Type 1 Tympanoplasty- Impact of Perforation Size and Site on Closure and Audiological Improvement
Journal Title: International Journal of Medical Science and Diagnosis Research (IJMSDR) - Year 2018, Vol 2, Issue 4
Abstract
Introduction: Tympanoplasty is the procedure of choice for the management of Chronic Suppurative Otitis Media of Tubotympanic type. Methods: Type 1 Tympanoplasty was done in 100 cases of chronic suppurative otitis media (safe type) by underlay technique using temporalis fascia graft via postaural or permeatal approach. All the patients fulfilled the accepted criteria for tympanoplasty. Results and interpretation: The successful closure of tympanic membrane perforation was higher in medium (94.33%) & small perforations (89.28%) than the larger perforations (78.94%). However the success percent was not statistically significant. The successful closure of tympanic membrane perforation was 100% in case of posterior placed perforations and was also relatively high in central perforations (90.27%) than the anterior perforations (75%). However this difference in tympanic membrane closure success based on site of perforation was also statistically insignificant. The success rate with post auricular approach (91.46%) was not statistically different from the success rate with the permeatal approach (83.33%). The success rate in smokers (66.66%) was significantly lower than in non-smokers (96.20%). Postoperative patients showed significant improvement in hearing following successful closure of tympanic membrane perforation. Larger perforations have more audiological gain than medium and small sized perforations also showed more audiological gain for central and posterior perforations than anterior perforations. No otitis media or iatrogenic sensorineural hearing loss in a follow-up of three months. Conclusion: Follow-up of the cases was done at 6 weeks and 12 weeks after operation. The overall success rate for graft take up was 90% at the end of 3 months of follow-up. Keywords: Chronic Suppurative Otitis Media, sensorineural hearing loss, Tympanoplasty, tympanic membrane perforation, temporalis fascia graft.
Authors and Affiliations
Dr. Ankit Singla
Keywords
Related Articles
- EP ID EP543902
- DOI -
- Views 61
- Downloads 0
STUDY OF EPIDEMIOLOGY OF PERFORATIVE PERITONITIS IN A TERTIARY CARE HOSPITAL AND THE ROLE OF POSSUM SCORING IN PREDICTING OUTCOMES.
An observational study was conducted in a tertiary care hospital to assess the efficacy of the Physiological and Operative Severity Score for the enumeration of Mortality and Morbidity (POSSUM) scoring system to predict...
DIAGNOSTIC IMAGING OF DENTIGEROUS CYSTS
Background- Dentigerous cysts are the second most common odontogenic cysts after radicular cysts. Methods- DC cases of 30 patients who applied to our hospital .who had histopathological diagnosis were examined retrospect...
ROLE OF MDCT IN CHARACTERIZATION OF RETROPERITONEAL MASS LESIONS
Background- The great majority of retroperitoneal masses are found incidentally as a result of the use of computed tomography (CT), ultrasonography, and MRI . Therefore, the proper characterization of the masses is essen...
CLINICAL AND HISTOLOGICAL CHARACTERIZATION OF PEMPHIGUS IN PATIENTS WITH DIRECT IMMUNOFLUORESCENCE.
INTRODUCTION: Pemphigus is a group of life-threatening mucocutaneous autoimmune bullous disease with blister formation. Although the disease is rare but it is associated with high morbidity and mortality, if proper treat...
EVALUATING THE RELATIONSHIP BETWEEN MAXILLARY MOLAR ROOTS AND MAXILLARY SINUS FLOOR – A RETROSPECTIVE STUDY USING CONE-BEAM COMPUTERIZED TOMOGRAPHY
Objectives: The aim of the present study was to assess the relationship between the maxillary sinus floor and the maxillary molar root tips using CBCT. The relation of maxillary posterior teeth roots to the maxillary sin...