A study of hearing improvement gained after tympanoplasty using various methods in cases of CSOM

Authors

  • Faiz Muqtadir Department of ENT, ESIC Medical College, Gulbaraga, Karnataka, India
  • Rahul S. Department of ENT, ESIC Medical College, Gulbaraga, Karnataka, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20174682

Keywords:

Tympanoplasty, CSOM, Mastoidectomy

Abstract

Background: Chronic otitis  media  (COM),  is  a  common  ailment  with  which patients  present  to  the  ENT  OPD.  In patients with COM, the active infection needs to be controlled following which the definitive line of management is surgery. Tympanoplasty  is  the  surgery  performed  with  the  goals  of establishing  an  intact  tympanic membrane,  eradicating  middle  ear  disease, creating an  air-containing  middle  ear  space and  restoring  the  hearing  by  building  a  secure connection  between  the  ear  drum  and  the cochlea.

Methods: 50 patients presenting with CSOM in ENT OPD at Medical College.  Preoperative audiometry was done before tympanoplasty, followed by post-operative audiometry after 3 months.  

Results: The mean air-bone gap closure was 12.06 dB; with type I tympanoplasty with cortical mastoidectomy giving a maximum mean improvement of 16db. Minimum mean improvement of 1db was seen in type IV with modified radical mastoidectomy.

Conclusions: Type I tympanoplasty with cortical mastoidectomy is a far superior method of surgical treatment of CSOM than all other methods.

References

Merchant SN, Mckenna MJ, Rosowski JJ. Current status and future challenges of tympanoplasty. Ear Arch Otorhinolaryngol. 1998;225:221-8.

Adkins WY. Composite autograft for Tympanoplasty & tympanomastoid surgery. Laryngoscope. 1990;100:244-7.

Committee on conservation of hearing of the American Academy of Ophthalmology and Otolaryngology. Standard classification for surgery of chronic ear disease. Arch Otolaryngol. 1965;81:204-5.

Austin DF. Ossicular reconstruction. Arch Otolaryngol. 1971;94:525-35.

Carr MM, Poje CP, Nagy ML, Pizzuto MP, Brodski LS. Success rates in paediatric tympanoplasty. J Otolaryngol. 2001;30(4):199-202.

Uyar Y, Keles B, Koc S, Ozturk K, Arbag H. Tympanoplasty in paediatric patients. Int J Pediatr Otorhinolryngol. 2006;70(10):1805-9.

Vartiainen E, Nuutinen J. Success and pitfalls in myringoplasty: follow up study of 404 cases. Am J Otol. 1993;14(3):301-5.

Halik JJ, Smyth GD. Long term results of tympanic membrane repair. Otolaryngol Head Neck Surg. 1988;98(2):162-9.

Fukuchi I, Cerchiari DP, Garcia E, Rezende CEB, Rapoport PB. Tympanoplasty: surgical results and a comparison of the factors that may interfere in their success. Braz J Otorhinolaryngol. 2006;72(2):267-71.

Gersdorff M, Garin P, Decat M, Juantegui M. Myringoplasty: long-term results in adults and children. Am J Otol. 1995;16(4):215-8.

Costa SS, Sousa LCA. Otite média crônica não-colesteatomatosa. In: Campos CAH, Costa HOO. Tratado de Otorrinolaringologia. São Paulo: Roca. 2002: 72-92.

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Published

2017-12-22

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Section

Original Research Articles