe results of type I tympanoplasty using tragal cartilage and perichondrium with temporalis fascia grafts using endomeatal and postauricular approach.  </span></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">Study group comprises of 30 patients in Group A and B operated by tympanoplasty type I by endomeatal and postauricular techniques. Success was 96.3% in Group A and 94.7% in Group B for closure of membrane perforation.<strong> </strong>During postoperative period average time taken for wound healing was 23 days in Group A and 35 days in Group B. Preoperative and postoperative assessment of hearing performed with pure tone audiometry revealed an average hearing loss of 36.50 dB in Group A before surgery and postoperative assessment at end of 1 year revealed hearing improvement of 14.23 dB. In Group B preoperative assessment revealed hearing loss of 38.23 dB lowered to 15.12 dB after surgery. When hearing improvement in both groups were compared preoperatively and postoperatively, in Group A there was improvement of 22.27 dB while in Group B was 23.11 dB. The hearing improvements in both the groups appear to be similar when the results were compared. In present study overall success rate was 89.7% which is comparable to outcome of surgery performed with post auricular approach with temporalis fascia graft which is 91.3%. When postoperative complications were studied it was observed that Group A had fewer numbers of complications as over Group B which was documented in Table 2. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">Success of tympanoplasty depends on several host and surgical factors. Tragal perichondrium appears as proven alternate for closure of perforation of tympanic membrane. Cosmetically endomeatal approach appears promising over post auricular approach.</span></p>

scholarly journals Outcome of Type 1 tympanoplasty: An experience at Biratnagar eye hospital in Eastern Nepal

2015 ◽  
Vol 7 (2) ◽  
pp. 55-60 ◽  
Author(s):  
Sanjeev Kumar Thakur ◽  
Sanjay Kumar Singh ◽  
Anwar Afaque ◽  
Nisha Ghimire
Keyword(s):  
Medical Sciences ◽  
Hearing Improvement ◽  
Hearing Outcome ◽  
Type 1 Tympanoplasty ◽  
Younger Age ◽  
History Of ◽  
The Mean ◽  
The Difference ◽  
Graft Success

Background: The history of tympanoplasty is well over a century. Type 1 tympanoplasty is an established procedure worldwide with a variation in the outcome.Aims and Objectives: To analyze the outcome of Type 1 tympanoplasty surgeries in terms of graft success and hearing improvement done at the Ear Department of Biratnagar eye hospital in eastern Nepal and discuss the various factors that might have influenced it.Materials and Methods: Retrospective analysis of records of the cases that underwent Type 1 tympanoplasty from August 2013 to January 2015 was done. The factors analysed were age, gender, the side of the affected ear and the perforation size. Appropriate Statistical test was applied and the results were discussed.Results: A total of 151 cases of type 1 Tympanoplasty were analysed were females had higher frequency than males, with higher incidence at younger age. The mean age of successful cases was 28.53. Females had a better success rate in terms of graft success compared to males. Moderate size perforations had the best outcome of graft success and least were of small size perforations. Of all cases analyzed, hearing improvement was observed in maximum cases.Conclusion: There was no significant influence of age or gender on the hearing outcome. The difference of hearing improvement according to size of perforation was also not significant.Asian Journal of Medical Sciences Vol.7(2) 2015 55-60

scholarly journals A comparative study of preoperative and postoperative hearing after type I tympanoplasty using temporalis fascia graft at Dr. B. R. Ambedkar Medical College, Bengaluru

2020 ◽  
Vol 6 (7) ◽  
pp. 1258
Author(s):  
Muniraju M. ◽  
Smita Hegde
Keyword(s):  
Disease Duration ◽  
Type I ◽  
Temporalis Fascia ◽  
Hearing Gain ◽  
Medical College ◽  
Type 1 Tympanoplasty ◽  
Fascia Graft ◽  
Cortical Mastoidectomy ◽  
A Prospective Study

