Fat Plug Myringoplasty Vs Trichloroacetic Acid Cauterization as Office Procedures for Managing Small Central Perforation
Journal Title: Bengal Journal of Otolaryngology and Head Neck Surgery - Year 2018, Vol 26, Issue 3
Abstract
IntroductionIn a series of day care office procedures, techniques like fat plug myringoplasty and Trichloroacetic acid (TCA) cauterization are becoming increasingly popular for managing small central perforations now-a-days[Office1] . These are minor, cost effective procedures and have success rates that match success rates of conventional tympanoplasty[Office2] . The aim of this prospective randomized controlled trial, was to compare the effectiveness of fat plug myringoplasty and chemical cauterization in the management of small centrally located perforations of the pars tensa.Materials and MethodsThe study was carried out over a period of 2 years on 62 patients selected from ENT OPD in our tertiary health care setup of central India. All the selected patients were grouped into two using a random allocation software EPi Info7.1.1.14. Group A included those who underwent fat plug myringoplasty while group B were those who underwent TCA cauterization.ResultsAt 6 months follow up there was closure of perforation in 29 out of 30(96.6%) patients of group A and 29 out of 32(91%) patients of group B. In both groups success was defined by closure of perforation. Comparison of results was done using Fisher Exact Test. The difference between the success rates of the two procedures was statistically insignificant with p value of 0.6624, indicating that both the office procedures are equally effective and can be used according to the needs of the patients.ConclusionThese office procedures can revolutionize the protocol of tympanoplasty which has an obvious higher morbidity and more days of absenteeism as compared to these minor procedures.
Authors and Affiliations
Kanchan Dhote, Priti Dhoke, Vivek Harkare, Nitin Deosthale, Sonali Khadakkar
Keywords
Related Articles
- EP ID EP433996
- DOI -
- Views 38
- Downloads 1
Maxillofacial Prosthesis: A Review of Treatment Concepts for Better Prosthesis Prognosis
Maxillofacial prosthesis currently finds itself experiencing more change than at any other time over past 50 years of its recognized existence. Rehabilitation of facial defect, either congenital or acquired, is a difficu...
Retropharyngeal Hematoma Secondary to Minor Blunt Trauma Neck: A Rare Case Report
IntroductionTraumatic retropharyngeal hematoma is rare, but can be lethal, if not identified and managed promptly. It isclinically important because of the close proximity of the retropharyngeal space to the upper airway...
Assessment of the Utilization Pattern and Related Knowledge about Topical Nasal Decongestants among the Users
IntroductionNasal decongestants are one of the drugs commonly prescribed by otorhinolaryngologists in their day to day practice. The excessive or inappropriate use of nasal decongestant due to rapid symptomatic relief le...
Tinnitus Among Medical Students Using Personal Sound System
IntroductionStatistical data on prevalence of tinnitus in India and on the relationship between exposure to recreational sound/music and the presence of tinnitus are scarce. This study was conducted to assess relationshi...
Epidemiological Profile of Foreign Body in Upper Aero-digestive Tract in a Peripheral Tertiary-Care Hospital
IntroductionForeign body in upper aero-digestive tract leads to many complications including life-threatening ones to the patients. Its management depends upon type of foreign body and site of lodgement.Materials and Met...