Surgical Outcome of Composite Cartilage Perichondrial Autogaft (CCPA) in Tympano Mastoid Surgeries
Journal Title: Journal of Medical Science And clinical Research - Year 2015, Vol 3, Issue 7
Abstract
Background: The Composite Cartilage Perichondrial Autograft (CCPA) tymponoplasty has been used in an effort to reduce recurrence or progression of middle ear disease. To this purpose we evaluated the surgical outcome of Composite Cartilage Perichondrial Autogaft (CCPA) is tympano mastoid surgeries. Methods: This prospective case control study was conducted in the department of otorhinolaryngology, Sri Venkateswara Medical College, Tirupathi, Andhra Pradesh over a period of 2 years from August 2011 – August 2013 in patients whom were diagnosed as having recurrent CSOM with or without discharge with H/o tympanoplasty. CSOM with acute exacerbations, cases with known Eustachian tube dysfunction, cases with symptomatic DNS, Sinusitis and Cases with SND / Mixed hearing loss requiring improvements were excluded from the study. Composite Cartilage Perichondrial Autograft (CCPA) tymponoplasty done for all the cases and followed up at 1, 3, 6 and 12 months intervals. Data entered into excel spread sheet 2007.Statistical analysis was done using excel. Data was presented as Mean and SD, actual numbers and percentages. Results: In this study, the majority of the patients who underwent surgery were in the 3rd and 4th decades of life (85%). In almost all the cases, H/o discharge from ear was since childhood and the duration ranged from minimum period of 6 months to maximum period of 20 years. 70% of cases presented with ear discharge associated with hearing loss. 2 cases of adhesive otitis media presented with only hearing loss. 90% of the cases are of recurrent CSOM and 10% of the cases are of adhesive otitis media. Among 20 cases, 18 of them had central perforation. 3 cases among the 18 had associated retraction pockets postero-superiorly. The 2 cases of adhesive otitis media had grossly retracted TM. In 95% of cases in our study, the graft has taken up. In only 1 case, the graft had not taken up. Conclusion: CCPA tymponoplasty is an effective method to close recurrent central perforations of TM and has a high degree of graft take with satisfactory hearing results, particularly in the atelectatic ear, cartilage allowed us to reconstruct the tympanic membrane with good anatomic results compared to traditional reconstructions.
Authors and Affiliations
Singamsetty Kalyan Kumar
Keywords
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