<p class="abstract"><strong>Background:</strong> The objective of the study was to identify the factors which significantly influence type 1 tympanoplasty success.</p><p class="abstract"><strong>Methods:</strong> A prospective study was performed on 30 patients who underwent type 1 tympanoplasty via underlay technique using temporalis fascia graft from December 2017 to September 2019 in a teaching hospital. Outcome measures were graft uptake rate and hearing gain. The factors assessed were the age and sex, preoperative condition of the ipsilateral and contralateral ears, perforation size, presence of tympanosclerosis, and whether simultaneous cortical mastoidectomy was performed.  </p><p class="abstract"><strong>Results:</strong> None of the factors proved to have a significant influence on tympanic membrane closure or hearing gain.</p><p class="abstract"><strong>Conclusions:</strong> The success rate of a type 1 tympanoplasty is dependent on the skills of the surgeon and the type of graft used. Age, sex, laterality of the disease, duration of dry ear, size of the perforation, presence of tympanosclerosis and simultaneous cortical mastoidectomy have no bearing on hearing gain.</p>

scholarly journals Comparative study of type I tympanoplasty using temporalis fascia and tragal cartilage with perichondrium as graft material

2018 ◽  
Vol 4 (3) ◽  
pp. 789
Author(s):  
Arvinder Singh Sood ◽  
Pooja Pal ◽  
Anshul Singla
Keyword(s):  
Tertiary Care ◽  
Chronic Otitis Media ◽  
Type I ◽  
Graft Material ◽  
Hearing Improvement ◽  
Temporalis Fascia ◽  
Tertiary Care Centre ◽  
Fascia Graft ◽  
Uptake Rates

<p class="abstract"><strong>Background:</strong> Temporalis fascia and cartilage are the most commonly used graft materials, though contradictory reports are available in literature as regards their efficacy. The purpose of this study was to compare graft acceptance and auditory outcomes of tympanoplasty using cartilage versus temporalis fascia as graft material.</p><p class="abstract"><strong>Methods:</strong> This prospective study included 40 consecutive cases of chronic otitis media in a tertiary care centre randomised in two groups of 20 patients each to be subjected to tympanoplasty using either tragal cartilage-perichondrium or temporalis fascia graft from January 2011 to November 2012. Graft uptake rates and subjective as well as objective hearing improvement at 2 months and 6 months postoperative follow-up were compared.  </p><p class="abstract"><strong>Results:</strong> The mean age of presentation was 34.4 years (range 15-60 years). At 2 months post operatively, the graft uptake was better with tragal cartilage group (95%) than temporalis fascia (90%), while at the end of 6 months graft uptake was better with temporalis fascia (75%) compared to tragal cartilage (70%). Hearing improvement was better for tragal cartilage group compared to the temporalis fascia group at both 2 months and 6 months follow-up. The subjective improvement in hearing at the end of 6 months was also better for tragal cartilage- perichondrium group than the temporalis fascia group.</p><p class="abstract"><strong>Conclusions:</strong> Both temporalis fascia and tragal cartilage–perichondrium are suitable graft materials for tympanoplasty. Graft uptake was superior with temporalis fascia, while hearing improvement was better with tragal cartilage- perichondrium, although the results were not statistically significant.</p><p class="abstract"> </p>

scholarly journals Endoscopic versus microscopic type 1 tympanoplasty in chronic suppurative otitis media- tubotympanic type

2020 ◽  
Vol 6 (4) ◽  
pp. 720 ◽  
Author(s):  
Kiran A. Deshmukh ◽  
Vinayak Kurle
Keyword(s):  
Hearing Loss ◽  
Otitis Media ◽  
Conductive Hearing Loss ◽  
Chronic Suppurative Otitis Media ◽  
Medium Size ◽  
Microscopic Technique ◽  
Suppurative Otitis Media ◽  
Type 1 Tympanoplasty ◽  
Conductive Hearing

<p class="abstract"><strong>Background:</strong> Chronic suppurative otitis media attributes to 71.6% of hearing impairment in which most of them only have central perforations without any ossicular erosion or middle ear pathology. There are insufficient explanations to conclude which technique is better for type 1 tympanoplasty. Hence the study was conducted to compare and analyze the endoscopic technique with conventional microscopic technique for performing type 1 tympanoplasty.</p><p class="abstract"><strong>Methods:</strong> This prospective study was done at Basaweshwara teaching and general hospital attached to MR medical college, Kalaburagi from December 2015 to June 2017 after obtaining institutional ethical clearance. Patients were selected according to inclusion and exclusion criteria and randomly posted for surgery by either endoscopic or microscopic technique and results were analyzed.  </p><p class="abstract"><strong>Results:</strong> There were 60 patients in the study between 11-65 years with mean age of 28.85±10.87 years in which were 28 females and 32 were males. All patients were divided into 2 groups in which 30 underwent endoscopic and 30 underwent microscopic type 1 tympanoplasty. In this 46.7% of the patients had left ear conductive hearing loss whereas 31.7% of patients had right ear conductive hearing loss and 21.7% of the patients had bilateral conductive hearing loss which included 22 small perforations, 33 medium size perforations and 5 large perforations of pars tensa.</p><p class="abstract"><strong>Conclusions:</strong> We conclude that endoscope can be a better alternative for microscope in type 1 tympanoplasty as it provides a wide panoramic view, less operating time and hospital stay with negligible scar post operatively.</p>

