Published: 2019-12-23

Impact of cortical mastoidectomy on tympanoplasty for recurrent suppurative otitis media: a prospective study

Shalini Singh Sisodia, Vinnakota Sriprakash


Background: Chronic suppurative otitis media condition is characterized by an ear discharge and a perforation in the tympanic membrane. Tympanoplasty and tympanoplasty with mastoidectomy are the two common surgeries performed to manage this condition.

Methods: 50 patients were divided into two groups of 25 each. On Group I, tympanoplasty alone was done and on Group II tympanoplasty along with mastoidectomy was performed and outcome was noted.  

Results: The most common age group to be affected was 21-30 years. Discharge of 1-3 years was observed in 32% in Group I and 36% in Group II. 84% in Group I and 72% in Group II had mild hearing loss, and in both the groups, moderate perforations were more common. 84% of the patients in Group I and 88% in group II showed acceptance to the surgeries and the hearing gain in both the groups was around 10.

Conclusions: This study shows that tympanoplasty with mastoidectomy has no added advantage over tympanoplasty alone in the patients with chronic suppurative otitis media.


Tympanoplasty, Cortical mastoidectomy, Chronic suppurative otitis media

Full Text:



Kadah SS, Mokhemar SM, Ibrahim HA, Ibrahim HE. Impact of mastoidectomy on tympanoplasty for recurrent suppurative otitis media. Egypt J Otolaryngol. 2019;35:168-72.

Agrawal A, Bhargava P. Comparative Evaluation of Tympanoplasty with or Without Mastoidectomy in Treatment of Chronic Suppurative Otitis Media Tubotympanic Type. Indian J Otolaryngol Head Neck Surg. 2017;69(2):172–5.

Alleva M, Paparella MM, Morris MS, da Costa SS. The flexible / intact bridge tympanomastoidectomy technique. Otolaryngol Clin North Am. 1989:22;41-9.

Paperella MM, Schachern PA, Yoon TH. Otopathologic correlates of the continuum of otitis media. Ann Otol Rhinol Laryngol. 1990:99;17-22.

World Health Organization. Child and Adolescent Health and Development. Prevention of Blindness and Deafness [Press Release]. Geneva, Switzerland: World Health Organization; 2004.

Athanasiadis-Sismanis A. Tympanoplasty: Tympanic Membrane Repair. Glasscock Shambaugh Surgery of the Ear. 6th edition. China: PMPH-USA; 2010: 465-85.

Mishiro Y, Sakagami M, Takahashi Y, Kitahara T, Kajikawa H, Kubo T. Tympanoplasty with and without mastoidectomy for non-cholesteatomatous chronic otitis media. Eur Arch Otorhinolaryngol. 2001;258:13–5.

Martin MS, Raz Y. Mastoid surgery. In: Myers EN (ed). Operative otolaryngology head and neck surgery, Chapter 115, 2nd edition. Elsevier: Amsterdam; 2008: 1163–1177.

Holmquist J, Bergström B. The mastoid air cell system in ear surgery. Arch Otolaryngol. 1978;104(3):127-9.

Jackler RK, Schindler RA. Role of the mastoid in tympanic membrane reconstruction. Laryngoscope. 1984;94(4):495-500.

Flisberg K, Ingelstedt S, Ortegren U. The relationship of middle ear disease to mastoid hypocellularity. A working hypothesis. Acta Otolaryngol Suppl. 1963;182:69-72.

Balyan FR, Celikkanat S, Aslan A, Taibah A, Russo A, Sanna M. Mastoidectomyin non cholesteatomatous chronic suppurative otitis media: is it necessary? Otolaryngol Head Neck Surg. 1997;117:592–5.

Lasisi AO, Afolabi OA. Mastoid surgery for chronic ear: a ten year review. Internet J Head Neck Surg. 2008;2(2):13.

Methwani DA, Deshmukh PT. Comparative study of type I tympanoplasty with or without mastoidectomy in tubotympanic type of chronic suppurative otitis media patients. J Datta Meghe Inst Med Sci Univ. 2017;12:85-8.

Biswas SS, Al-Amin Z. Hearing evaluation after myringoplasty. Bangladesh J Otorhinolaryngology. 2010;16(1):23-8.

Varshney S, Nangia A, Bist SS, Singh RK, Gupta N, Bhagat S. Ossicular chain status in chronic suppurative otitis media in adults. Indian J Otolaryngol Head Neck Surg. 2010;62(4):421-6.

Eliades SJ, Limb CJ. The role of mastoidectomy in outcomes following tympanic membrane repair: a review. Laryngoscope. 2013;123:1787–802.

Krishnan A, Reddy EK, Nalinesha KM, Jagannath PM. Tympanoplasty with or without cortical mastoidectomy-a comparative study. Indian J Otolaryngol Head Neck Surg. 2002;54(3):195–8.

McGrew BM, Jackson CG, Glasscock ME. Impact of mastoidectomy on simple tympanic membrane perforation. Laryngoscope. 2004;114(3):506–11.