A NOVEL TECHNIQUE TO SALVAGE FAILING TYMPANOPLASTY- A PROSPECTIVE INTERVENTIONAL TRIAL
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2019, Vol 8, Issue 21
Abstract
BACKGROUND This article describes a procedure to salvage graft failures in cases of Tympanoplasty done using Temporalis Fascia by early intervention, Post operatively. METHODS It was an Observational study using 30 patients with residual perforations on 3rd-6th post-operative week out of 131 patients who underwent Type 1 Tympanoplasty with Cortical Mastoidectomy using Temporalis fascia as graft material. Study was conducted over a period of 18 months. Patients having residual perforation underwent the procedure after proper informed consent. 4 Quadrant blocks were given in External Auditory canal. The Epithelialized margin was freshened using a Micropick and medialised graft was repositioned after placing of a piece of Gelfoam in middle ear. The perforation was reinforced with a Gelfoam laterally in External Auditory Canal. Patient was then followed up with a course of Antibiotic and antihistaminic. RESULTS Out of 131 patients of cortical mastoidectomy with tympanoplasty 30 had residual perforation on follow up i.e., 77% success rate while 23% failure rate in our hand. These 23% patients, who were found to be failing, underwent this intervention. 24 out of these 30 patients (80%) i.e., 18% of overall cases showed healed drum after intervention on further follow up. Thus, a good number of failing Tympanoplasty could be salvaged and overall success achieved is almost 95% as compared to 77% previously. CONCLUSIONS With this procedure 80% of the failing Tympanoplasties could be salvaged increasing success rate from 77% to 95% thus increasing reliability of Temporalis Fascia Graft which was being replaced increasingly by cartilage graft for risk of Failures by Otologists these days
Authors and Affiliations
Subhradev Biswas, Ankit Choudhary, Sayan Hazra, Kaustuv Das Biswas, Bijan Basak
Keywords
Related Articles
- EP ID EP619154
- DOI 10.14260/jemds/2019/374
- Views 58
- Downloads 0
EMERGENCY OBSTETRIC HYSTERECTOMY- A STUDY IN TERTIARY CARE CENTRE
BACKGROUND Emergency obstetric hysterectomy (EOH) refers to surgical removal of a pregnant uterus or recently pregnant uterus. Many a times, an attempt to control haemorrhage fails and woman’s life is saved by compromisi...
PATTERN OF SUICIDAL DEATHS- A REVIEW OF AUTOPSY CASES IN 2015 AND 2016
BACKGROUND Suicide is high in societies that are socially isolated, mobile and disorganised. Differences exist in countries in the most common means of suicide depending on the availability of various methods. Different...
AN UNUSUAL CASE OF RADIX PARAMOLARIS IN MANDIBULAR FIRST MOLAR: DIAGNOSED WITH SPIRAL CT FOLLOWED BY ROOT CANAL TREATMENT
[b]AIM[/b]-To diagnose radix paramolaris with the aid of spiral CT which often gets misdiagnosed in routine radiographic imaging to increase success rate of root canal treatment. [b]SUMMARY[/b]: An additional mesio-bu...
PATTERN AND OUTCOME OF NEONATAL ADMISSIONS- AN EXPERIENCE FROM A DISTRICT LEVEL SCNU
BACKGROUND Neonatal mortality still continues to be a significant contributor to the infant mortality rate in India. Also the rural-urban gap in the neonatal mortality rate is significant. It is imperative therefore to s...
A RARE CASE OF PLUNGING RANULA WITHOUT ORAL COMPONENT- A CASE REPORT
A 15-year old female reported with a 3-year history of swelling in submental and bilateral submandibular region. The swelling was completely asymptomatic and there was a history of gradual increase in size of swelling. P...