Comparative Study of Two Different Myringoplasty Techniques in Mucosal Type of Chronic Otitis Media
Introduction: Myringoplasty is a surgical procedure used to close the perforation of pars tensa of the tympanic membrane and to improve the hearing loss. Aim: To compare the two different techniques of myringoplasty- circumferential subannular grafting technique and conventional underlay techni...
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doaj-0efd507182544ec79c474479c2c535122020-11-25T03:26:41ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2016-02-01102MC01MC0310.7860/JCDR/2016/16843.7194Comparative Study of Two Different Myringoplasty Techniques in Mucosal Type of Chronic Otitis MediaMallikarjunappa Ajjampura Murugendrappa0Prakash Naganahalli Siddappa1Abhilash Shambulingegowda2Girish Pattanada Basavaraj3Professor and Unit Chief, Department of Otorhinolaryngology and Head and Neck Surgery, JJM Medical College, Davangere, Karnataka, India.Reader and Unit Chief, Department of Otorhinolaryngology and Head and Neck Surgery, JJM Medical College, Davangere, Karnataka, India.Postgraduate, Department of Otorhinolaryngology and Head and Neck surgery, JJM Medical College, Davangere, Karnataka, India.Postgraduate, Department of Otorhinolaryngology and Head and Neck surgery, JJM Medical College, Davangere, Karnataka, India.Introduction: Myringoplasty is a surgical procedure used to close the perforation of pars tensa of the tympanic membrane and to improve the hearing loss. Aim: To compare the two different techniques of myringoplasty- circumferential subannular grafting technique and conventional underlay technique in cases of chronic otitis media with inactive mucosal disease. Materials and Methods: This is a prospective study of 12 months (July 2014 to June 2015) duration conducted in Department of Otorhinolaryngology and Head and Neck Surgery, JJM Medical College, Davanagere and data was collected from the 50 patients admitted for myringoplasty, 25 in each group. Results were calculated in terms of graft success rate and improvement in hearing after 3 months postoperatively. Results: A total of 50 cases are included in this study, out of which 21 were males and 29 were females with male to female ratio of 0.72:1. The success rate of graft take up by circumferential subannular grafting technique is 96% and by conventional underlay technique is 76% respectively. In circumferential subannular grafting technique, the pre-op mean PTA was 36.92db, and the post-op mean PTA after 3 months was 25.87 db with a mean difference in PTA (dB) was 11.05 with t value of 7.74. In case of conventional underlay technique, the pre-op mean PTA was 38.24 db, and the post-op mean PTA after 3 months was 30.28 db with a mean difference in PTA (dB) was 7.96 with t-value of 14.39. Conclusion: The study showed that circumferential grafting technique is superior in graft success rate and postoperative hearing improvement when compared to conventional underlay technique.https://jcdr.net/articles/PDF/7194/16843_CE(Ra1)_F(GH)_PF1(BMAK)_PFA(AK)_PF2(PAG).pdfdecibelgraft uptakepure tone audiometry |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Mallikarjunappa Ajjampura Murugendrappa Prakash Naganahalli Siddappa Abhilash Shambulingegowda Girish Pattanada Basavaraj |
spellingShingle |
Mallikarjunappa Ajjampura Murugendrappa Prakash Naganahalli Siddappa Abhilash Shambulingegowda Girish Pattanada Basavaraj Comparative Study of Two Different Myringoplasty Techniques in Mucosal Type of Chronic Otitis Media Journal of Clinical and Diagnostic Research decibel graft uptake pure tone audiometry |
author_facet |
Mallikarjunappa Ajjampura Murugendrappa Prakash Naganahalli Siddappa Abhilash Shambulingegowda Girish Pattanada Basavaraj |
author_sort |
Mallikarjunappa Ajjampura Murugendrappa |
title |
Comparative Study of Two Different Myringoplasty Techniques in Mucosal Type of Chronic Otitis Media |
title_short |
Comparative Study of Two Different Myringoplasty Techniques in Mucosal Type of Chronic Otitis Media |
title_full |
Comparative Study of Two Different Myringoplasty Techniques in Mucosal Type of Chronic Otitis Media |
title_fullStr |
Comparative Study of Two Different Myringoplasty Techniques in Mucosal Type of Chronic Otitis Media |
title_full_unstemmed |
Comparative Study of Two Different Myringoplasty Techniques in Mucosal Type of Chronic Otitis Media |
title_sort |
comparative study of two different myringoplasty techniques in mucosal type of chronic otitis media |
publisher |
JCDR Research and Publications Private Limited |
series |
Journal of Clinical and Diagnostic Research |
issn |
2249-782X 0973-709X |
publishDate |
2016-02-01 |
description |
Introduction: Myringoplasty is a surgical procedure used to
close the perforation of pars tensa of the tympanic membrane
and to improve the hearing loss.
Aim: To compare the two different techniques of
myringoplasty- circumferential subannular grafting technique
and conventional underlay technique in cases of chronic otitis
media with inactive mucosal disease.
Materials and Methods: This is a prospective study of
12 months (July 2014 to June 2015) duration conducted in
Department of Otorhinolaryngology and Head and Neck Surgery,
JJM Medical College, Davanagere and data was collected from
the 50 patients admitted for myringoplasty, 25 in each group.
Results were calculated in terms of graft success rate and
improvement in hearing after 3 months postoperatively.
Results: A total of 50 cases are included in this study, out
of which 21 were males and 29 were females with male to
female ratio of 0.72:1. The success rate of graft take up by
circumferential subannular grafting technique is 96% and
by conventional underlay technique is 76% respectively. In
circumferential subannular grafting technique, the pre-op mean
PTA was 36.92db, and the post-op mean PTA after 3 months
was 25.87 db with a mean difference in PTA (dB) was 11.05 with
t value of 7.74. In case of conventional underlay technique, the
pre-op mean PTA was 38.24 db, and the post-op mean PTA
after 3 months was 30.28 db with a mean difference in PTA (dB)
was 7.96 with t-value of 14.39.
Conclusion: The study showed that circumferential grafting
technique is superior in graft success rate and postoperative
hearing improvement when compared to conventional underlay
technique. |
topic |
decibel graft uptake pure tone audiometry |
url |
https://jcdr.net/articles/PDF/7194/16843_CE(Ra1)_F(GH)_PF1(BMAK)_PFA(AK)_PF2(PAG).pdf |
work_keys_str_mv |
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