Comparison of Surgical Outcomes in Chronic Otitis Media (Mucosal) following Type 1 Tympanoplasty with and without Cortical Mastoidectomy
Journal Title: International Journal of Contemporary Medical Research - Year 2016, Vol 3, Issue 8
Abstract
Introduction: Chronic suppurative otitis media is one of the most common cause of reversible conductive hearing loss in the world especially in developing countries because of poor socioeconomic status, poor nutrition, poor hygiene and lack of health education. It affects both sexes and all age groups. Successful outcome of tympanoplasty depends on various factors. This study was conducted to compare surgical outcome in tubotympanic disease following Type 1 tympanoplasty with and without cortical mastoidectomy. Material and methods: A prospective comparative study, comprising of 50 patients with chronic otitis media mucosal type who were randomly divided into two equal groups with 25 patients undergoing type 1 tympanoplasty and 25 patients undergoing type 1 tympanoplasty with cortical mastoidectomy Results: In our study, there was no significant difference in the graft uptake rate or the hearing improvement in both these groups. Conclusion: Cortical Mastoidectomy is recommended in patients of Chronic Otitis media (Mucosal) with subtotal perforations. The graft uptake rate is similar in both the groups of patients with central perforation (involving one or two quadrants). In successful graft take up, results of hearing improvement and graft mobility are similar with or without mastoidectomy. Possibility of finding mastoid antral pathology is more in patients having Chronic otitis media (mucosal) with sub total perforation as observed in this study
Authors and Affiliations
Sanjeev Mohanty, Devipriya V, Sreenivas C, Vinay Raj T
Keywords
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