Clinical Study of Intact Canal Wall Technique in the Management of Chronic Suppurative Otitis Media
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 7
Abstract
Clinical Study of Intact Canal Wall Technique in the Management of Chronic Suppurative Otitis MediaBackground: Chronic suppurative otitis media (CSOM) is a common inflammatory disorder of middle ear cleft accounting for the majority of conductive hearing losses in the population worldwide. CSOM is managed by intact canal wall (ICW) or canal wall down procedures (CWD) depending on the keratin formation in the middle ear cleft. Auditory gain is better in ICW procedures when compared to CWD procedures. Aim of the Study: This study aims to evaluate the long-term effects on auditory gain following ICW technique of mastoidectomy with tympanoplasty in the treatment of CSOM (tubotympanic). Materials and Methods: A total of 60 patients with CSOM were randomly selected and subjected to ICW mastoidectomy and tympanoplasty after necessary investigations. The auditory gain was calculated after 8 weeks of surgery and follow-up of 2 years. Observations and Results: Among the 60 patients, 53% were males and 47% were females. 75% of the study group belonged to the age group between 20 and 40 years. About 67% of the individuals were of the low socioeconomic group. About 55% of the mastoids were pneumatized. Mucosal edema was observed in 53% and mucosal hypertrophy in 38%. The auditory gain was 15-35 dB in 80% of the individuals. Conclusions: The overall incidence of CSOM in the study was 5% in the study. The most common pathology was middle ear mucosal edema followed by hypertrophied mucosa. Auditory gain was 15-30 dB in 80% of the patients.
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V Anil
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