Evaluating Success of Surgery in Mucosal and Squamosal Chronic Otitis Media: A Retrospective Study

Main Article Content

Nilank Saroha
Nitin Tomar

Abstract

This study attempted to document success of surgery postoperatively, be it type I tympanoplasty or type III tympanoplasty with or without modified radical mastoidectomy.


Materials and Methods


This retrospective study involved 90 patients of Chronic Otitis Media who underwent surgery in the Department of Otorhinolaryngology in a tertiary care centre in the state of Uttar Pradesh.  


Results                               


At 3 week postoperatively, 83 patients (92.22%) had successful uptake of graft. Overall successful graft uptake was reduced to 87.78% (79 patients) after 3 months. Postoperatively, after 3 months, 90% of the patients (n=81) reported improvement in hearing. Preoperatively, 89.71 % patients of mucosal disease and 63.64% of squamosal disease had 21-40 dB hearing loss. Postoperatively, 88.24% patients with mucosal disease and 63.64% of squamosal disease had no conductive hearing loss. There was statistically significant gain in air conduction postoperatively. Average improvement in AB gap was also notably significant postoperatively in both subgroups.


Conclusion


Both type I and type III tympanoplasty give excellent response in term of graft uptake and postoperative hearing.


Abbreviations: COM-Chronic Otitis Media, AC-Air Conduction, AB-Air Bone, TP-Tympanoplasty, MRM-Modified Radical Mastoidectomy

Article Details

How to Cite
1.
Saroha N, Tomar N. Evaluating Success of Surgery in Mucosal and Squamosal Chronic Otitis Media: A Retrospective Study. BJOHNS [Internet]. 2020Jul.27 [cited 2024May19];26(2):99-104. Available from: https://bjohns.in/journal3/index.php/bjohns/article/view/167
Section
Main article
Author Biographies

Nilank Saroha, Muzaffarnagar Medical College

Assistant Professor, Department of ENT & HNS, Muzaffarnagar Medical College.

Nitin Tomar, Muzaffarnagar Medical College.

Assistant Professor, Department of ENT & HNS, Muzaffarnagar Medical College.

References

Gupta A. A study of prevalence of complication of suppurative otitis media in rural area of Loni. Indian Journal of Otolaryngology 1996; 2: 177-83

Akinpelu OV, Amusa YB, Komolafe EO, Adeolu AA, Oladele AO, Ameye SA. Challenges in management of chronic suppurative otitis media in a developing country. J Laryngol Otol. 2008;122:16-20

Bhusal CL, Guragain RP, Shrivastav RP. Frequency dependence of hearing loss with perforations. J Nepal Med Assoc. 2007;46(168):180-4

Lima JCBD, Marone SAM, Martucci O, Gonçalez F, Silva Neto JJD, Ramos ACM. Evaluation of the organic and functional results of tympanoplasties through a retro-auricular approach at a medical residency unit. Brazilian Journal of Otorhinolaryngology 2011; 77(2):229-36

Felek SA, Ahmet Islam HC, Elhan AH, Demirci M, Samim E. Type 2 ossiculoplasty: prognostic determination of hearing results by middle ear risk index. Am J Otolaryngol. 2010;31(5):325-31.

- Naderpour M, Yalda Jabbari Moghadam, Ensieh Ghanbarpour, and Nikzad Shahidi. Evaluation of Factors Affecting the Surgical Outcome in Tympanoplasty.Iran J Otorhinolaryngol. 2016; 28(85): 99-104

Shetty S. Pre-operative and post-operative assessment of hearing following tympanoplasty. Indian J Otolaryngol Head Neck Surg. 2012; 64(4):377-8

Batni G, Goyal R. Hearing outcome after type I tympanoplasty: a retrospective study.Indian J Otolaryngol Head Neck Surg. 2015 Mar;67(1):39-42

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

Bhatia K, Vaid L, Taneja HC. Effect of type 1 tympanoplasty on the quality of life of CSOM patients. Indian J Otolaryngol Head Neck Surg. 2016; 68(4):468-74

Onal K, Uguz MZ, Kazikdas KC, Gursoy ST, Gokce H. A multivariate analysis of otological, surgical and patient‐related factors in determining success in myringoplasty. Clinical Otolaryngology. 2005;30(2):115-20

Callioglu EE, Bercin AS, Kale H, Muderris T, Demirci S, Tuzuner A, Korkmaz MH. Is Allergic Rhinitis a Factor That Affects Success of Tympanoplasty? Acta Medica (Hradec Kralove). 2016; 59(1):10-3

Kamath MP, Sreedharan S, Rao AR, Raj V, Raju K. Success of myringoplasty: Our experience. Indian Journal of Otolaryngology and Head & Neck Surgery. 2013; 65(4):358-62

Sismanis A. Tympanoplasty. In: Glasscock ME, Gulya AJ, editors. Glasscock-Shambaugh Surgery of the Ear. 5. Ontario: Decker BC Inc.; 2003. p. 473

Shrestha S, Sinha BK. Hearing results after myringoplasty. Kathmandu Univ Med J (KUMJ). 2006; 4(4):455-9

Malhotra M. 'Umbrella' graft tympanoplasty. J Laryngol Otol. 2010 Apr;124(4):377-81

Asma A, Shaharudin MH, Muhd Almyzan A, Lokman S. Outcome of canal wall down mastoidectomy: experience in sixty three cases. Med J Malaysia 2013; 68(3):217-21

Kolo ES, Ramalingam R. Hearing results post tympanoplasty: Our experience with adults at the KKR ENT Hospital, India. Indian J Otolaryngol Head Neck Surg. 2014; 66(4):365-8

Dawood M.R. Hearing evaluation after successful myringoplasty. Journal of Otology 2017; 12(4):192-7

Goyal R, Mourya A, Qureshi S, Sharma S. Modified radical mastoidectomy with type III tympanoplasty: Revisited. Indian J Otolaryngol Head Neck Surg. 2016; 68(1):52-5

Jalisatgi R, Garag SS, Arunkumar JS. The role of autologous conchal cartilage in ossiculoplasty during canal wall down mastoidectomy. Int J Otorhinolaryngol Head Neck Surg 2018; 4:123-6

Kumar A, Sangavi B. Assessment of hearing improvement by myringoplasty. Journal of Scientific and Innovative Research 2015; 4(2): 67-70

Gupta S, Kalsotra P. Hearing gain in different types of tympanoplasties. Indian J Otol. 2013; 19:186-93.