Study on outcome of tympanopanoplasty: a two year institutional study
Keywords:Chronic otitis media, Tympanoplasty, Air bone gap
Background: Tympanoplasty is one of the common surgical procedure performed in CSOM (TTD), this study was undertaken to determine the outcome of tympanoplasty at a tertiary care teaching hospital.
Methods: This analytical observational study was conducted in the department of E.N.T, School of Medical Sciences and Research, from January 2017 to December 2018. Informed consent was taken to participate in the study pure tone audiometry (PTA) was performed before surgery and post-operatively six months. Air-bone gap (ABG) was calculated in pre- and postoperative PTA. The data were analyzed using SPSS (version 20). The p value ≤0.05 was considered statistically significant.
Results: Over a peroid of 2 years 168 patients underwent type 1 tympanoplasty 86 were male 21 (51.19%), female 82 (48.80%), age (range 15–53 years). Mean pre-operative air-conduction of 43.12 dB was significantly reduced to 16.12 dB with p value of <0.05. Similarly the pre-operative mean air bone gap on PTA of 35.63±6.35 dB was also reduced to statistically significant level of 7.41±3.51 dB on post-operative PTA with p value of <0.05. Graft was taken up well in 152 cases (90.2%).
Conclusions: According to our study surgical outcome of tympanoplasty is fairly good and should be done if patient gives consent.
ElBatawi AM, ElTaher MA, Sabaa MAE. Tympanic membrane grafting, underlay periosteal versus inlay cartilage grafts:a comparative study. J Otolaryngol ENT Res. 2018;10(5):274-7.
Subramania Biju C, Jude Anselm Shyras D. A comparative study of hearing outcomes in type I tympanoplasty with temporalis fascia and tragal cartilage-perichondrium composite graft. Med Pulse Int J ENT. 2017;1(3):62-3.
Vaishali S, Rakesh K, Kalpana Rk, Rao SP. A Comparative study of use of temporalis fascia graft vs tragal perichondrium graft in tympanoplasty. Paripex – Indian J Res. 2017;6:438-40.
Fattah MA, Tantawy A, Ibrahim AW, El-Nemr M. Comparative study between fat and perichondrium graft myringoplasty. ZUMJ. 2014;20(3):470-9.
Gupta S, Lade H, Verma D, Malik NUD. Cartilage Palisade Type 1 Tympanoplasty:Anatomical and Audiological Outcomes. Int J Otorhinolaryngol Clin. 2015;7(3):117-20.
Khan MM, Parab SR. Reinforcement of Sliced Tragal Cartilage Perichondrium Composite Graft with Temporalis Fascia in Type I Tympanoplasty:Our Techniques and Results. J Rhinolaryngo-Otologies. 2013;1(1):1-6.
Kumar R, Suman RK, Garje YA, Rao SP. Comparative Study of Underlay Tympanoplasty with Temporalis Fascia and Tragal Perichondrium. IOSR J Dent Med Sc. 2014;13(5):89-98.
Aydın R, Ceylan ME, Dalgic A, Düzenli U, Celik C, Olgun L. Outcomes of perichondrium and composite cartilage-perichondrium island grafts in type 1 tympanoplasty: A Randomized Controlled Trial. Tr-ENT. 2018;28(1):15-20.
Sahan M, Derin S, Deveer M, Saglam O, Cullu N, Sahan L. Factors Affecting Success and Results of Cartilage- Perichondrium Island Graft in Revision Tympanoplasty. Int Adv Otol. 2014;10(1):64-7.
Santhanakrishnan K, Bhat PS. A comparative study of the outcomes of temporalis fascia graft versus tragal perichondrium graft in type 1 tympanoplasty in our experience. Int J Otorhinolaryngol Head Neck Surg. 2018;4:60-2.
Dhanapala N, Hussain SM, Reddy LS, Bandadka R. Comparative study of clinical and audiological outcome between anterior tucking and circumferential flap methods of type I tympanoplasty in large central perforation. Indian J Otol. 2018;24:190-3.
Hasaballah MS, Abdel Hamid OAM, Hamdy TAH. Audiological and otological outcome in Bi-island chondroperichondrial graft type I tympanoplasty. Egyptian J Ear Nose Throat Allied Sci. 2014;15:183-8.
Pareek YK, Rawat DS, Aseri Y, Tailor MK, Verma PC, Singh BK. A prospective study of outcome of boomerang-shaped chondroperichondrial graft in Type-I tympanoplasty. Indian J Otol. 2018;24:179-83.
Shrikrishna BH, Jyothi AC. Composite chondro-perichondrial clip myringoplasty: our experience. Int J Otorhinolaryngol Head Neck Surg. 2016;2(4):249-53.
Patil K, Baisakhiya N, Deshmukh PT. Evaluation of different graft material in type 1 tympanoplasty. Indian J Otol. 2014;20:106-14.
Hodzic-Redzic S, Kovac-Bilic L, Branica S. Comparison of tragal perichondrium and temporal fascia grafts in tympanoplasties. Indian J Otol. 2018;24:168-71.
Ocak E, Beton S, Tas V, Meco C. Cartilage reinforcement graft versus fascia graft in tympanoplasty.Turk J Med Sci. 2017;47:1124-7.
Khan MM, Parab SR. Sliced Island Tragal Cartilage Perichondrial Composite Graft in Type I Tympanoplasty:Early Results and Experience. J Rhinolaryngo-Otol. 2014;2(1):4-9.