Comparative Evaluation of Factors Associated with Success of Tympanoplasty in Rural Population
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 1
Abstract
Introduction: otitis media is commonly occurring condition in Indian subcontinent. Symptoms associated with otitis media such as discomfort, otorrhea; hearing loss, pain cause great personal suffering. Tympanoplasty is the treatment of choice for repair of tympanic perforations. The aim of present study is to establish the success rate of tympanoplasty in chronic otits media and to determine factors that could interfere with its success. Material and Methods: A total of 40 patients of otitis media reported to the department, institute during the year 2016 and underwent tympanoplasties. History, physical examination of all the patients presenting with the signs and symptoms were taken. Audiogram, nasofibroscopy was done to examine any perforation of tympanic membrane. Transmeatal or retroauricular tympanoplasties were done and graft was used for repair correction. The results were arranged and analysed by SPSS software. Results: Transmeatal technique was followed in 17 patients (42.5%) and in 12.5% patients retroauricular technique was used. Fascia was used as graft in 37.5% of patients. Approximately 40.76% of patients had months free of otorrhea after perforation repair and only 8.91% patients were ottorrhea free after months after no repair of perforations. The difference was statistically significant. The technique, type of graft used and the site of access were not statistically significant during perforation closure. Conclusion: According to our study time of otorrhea was a significant factor responsible for success.
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