Comparative Study between Tympanoplasty alone & Tympanoplasty Combined with Cortical Mastoidectomy in Safe Type of Chronic Suppurative Otitis Media

2016 ◽  
Vol 4 (1) ◽  
pp. 79
Author(s):  
Polisetti Ravi Babu ◽  
Bhennur Durga Prasad ◽  
Lanke Sowmya ◽  
K S B S Krishna Sasanka
Keyword(s):  
Comparative Study ◽  
Otitis Media ◽  
Chronic Suppurative Otitis Media ◽  
Suppurative Otitis Media ◽  
Cortical Mastoidectomy

scholarly journals Tympanoplasty with and without mastoidectomy in wet ears: a comparative study

2020 ◽  
Vol 6 (8) ◽  
pp. 1509
Author(s):  
Manish Munjal ◽  
Gopika Talwar ◽  
Shubham Munjal ◽  
Tulika Saggar
Keyword(s):  
Comparative Study ◽  
Otitis Media ◽  
Chronic Suppurative Otitis Media ◽  
Outpatient Clinics ◽  
Suppurative Otitis Media ◽  
Hearing Gain ◽  
Medical College ◽  
Flap Technique ◽  
Cortical Mastoidectomy ◽  
Hearing Thresholds

<p class="abstract"><strong>Background:</strong> Effect of cortical mastoidectomy on graft uptake and graft mobility and thence shift of hearing thresholds was analysed in tympanoplasty in discharging ears.</p><p class="abstract"><strong>Methods:</strong> In this study, 60 subjects of safe chronic suppurative otitis media were selected from the outpatient clinics of Dayanand Medical College and Hospital, Ludhiana. All were subjected to tympanoplasty utilizing the underlay technique. Mastoid exploration was undertaken in the ears with persistent ear discharge.  </p><p class="abstract"><strong>Results:</strong> Cortical mastoidectomy performed in 20 (33.3%) out of 60 patients and most of cases were done in superiorly based/superior cuff tympanoplasty group in our study. No statistically significance found between cortical mastoidectomy and different flap technique. Mean hearing gain is more with cortical mastoidectomy (16.85 dB) than without cortical mastoidectomy (13.05 dB) and graft uptake was 97.5% without cortical and 95% with cortical mastoidectomy.</p><p class="abstract"><strong>Conclusions:</strong> There was higher mean gain in thresholds of hearing in subjects with cortical mastoidectomy with tympanoplasty though uptake was almost equal to those without mastoidectomy.</p>

scholarly journals A clinical study of evaluation of tympanoplasty with mastoidectomy in mucosal chronic otitis media

2019 ◽  
Vol 6 (1) ◽  
pp. 163
Author(s):  
Ritesh Mahajan ◽  
Nidhi Abraham ◽  
Nagaraj T. M.
Keyword(s):  
Otitis Media ◽  
Disease Process ◽  
Chronic Otitis Media ◽  
Chronic Suppurative Otitis Media ◽  
Suppurative Otitis Media ◽  
Medical College ◽  
Cortical Mastoidectomy ◽  
A Prospective Study

<p class="abstract"><strong>Background:</strong> Chronic suppurative otitis media (CSOM) is one of the most common ear diseases in developing countries with a varying incidence of 3% to 57%. It the disease process is further divided into mucosal type and squamosal type depending on clinical presentation. The mainstay of therapy in CSOM remains surgery which aims at eradication of disease and restoring the hearing mechanism. The main objective of our study was to evaluate the changes and impact of tympanoplasty with mastoidectomy as a surgical treatment modality in mucosal type of CSOM.</p><p class="abstract"><strong>Methods:</strong> A prospective study was conducted in Rajarajeshwari Medical College and Hospital between November 2015 and June 2017, involving 50 patients with mucosal type of chronic otitis media. These patients, after complete clinical examination and hearing analysis, underwent tympanoplasty with cortical mastoidectomy. Follow-up of the patients was done at one month and three months after the surgery where the parameters recorded preoperatively were assessed.  </p><p class="abstract"><strong>Results:</strong> The graft uptake three months after the surgery was 94%. Patients reported a subjective improvement in symptoms of ear discharge, decreased hearing, earache and tinnitus to 94%, 70%, 86% and 78% respectively. There was hearing improvement in ears that had discharge preoperatively and those ears that did not.</p><p class="abstract"><strong>Conclusions:</strong> Chronic suppurative otitis media is a very common problem and it can lead to recurrent ear discharge and hearing problems. Timely intervention is necessary as early diagnosis results in good surgical outcomes and can make an impact on patient’s quality of life.</p>

