Benefit of Tympanoplasty with or without Cortical Mastoidectomy in Active Mucosal Otitis Media – A Comparative Study
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Abstract
Introduction:
Chronic otitis media (COM) is amongst the most common diseases treated by ENT surgeons in India. It has been advocated in lot of research articles that there is no significant difference in tympanoplasty done in active and inactive COM. The objective was to see if cortical mastoidectomy in cases of active mucosal COM, improves the success rate of tympanoplasty measured as per the following parameters: improvement in the hearing threshold by 15 dB, increased graft uptake and reduction in retraction of tympanic membrane in post operative period.
Materials and Methods:
This study comprises of 120 patients coming to the ENT OPD from October 2016 to October 2017 with active mucosal COM with central perforation requiring tympanoplasty. These patients were randomly assigned to two groups: Group 1 of 60 subjects in which tympanoplasty without mastoidectomy was done, Group 2 of 60 subjects in which tympanoplasty with mastoidectomy was done. Patients were evaluated after a post operative period of 3 months.
Results:
The Results were the hearing improvement was 73.33% in group 1 while 83.33% in group 2, graft uptake was 63.33% in group 1 and 80% in group 2, graft retraction was 33.33% and 23.33% in group 1 and group 2 respectively.
Conclusion:
There was statistically significant difference in results in group with and without mastoidectomy in active mucosal chronic otitis media with respect to graft uptake and improved hearing.
Article Details
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References
Vijayendra H, Rangam Chetty K, Sangeeta R. Comparative study of Tympanoplasty in wet perforation versus totally dry perforation in tubotympanic disease. Indian Journal of Otolaryngology and Head and Neck Surgery 2006; 58(2):165-7
Nagle SK, Jagade MV, Gandhi SR, Pawar PV. Comparative study of outcome of type I Tympanoplasty in dry and wet ear. Indian Journal of Otolaryngology and Head and Neck Surgery 2009; 61(2):138-40
Hosney S, El Anwar M, Abledelhady. Outcome of myringoplasty in wet and dry Ear. Int Adv Otol. 2014;10(3):256-9
Bento RF, Fonseca ACO. A brief history of mastoidectomy. Int Arch Otorhinolaryngol. 2013; 17(2):168-78
Rizer FM. Overlay versus underlay tympanoplasty. Part 1: Historical review of literature. Laryngoscope 1997;107:1-23
Adkins WY, Benjamin W, Charleston SC. Type 1 tympanoplasty influencing factor. Laryngoscope1984; 94:916-8
Emmett JR. Age as a factor in the success of tympanoplasty: A comparison of the outcomes in the young and old. ENT- Ear Nose and Throat Journal .1999;78:480-3
Balyan FR, Serdar, Celikkanat, Aslan A, Taibah A, Russo A, Sanna M. Mastoidectomy in non cholesteatomatous chronic suppurative otitis media: is it necessary ? Otolaryngology – Head and Neck Surg. 1997; 177(6):592-5
Mishiro Y, Sakagami M, Takahashi Y, Kitahara T, Kajikawa H, Kubo T. Tympanoplasty with and without mastoidectomy for non cholesteatomatous chronic otitis media. European Archives of Oto-rhino-laryngology 2001; 258(1):13-5
Krishnan A, Reddy EK, Chandrakiran C, Nalinesha KM, Jagganath PM. Tympanoplasty with and without cortical mastoidectomy : a comparative study. Indian journal of otolaryngology and head and neck surgery 2002; 54(3):195-8
Bhatt KV, Naseruddin K, Nagalotimath US, Kumar PR, Hedge JS. Cortical mastoidectomy in quiescent, tubotympanic, chronic otitis media: is it routinely necessary? J Laryngol Otol. 2009; 123(4):383-90
Webb BD, Chang CY. Efficacy of Tympanoplasty without mastoidectomy for chronic suppurative otitis media . Arch Otolaryngology head neck surgery 2008;134(11):1155-8
Chavan S, Deshmukh S, Kirpan V. Tymapanoplasty with and without cortical mastoidectomy for tubotympanic type of chronic suppurative otitis. Gujarat Journal of Otolaryngology 2011; 8(1):8-10
Nayak DR, Balakrishnan R, Hazarika P, Mathew PT. Role of cortical mastoidectomy in the results of myringoplasty for dry tubotympanic disease. Indian Journal of Otology 2003; 9:11-5
McGrew BM, Jackson CG, Glasscock ME. Impact of mastoidectomy in simple tympanic membrane perforation repair .Laryngoscope 2004;114(3):506-11
Albu S, Babighian G, Trabalzini F. Prognostic factors in tympanoplasty. Am J Otol. 1998; 19(2):136-40
Jackler RK, Schindler RA. Role of the mastoid in tympanic membrane reconstruction. Laryngoscope 1984; 94:495-500
Wehrs RE, Tulsa OK. Aeration of the middle ear and mastoid in tympanoplasty. Laryngoscope 1981; 91:1463-7
Pinar E, Sadullahoglu K, Calli C, Oncel S. Evaluation of prognostic factors and middle ear risk index in tympanoplasty. Otolaryngol Head Neck Surg. 2008;139(3):386-90
Albera R, Ferrero V , Lacilla M , Canale A. Tympanic reperforation in myringoplasty: Evaluation of prognostic factors. Ann Otol Rhino laryngol. 2006;115(12):875-9
Saha AK, Munsi DM ,Ghosh SN. Evaluation of improvement of hearing in type 1 tympanoplasty and its influencing factors . Indian J Otol Head Neck Surg. 2006; 58(3):253-7.