CASE SERIES: REMODELLED AUTOSSICLE VERSUS TEFLON PORP
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2018, Vol 5, Issue 25
Abstract
BACKGROUND A widely accepted technique used for eroded incudostapedial joint or partially eroded incus is tympanoplasty with remodelled incus or malleus. An alternate method used for grafting is using PORP with cymba conchal cartilage interface. This manuscript is a study which compares outcomes of remodelled autoincus with Teflon PORP with cartilage interface. The aim of the study is to compare the restoration of hearing, postoperatively, in patients who underwent tympanoplasty for eardrum perforation with IS joint erosion with chronic otitis media (COM) using remodelled autossicle with Teflon PORP. MATERIALS AND METHODS In our study of 90 patients, patients presented with chronic otitis media and eardrum perforation and were followed for at least 6 month post operatively. In 45 patients, temporalis fascia grafts with remodelled incus and the rest (45 patients) had PORP (Teflon) with conchal cartilage interface. Setting- Department of Otorhinolaryngology, SGT Medical College, Budhera, Gurugram, Haryana, India. Study Design- A total number of 90 surgically fit cases of perforation of the tympanic membrane were selected with moderate conductive hearing loss, who needed surgery of tympanoplasty with reconstruction. Study Period- Feb. 2014 to Feb. 2017. RESULTS Our data indicates that remodelled incus provided satisfying hearing (post-operative AB gap <20 dB) improvement in 43/45(95.6%) patients whereas in the PORP with cartilage interface, we achieved satisfying hearing improvement in 41/45(91.1%) patients. All patients with remodelled incus had dry and complete uptake of graft. Extrusion of graft where PORP was used seen in 2/45(4.4%) patients. CONCLUSION The primary objective of middle ear and mastoid surgery for cases of COM with perforation is to achieve a dry ear and hearing improvement postoperatively. The main aim of this study is to compare the restoration of hearing, postoperatively, in patients who underwent tympanoplasty for COM using autoincus or Teflon PORP. Both remodelled incus & PORP provided satisfying hearing (post-operative AB gap <20 dB) improvement in >90% patients.
Authors and Affiliations
Vishalakshi Pathania, Kamal Goyal, Nishtha Saini, Jasdeep Monga
Keywords
Related Articles
- EP ID EP567055
- DOI 10.18410/jebmh/2018/397
- Views 61
- Downloads 0
TO ASSESS THE EFFICACY OF MICRO NEEDLING THERAPY IN FACIAL ACNE SCARS
BACKGROUND Acne vulgaris is polymorphic inflammatory disease of the pilosebaceous follicle which occurs most commonly on the face and to a lesser extent on the back and chest. Scars may increase with loss of collagen. Pr...
PARATHYROID ADENOMA – CYTO HISTOLOGICAL VARIANTS (CLUSTER OF CASES)
INTRODUCTION Parathyroid adenoma is the most common cause of primary hyperparathyroidism. It is more common in females by the ratio of 4:1. Histologically parathyroid adenoma composed of different cell types, Chief cells...
TRENDS IN SEROPREVALENCE OF TRANSFUSION TRANSMISSIBLE INFECTIONS AMONGST THE BLOOD DONORS IN TERTIARY CARE CENTRE
BACKGROUND Blood transfusion carries the potential risk of transfusion transmissible infections (TTIs) making it the most dreaded complication of blood transfusion. The objective was to study the trends in seroprevalence...
CORTICAL STROKE CAUSING GRADED FACIAL SENSORY INVOLVEMENT
Cortical stroke produces unusual clinical findings. Cortical sensory representation is believed to be unilateral and contralateral. Here we report a patient with graded sensory loss due to cortical stroke. Stimulation st...
COMPARISON OF CORNEAL TOPOGRAPHY WITH AUTOMATED REFRACTOMETRY IN THE ASTIGMATISM OF KERATOCONUS
BACKGROUND Keratoconus is commonly associated with irregular myopic astigmatism. This astigmatic change is compared and analysed with the corneal topography and automated refractometry. MATERIALS AND METHODS 35 eyes of 2...