DOI: http://dx.doi.org/10.18203/issn.2454-5929.ijohns20173041

A comprehensive study on cartilage tympanoplasty in adhesive otitis media

V. Saravana Selvan, C. Karuppasamy

Abstract


Background: The surgical management of adhesive otitis media is debatable. Adhesive otitis media progressing to cholesteatoma cannot be predicted, and hearing remains normal until later in the disease course. Hence surgery is done only when there is hearing loss or frank cholesteatoma develops, where an extensive surgery may be needed. Earlier intervention is often avoided due to near normal hearing levels at this stage in some cases. Aim of the study was to hearing results and intactness of neotympanum who have undergone cartilage tympanoplasty with or without ossicular reconstruction are reported for patients with adhesive otitis media

Methods: This is an open labelled randomised study conducted in Madras Medical College after getting approval from the Institutional Ethical Committee. The study was conducted during the period of November 2011 to April 2013. A total of thirty patients (thirty one ears) aged thirteen-forty eight years underwent cartilage tympanoplasty with or without ossicular reconstruction. Tympanotomy was followed by cartilage reconstruction of the tympanic membrane, with ossicular reconstruction if there is any ossicular discontinuity

Results: The outcome measures were post-operative pure tone average, air-bone gap for three frequencies (five hundred, thousand, two thousand hertz) compared to pre-operative levels. There was a statistically significant improvement in hearing. Neotympanum was found to be stable significantly during follow up.

Conclusions: Therefore cartilage tympanoplasty with or without ossiculoplasty is effective for adhesive otitis media.


Keywords


Cartilage, Tympanoplasty, Adhesive otitis media

Full Text:

PDF

References


Elden, Lisa M, Kenneth M. Grundfast, Gilbert Vezina. Accuracy and usefulness of radiographic assessment of cervical neck infections in children. J Otolaryngol Head Neck Surg. 2001;30(2):82.

Prevalence and Progression of Sequelae following Secretory Otitis

Tos M, Hvid G, Stangerup SE, Andreassen UK. Prevalence and progression of sequelae following secretory otitis. Annals Otol Rhinol Laryngol. 1990;99(7):36-38.

Dornhoffer, John L. Hearing results with cartilage tympanoplasty. Laryngoscope. 1997;107(8):1094-9.

Sheehy, James L, Michael E. Glasscock. Tympanic membrane grafting with temporalis fascia. Arch Otolaryngol. 1967;86(4):391-402.

Paparella MM, Jung TT. Experience with tympanoplasty for atelectatic ears. Laryngoscope. 1981;91(9):1472-7.

Peer LA. The fate of living and dead cartilage transplanted in humans. Surg Gynecol Obstet. 1939;68:603-10.

Milewski C. Composite graft tympanoplasty in the treatment of ears with advanced middle ear pathol. Laryngoscope. 1993;103(12):1352-6.

Glasscock ME 3rd, Jackson CG, Nissen AJ, Schwaber MK. Postauricular undersurface tympanic membrane grafting:A follow‐up report. The Laryngoscope. 1982;92(7):718-27.