Simultaneous Bilateral Type I Tympanoplasty as a Day Care Procedure
Journal Title: Bengal Journal of Otolaryngology and Head Neck Surgery - Year 2017, Vol 25, Issue 2
Abstract
Introduction Bilateral same day type I tympanoplasty scores over unilateral type I tympanoplasty in terms of convenience and conservation of resources but, it is rarely performed because of theoretical risk of postoperative sensorineural deafness.Materials and MethodsA total of 60 patients with central perforation of tympanic membrane of both ears were included in this study. Thirty patients had undergone unilateral type I tympanoplasty and an equal number of patients were treated with bilateral type I tympanoplasty in the same sitting. The results were compared to evaluate the advantages and efficacy of single sitting bilateral type I tympanoplasty with unilateral type I tympanoplasty.ResultPerforation closure was successful in 94.6% and 93.3% ears while hearing improvement in 82.1% and 86.6% in group I (bilateral tympanoplasty) and group II (unilateral tympanoplasty) respectively. Mean hearing gain for successfully operated ears in group I (both left and right) and group II is 18.1 dB and 16.5 dB. None of the patients developed iatrogenic sensorineural hearing loss.DiscussionBilateral perforations of the TM is a common finding and CSOM is found to be the most common cause in more than 90% of patients. The outcome of bilateral single stage tympanoplasty is sparse in the literature. Most of the reports pertain to unilateral operations with average success rates of about 60–100 %.ConclusionSingle sitting bilateral type I tympanoplasty by transcanal routes is safe day care procedure with a high success rate.
Authors and Affiliations
Abhishek Sahu, Dhrubajyoti Datta, Jeumon Talukdar, Narendranath Dutta
Keywords
Related Articles
- EP ID EP433962
- DOI -
- Views 43
- Downloads 0
Isolated Sphenoid Sinus Disease- A Unique Case of Sphenoidal Mucocoele
IntroductionIsolated Sphenoid Sinusitis and sinus lesions is a rare entity accounting for just 1-3% of all Sinus afflictions. Most have occurred in men between the ages of 30 and 40 years.Case ReportA case of right sphen...
Venous Malformation in the Neck
IntroductionVenous malformation is a benign vascular lesion. Approximately 40% of such cases occur in head and neck.Case ReportVenous malformation in a 19 year old man is reported, which presented as a lateral neck swell...
A Comparative Study between ORIF and ORIF with Mandibulomaxillary Fixation in Unfavourable Mandible Fractures
Introduction This study aims to evaluate the efficacy of open reduction and the combination of open reduction with mandibulomaxillary fixation (MMF) in cases of unfavourable mandible fractures. Materials and Methods Thi...
Reliable technique of Endoscopic Dacryocystorhinostomy – A Pilot Study
IntroductionOver last two decades endoscopic dacryocystorhinostomy has gained popularity over external dacryocystorhinostomy for post-canalicular obstruction. But the success rate is not very satisfactory. Our objective...
Evaluation of Diagnostic Criteria for AFRS: A Hospital Based Study
IntroductionBent and Kuhn criteria are the most commonly accepted diagnostic criteria for diagnosis of Allergic Fungal Rhinosinusitis. Other diagnostic criteria for the diagnosis of Allergic Fungal Rhinosinusitis include...