A COMPARATIVE STUDY OF ROLE OF CORTICAL MASTOIDECTOMY IN MYRINGOPLASTY
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2015, Vol 2, Issue 5
Abstract
BACKGROUND: Chronic suppurative otitis media is an inflammatory process of mucoperiosteal lining of middle ear space and mastoid. Effect of mastoidectomy on patients without evidence of active infectious disease remains highly debated and unproven. In this study the role of cortical mastoidectomy in myringoplasty in patients of CSOM in dry as well as wet ears was evaluated. OBJECTIVE: To evaluate the efficacy and role of cortical mastoidectomy in patients with CSOM (safe type) in dry as well as wet ears. STUDY DESIGN: Prospective randomized. METHODS: Data was collected from the patients undergoing myringoplasty with or without cortical mastoidectomy. Study was carried out on a total of 80 patients undergoing the surgery. Study period was 18 months with 6 months of follow up. Outcome was evaluated in terms of graft rejection, lateralization and change in AB gap. STATISTICAL ANALYSIS: The statistical analysis was done using SPSS (Statistical Package for Social Sciences) Version 15.0 statistical Analysis Software. RESULTS: overall success rate was 77.5%. It was higher in dry ear (87.5%) as compared to wet ear (67.5%) and this difference was significant statistically. On evaluating odds of failure for wet ear, it was observed that group 1 had higher odds of failure for wet ear as compared to that of group 2. CONCLUSION: In both myringoplasty alone or with cortical mastoidectomy, failure rates were higher in wet as compared to dry ears, however odds of failure in wet cases were much higher in myringoplasty alone group as compared to myringoplasty with cortical mastoidectomy
Authors and Affiliations
Rahul Kawatra, Puneet Maheshwari, Ritika Bhatt
Keywords
Related Articles
- EP ID EP222556
- DOI 10.18410/jebmh/2015/78
- Views 95
- Downloads 0
CONGENITAL RADIAL DYSPLASIA: A CASE REPORT
Congenital radial dysplasia, also referred to as radial club hand, means deficiency along the preaxial or radial side of the extremity. It ranges from hypoplasia of the thumb to various degrees of radial hypoplasia. We p...
STUDY OF SYMPTOMS AND SIGNS RELATED TO CARDIO-VASCULAR SYSTEM, ESPECIALLY CARDIAC MURMURS IN SEVERE ANAEMIA AND ITS REVERSIBILITY AFTER CORRECTION OF ANAEMIA
BACKGROUND Anaemia is one of the commonest clinical problems in our country. It affects various organs including heart. Clinical manifestations of anaemia referable to cardiovascular system may closely simulate symptoms...
STUDY OF EFFECT OF DURATION AND SEVERITY OF SMOKING ON SERUM MAGNESIUM LEVELS IN YOUNG SMOKERS
BACKGROUND The commonest method of smoking today is through cigarettes. Global surveys show a fourfold increase in prevalence of smoking habit between ages 15-29 years in last decade. Magnesium is involved in more than 3...
ELECTROCARDIOGRAPHIC CHANGES IN CHRONIC OBSTRUCTIVE PULMONARY DISEASE
Chronic Obstructive Pulmonary Disease (COPD) is a common preventable and treatable state characterized by persistent airflow limitation. It is fourth leading cause of chronic morbidity and mortality world over. COPD infl...
EVALUATION OF BASIC COURSE WORKSHOP CONDUCTED IN A MEDICAL COLLEGE
BACKGROUND Faculty development is perhaps one of the foremost issues among the factors influencing the quality of medical education. It was planned to evaluate Basic course workshop (BCW) on Medical education Technologie...