Endoscopic exploratory tympanotomy findings in conductive hearing loss: a surgical review
Journal Title: International Journal of Medical Research and Review - Year 2017, Vol 5, Issue 3
Abstract
Background: Conductive hearing loss continue to remain undiagnosed in a large number of patients with intact membrane. Endoscope assisted tympanotomy provides an alternative technique for diagnosis and also facilitates treatment. Methods: A prospective analysis over a 5 year period of 72 exploratory tympanotomies for conductive hearing loss was performed in patients with intact tympanic membrane. Per operative findings were treated in the same sitting. Post-operative follow up of the patient was done up to 6 months. Results: The most common operative diagnosis was found to be otosclerosis (66%), followed by traumatic ossicular dislocation, tympanosclerotic patch, middle ear adhesions, foreign bodies etc. Small fenestra Stapedotomy with prosthesis insertion was the preferred surgical procedure performed in this study, resulting in perceptible hearing improvement post operatively. Conclusion: Endoscope assisted tympanotomy and associated middle ear surgeries serves as an effective diagnostic and therapeutic option. This study is of value in assessing the surgical challenges in diagnosis and definitive treatment for conductive hearing loss with an intact tympanic membrane.
Authors and Affiliations
Sanjeev Mohanty, Vinay Raj T, C Sreenivas, Devipriya V
Keywords
Related Articles
- EP ID EP271061
- DOI 10.17511/ijmrr. 2017.i03.08
- Views 117
- Downloads 0
Flow immunophenotyping features of crisis phase of chronic myeloid leukemia in childhood: do we really care?
Objective: Chronic leukemias are rare in childhood & CML is extremely rare in children. Imunophenotypic studies have a limited role in the diagnosis of CML but are increasingly being used in CML blast transformation. Pur...
Pulmonary function, white blood corpuscles & haemoglobin levels in asymptomatic light smokers and non-smokers
Context: Smoking, a risk factor for several diseases has also been reported as the largest preventable cause of morbidity and mortality globally. Tobacco smoking is associated with a decrease in lung function in smokers...
Perception of objective structured clinical examination and traditional practical examination in assessment of nursing students clinical competencies by nursing students in south west Nigeria
Background: Clinical examination is a crucial part of nursing training programmes for assessing nursing student competencies which ultimately lead to the delivery of quality nursing care. Two methods of clinical assessme...
Immunocytochemical staining of cervical smears – A comparative study with routine cytology for confirmation of precancerous and cancerous lesions of cervix
Introduction: Carcinoma cervix is one of the leading causes of morbidity and mortality. The most effective method of screening is based on Pap smear study. However, Pap smear has relatively low sensitivity and irreducibl...
Pathological findings associated with stillborn babies
Introduction: Fetal death rate and Perinatal Mortality rate are important indicators of a country’s Health care system. Stillbirth forms a prime contributing factor in deciding these rates. But the causes of Stillbirth a...