scholarly journals Pre-operative and post-operative audiological evaluation of type 1 tympanoplasty and comparison between temporalis fascia graft and tragal perichondrium graft

2021 ◽  
Vol 7 (6) ◽  
pp. 1031
Author(s):  
Satguru Saran Singh ◽  
Sandip M. Parmar ◽  
Abhey Sood ◽  
Nilank Saroha ◽  
Meenu Chaudhary
Keyword(s):  
Pure Tone Audiometry ◽  
Major Effect ◽  
Medium Size ◽  
Temporalis Fascia ◽  
Suppurative Otitis Media ◽  
Type 1 Tympanoplasty ◽  
Large Size ◽  
Fascia Graft

<p><strong>Background: </strong>Aim of the study was<strong> </strong>to evaluate the hearing improvement of type 1 tympanoplasty performed by using autologous temporalis fascia and autologous tragal perichondrium graft in successfully operated and graft uptake cases, with respect to age, sex, size of perforation and type of graft.</p><p><strong>Methods:</strong> This prospective study consists of total 100 patients with chronic suppurative otitis media (CSOM) tubotympanic disease who have undergone type 1 tympanoplasty. Randomization of patients was done. Every alternate patient was divided accordingly in to two groups-one in temporalis fascia graft group and another in tragal perichondrium graft group. Pure tone audiometry (PTA) was performed preoperatively and 3 months after surgery. Cases with successful graft uptake were included in the study. Statistical comparisons were performed using the t test, and ANOVA test.</p><p><strong>Results: </strong>In this study maximum numbers of patients were found in the age group of 15-30 years. Study showed that audiological benefits were more in males in comparison to females. Large size of perforation showed more improvement due to more air bone gap in comparison to medium size and small size perforation of ears. Audiological improvement occurred in 94% of cases, 3% cases worsened and 3% cases showed no change. More improvement was found in temporalis fascia graft in comparison to tragal perichondrium graft.</p><p><strong>Conclusions: </strong>Type 1 tympanoplasty is a safe and effective technique to improve the quality of life of patients. Size of perforation, type of graft was found to have a major effect on the final outcome of surgery.</p>

scholarly journals Perichondrium - An Autologous Substitute for Temporalis Fascia in Type I Tympanoplasty: A Comparative Study

2019 ◽  
Vol 27 (2) ◽  
pp. 140-148
Author(s):  
Bahnisikha Kayet ◽  
Aryabrata Dubey
Keyword(s):  
Type I ◽  
Graft Material ◽  
Inclusion Criteria ◽  
Hearing Improvement ◽  
Temporalis Fascia ◽  
Hearing Results ◽  
Fascia Graft ◽  
Free Grafts ◽  
Better Than

Introduction  Temporalis fascia is the commonly used graft material for tympanic membrane reconstruction. Tragal perichondrium share with the fascia the quality of being mesenchymal tissue. In our study we compared perichondrium and temporalis fascia in terms of graft uptake and hearing improvement. Materials and Methods All patients presenting with discharge from ear and decreased hearing were subjected to clinical examination and investigation. Patients satisfying inclusion criteria were included in study with total of 40 patients. Twenty underwent type1 tympanoplasty with temporalis fascia (TF) and another 20 patients with tragal perichondrium (TP). To evaluate success patients are evaluated at end of 6 months for graft uptake and 3 months for hearing results in audiological gain of 10 dB in two consecutive frequencies. Results Mean Pre-op AC Threshold in TF group was 30.75 dB±5.16 and Post-op AC Threshold was 14.15 dB±8.05. Mean Pre-op AC Threshold in TP group was 32.2 dB±4.81 and Post-op AC Threshold was 20.95 dB±7.14. Mean post-op AC Threshold, Mean Post-Op AB Gap and Mean Audiological Gain was statistically significant among 2 groups p=0.0075, p=0.0013, p=0.0294 respectively.  Temporalis fascia was better than Tragal Perichondrium. Graft uptake in 2 groups was not significant (p=0.6325). Conclusion From the present study we may conclude that temporalis fascia, tragal perichondrium free grafts provide viable autograft material for tympanoplasty. Both achieve good hearing restoration but the improvement in hearing or audiological gain is better in temporalis fascia graft than in tragal perichondrium graft.

