Benefit of Tympanoplasty with or without Cortical Mastoidectomy in Active Mucosal Otitis Media – A Comparative Study
Introduction: Chronic otitis media (COM) is amongst the most common diseases treated by ENT surgeons in India. It has been advocated in lot of research articles that there is no significant difference in tympanoplasty done in active and inactive COM. The objective was to see if cortical mastoid...
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doaj-504a62f1bc58444eb8c8f1fa2568a2672021-03-10T11:01:37ZengThe Association of Otolaryngologists of India, West BengalBengal Journal of Otolaryngology and Head Neck Surgery2395-24072019-04-0127110.47210/bjohns.2019.v27i1.229Benefit of Tympanoplasty with or without Cortical Mastoidectomy in Active Mucosal Otitis Media – A Comparative StudyAnushree Raviprakash Bajaj0Shahnaz Sheikh1Samir Joshi2Bhalchandra Paike3Dr Ulhas Patil Medical College, Jalgaon Khurd Maharashtra MUHS NashikDr Ulhas Patil Medical College, Jalgaon Khurd Maharashtra MUHS NashikBJ Medical College and Sasson Hospital, PuneDr Ulhas Patil Medical College, Jalgaon Khurd Maharashtra MUHS Nashik Introduction: Chronic otitis media (COM) is amongst the most common diseases treated by ENT surgeons in India. It has been advocated in lot of research articles that there is no significant difference in tympanoplasty done in active and inactive COM. The objective was to see if cortical mastoidectomy in cases of active mucosal COM, improves the success rate of tympanoplasty measured as per the following parameters: improvement in the hearing threshold by 15 dB, increased graft uptake and reduction in retraction of tympanic membrane in post operative period. Materials and Methods: This study comprises of 120 patients coming to the ENT OPD from October 2016 to October 2017 with active mucosal COM with central perforation requiring tympanoplasty. These patients were randomly assigned to two groups: Group 1 of 60 subjects in which tympanoplasty without mastoidectomy was done, Group 2 of 60 subjects in which tympanoplasty with mastoidectomy was done. Patients were evaluated after a post operative period of 3 months. Results: The Results were the hearing improvement was 73.33% in group 1 while 83.33% in group 2, graft uptake was 63.33% in group 1 and 80% in group 2, graft retraction was 33.33% and 23.33% in group 1 and group 2 respectively. Conclusion: There was statistically significant difference in results in group with and without mastoidectomy in active mucosal chronic otitis media with respect to graft uptake and improved hearing. https://bjohns.in/journal3/index.php/bjohns/article/view/229TympanoplastyOtitis Media, SuppurativeMastoid |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Anushree Raviprakash Bajaj Shahnaz Sheikh Samir Joshi Bhalchandra Paike |
spellingShingle |
Anushree Raviprakash Bajaj Shahnaz Sheikh Samir Joshi Bhalchandra Paike Benefit of Tympanoplasty with or without Cortical Mastoidectomy in Active Mucosal Otitis Media – A Comparative Study Bengal Journal of Otolaryngology and Head Neck Surgery Tympanoplasty Otitis Media, Suppurative Mastoid |
author_facet |
Anushree Raviprakash Bajaj Shahnaz Sheikh Samir Joshi Bhalchandra Paike |
author_sort |
Anushree Raviprakash Bajaj |
title |
Benefit of Tympanoplasty with or without Cortical Mastoidectomy in Active Mucosal Otitis Media – A Comparative Study |
title_short |
Benefit of Tympanoplasty with or without Cortical Mastoidectomy in Active Mucosal Otitis Media – A Comparative Study |
title_full |
Benefit of Tympanoplasty with or without Cortical Mastoidectomy in Active Mucosal Otitis Media – A Comparative Study |
title_fullStr |
Benefit of Tympanoplasty with or without Cortical Mastoidectomy in Active Mucosal Otitis Media – A Comparative Study |
title_full_unstemmed |
Benefit of Tympanoplasty with or without Cortical Mastoidectomy in Active Mucosal Otitis Media – A Comparative Study |
title_sort |
benefit of tympanoplasty with or without cortical mastoidectomy in active mucosal otitis media – a comparative study |
publisher |
The Association of Otolaryngologists of India, West Bengal |
series |
Bengal Journal of Otolaryngology and Head Neck Surgery |
issn |
2395-2407 |
publishDate |
2019-04-01 |
description |
Introduction:
Chronic otitis media (COM) is amongst the most common diseases treated by ENT surgeons in India. It has been advocated in lot of research articles that there is no significant difference in tympanoplasty done in active and inactive COM. The objective was to see if cortical mastoidectomy in cases of active mucosal COM, improves the success rate of tympanoplasty measured as per the following parameters: improvement in the hearing threshold by 15 dB, increased graft uptake and reduction in retraction of tympanic membrane in post operative period.
Materials and Methods:
This study comprises of 120 patients coming to the ENT OPD from October 2016 to October 2017 with active mucosal COM with central perforation requiring tympanoplasty. These patients were randomly assigned to two groups: Group 1 of 60 subjects in which tympanoplasty without mastoidectomy was done, Group 2 of 60 subjects in which tympanoplasty with mastoidectomy was done. Patients were evaluated after a post operative period of 3 months.
Results:
The Results were the hearing improvement was 73.33% in group 1 while 83.33% in group 2, graft uptake was 63.33% in group 1 and 80% in group 2, graft retraction was 33.33% and 23.33% in group 1 and group 2 respectively.
Conclusion:
There was statistically significant difference in results in group with and without mastoidectomy in active mucosal chronic otitis media with respect to graft uptake and improved hearing.
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topic |
Tympanoplasty Otitis Media, Suppurative Mastoid |
url |
https://bjohns.in/journal3/index.php/bjohns/article/view/229 |
work_keys_str_mv |
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