scholarly journals A comparative study of superiorly based circumferential tympanomeatal flap tympanoplasty with anteriorly anchoring flap tympanoplasty in large, subtotal, and anterior tympanic membrane central perforations in chronic suppurative otitis media of mucosal type

2018 ◽  
Vol 4 (2) ◽  
pp. 432
Author(s):  
Amitkumar Rathi ◽  
Vinod Gite ◽  
Sameer Bhargava ◽  
Neeraj Shetty
Keyword(s):  
Comparative Study ◽  
Tympanic Membrane ◽  
Otitis Media ◽  
Statistical Difference ◽  
Chronic Suppurative Otitis Media ◽  
Age Group ◽  
Hearing Improvement ◽  
Suppurative Otitis Media ◽  
Gap Closure ◽  
The Mean

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">The main objective of the study was to assess and compare the graft uptake, hearing improvement, complications in large, subtotal, and anterior moderate perforations by each technique viz; superiorly based circumferential tympanomeatal flap tympanoplasty (STT)/full cuff and anterior anchoring flap tympanoplasty (AAT)/anterior tucking. </span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">In our study of 30 cases age group in the range of 10 years to 60 years. The mean air bone gap for the 8 patients with anterior moderate perforation was 31.75 db, for 17 patients with large central perforations was 38.75 db and for 5 patients with subtotal perforations was 41.4 db.  </span></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">Mean air bone gap closure after 3 months of surgery in the STT group was 21.4 db while that after 6months of the surgery for the same group was 22.06 db. Mean air bone gap closure after 3 months of surgery in the AAT group was 18.2 db while that after 6months of the surgery for the same group was 18.73 db. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">Comparing the air bone gap closure in patients who underwent surgery by AAT and STT technique we found that there is no statistical difference. Both techniques (viz: superiorly based circumferential tympanomeatal flap tympanoplasty and anteriorly anchoring flap tympanoplasty) can be used for the repair of large, subtotal, and anterior tympanic membrane central perforations in chronic suppurative otitis media of mucosal type.</span></p>

scholarly journals Unnoticed impacted foreign body ear presenting as chronic suppurative otitis media with postaural fistula: a rare case

2020 ◽  
Vol 6 (3) ◽  
pp. 585
Author(s):  
K. C. Prasad ◽  
Sreelekshmi S. ◽  
Abhilasha K. ◽  
Anjali P. K. ◽  
Induvarsha G. ◽  
...  
Keyword(s):  
Foreign Body ◽  
Otitis Media ◽  
External Auditory Canal ◽  
Foreign Bodies ◽  
Chronic Suppurative Otitis Media ◽  
Suppurative Otitis Media ◽  
Cortical Mastoidectomy ◽  
Impacted Foreign Body ◽  
Adults And Children ◽  
Inner Region

<p class="abstract">Foreign body ear, especially in the external auditory canal are common in adults and children. Most common age group presenting with foreign body is 2 to 10 years. Most common foreign bodies are seeds insects, paper, chalk pieces etc. Most common complications of foreign body ear are pain, bleeding, foul smelling discharge, otitis externa and irritation of ear. There are chances of external auditory canal laceration, bleeding, infection, perforation of tympanic membrane, dislodgement of foreign body towards inner region during the time of removal. This is a case of unnoticed impacted foreign body presented as chronic suppurative otitis media with postaural fistula, found on table broomstick foreign body which was removed using canaloplasty and further managed with tympanoplasty and cortical mastoidectomy.</p>

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