scholarly journals To assess the hearing improvement in patients of Chronic Otitis Media Tubotympanic type post tympanoplasty

2020 ◽  
Vol 6 (6) ◽  
pp. 305-308
Author(s):  
Harsh Lokhna ◽  
◽  
Sanjay Kumar ◽  
Anshul Bansal ◽  
◽  
...  
Keyword(s):  
Hearing Loss ◽  
Otitis Media ◽  
Pure Tone ◽  
Pure Tone Audiometry ◽  
Hearing Improvement ◽  
Middle Ear Mucosa ◽  
Suppurative Otitis Media ◽  
Type 1 Tympanoplasty ◽  
Significant Difference

Aim: To determine hearing improvement in type- 1 tympanoplasty by comparing mean preoperative air bone gap with mean postoperative AB gap. Material and method: Patients clinically diagnosed as 75 cases of Chronic Suppurative Otitis Media Tubotympanic Type Disease presenting to the ENT OPD of Chhatrapati Shivaji Hospital attached to Subharti Medical College, Meerut were taken up for study. Detailed clinical examination and history was taken. Pure tone audiometry was conducted, hearing loss and mean AB Gap was noted pre-operatively. X-Ray mastoid B/L Schuller’s view was done and findings were noted. Tympanoplasty type 1 with or without mastoidectomy was performed. Cortical mastoidectomy with type 1 Tympanoplasty was performed in patients having granulations & polypoidal middle ear mucosa along with sclerotic mastoid. All these patients were followed up post-operatively at 6 weeks. The status of graft uptake was noted. Pure tone audiometry was performed. Hearing loss and mean AB Gap results were compared with pre-operative findings. Results: In our study out of 75 patients, 33 (44%) patients were affected with Right ear and 42 (56%) patients were affected with Left ear. Hearing loss was the chief complaint in all 75 patients (100%) followed by blocking sensation. Post operatively 58 (77.33%) patients had normal hearing followed by 16 (21.33) patients who had mild hearing loss. Only 1 (1.33%) patient had moderately severe hearing loss. Pre-operatively, mean AB Gap was 46.62+/-7.89dB while post-operatively mean AB Gap was 23.43+/-5.52dB with statistically significant difference as p<0.05. Conclusion: In our study, the post-operative Mean AB Gap was improved significantly as compared to preoperative mean AB Gap.

scholarly journals TO EVALUATE PRE- AND POST-OPERATIVE HEARING OUTCOME AFTER TYMPANOPLASTY: A COMPARATIVE STUDY.

2020 ◽  
Vol 4 (4) ◽  
Author(s):  
Amit Kumar ◽  
Satyendra Sharma
Keyword(s):  
Hearing Loss ◽  
Pure Tone ◽  
Chronic Otitis Media ◽  
Male Counterpart ◽  
Hearing Improvement ◽  
Medical College ◽  
Hearing Outcome ◽  
Conductive Deafness ◽  
Operative Outcomes ◽  
The Mean

Aims: The aim of this study is to evaluate hearing outcome in the pre- and post-operative after tympanoplasty Materials and Methods: The present observations study was conducted on 30 randomly selected patients visited the department of ENT, Nalanda Medical College and Hospital, Patna, Bihar, India. Thirty cases of diagnosed chronic otitis media, aged above 18 years, with a demonstrable conductive deafness not more than 40 dB was included in the study. Results: The mean age of the patients is 32.16 ± 3.61 years. Female outnumbered male counterpart. Commonest presenting complaints was Otorrhoea (93.3%) followed by Hearing loss (86.7%), Vertigo (53.3%) and Tinnitus is found in (40.0%) of patients. The mean pre- and post-operative outcomes in terms Pure tone (p<0.05), Air-bone gap (p<0.05) and Hearing gain (p<0.05). Conclusions: The present study concluded that Tympanoplasty is a beneficial procedure for hearing improvement and the eradication of the disease. Keywords: ENT

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