Does Anterior Tunnelling Really Help in Underlay Type I Tympanoplasty?
Journal Title: Bengal Journal of Otolaryngology and Head Neck Surgery - Year 2017, Vol 25, Issue 3
Abstract
IntroductionStabilizing the graft can be difficult with the conventional method of underlay tympanoplasty when the tympanic membrane perforation is subtotal, large or anteriorly placed with thin anterior rim. Tympanoplasty with anterior tunnelling has been tried to overcome this problem.Materials and MethodsA prospective study over two-year period was carried out with follow up for three months on 59 patients under two groups- the underlay tympanoplasty with anterior tunnelling and the conventional tympanoplasty with anterior tucking for comparison in terms of pre-and post-operative anatomical correction and physiological improvementsResults Follow up at 6 weeks and 12 weeks post operatively gives statistically comparable graft take up, hearing result and residual perforations.Discussion Among various techniques of dealing with these types of perforations, statistical comparability of the two groups brings in an acceptability to this simple but satisfying procedure of the underlay tympanoplasty with anterior tunnelling.Conclusion Underlay tympanoplasty technique (type-I) for subtotal, large or anteriorly placed perforations with thin anterior rim, can be managed by combining with anterior tunnelling which provides at least comparable results (if not more security against graft medialization) in respect of anatomical closure of perforations and hearing outcomes.
Authors and Affiliations
Sohag Kundu, Bhaskar Ghosh, Bijan Adhikary, Mainak Dutta
Keywords
Related Articles
- EP ID EP433971
- DOI -
- Views 42
- Downloads 0
Late Oesteoradionecrosis of Mandible Five Years after Radiotherapy for Carcinoma Base of Tongue
Introduction Osteoradionecrosis (ORN) is a process where irradiated bone undergoes necrosis and becomes exposed through soft-tissue. It is a late effect of radiotherapy. Early presentation within 2 years, is thought to b...
Clinicopathological Study of Thyroid Swellings with Some Emphasis on Geographical and Community Distribution: A Hospital Based Analysis
Introduction: Thyroid swellings/goiter are still prevalent in north east part of India. Apart from its sub-Himalayan location the areas along the river Brahmaputra suffer from flooding every year and there is also fr...
A Novel Technique of Branchial Fistula Tract Delineation and Excision In Children Allergic To Dyes
IntroductionBranchial arch fistula which results from a second arch anomaly is rarely seen in practice. The patients usually seek medical advice for persistent discharge from an opening in the neck or mucopurulent discha...
The Voice and Voice Culture
Voice may be regarded as the first instrument of man because mankind was endowed with voice even before the invention of instruments. It is a universal instrument of music. It is the only musical instrument common to all...
Unusual Presentation of Granulomatosis With Polyangitis (Wegener's Granulomatosis)
Objective: To present a case of unusual presentations of granulomatosis with polyangitis (Wegener’s granulomatosis) with parotid swelling and intractable otitis externa.Material and method: A 22-year-old male patient pre...