Tympanoplasty for Wet and Dry Perforation: A Prospective Comparative Study
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Abstract
Introduction
Two types of surgical procedures are performed for the treatment of Chronic otitis media (COM) mucosal disease, namely myringoplasty and tympanoplasty. In the present study, an objective, comparative evaluation between the outcomes of tympanoplasty, performed in the ‘wet ear’ and the ‘dry (non- discharging) ear’ has been undertaken.
Materials and Methods
A prospective study was conducted in a peripheral referral institute over a period of 37 months wherein a total of 105 patients with tympanic membrane perforation were selected, amongst which 56 patients had moist ear and 49 patients had dry ear. All of the patients underwent tympanoplasty by underlay technique. Final results were analyzed 12 months post operatively.
Results
In the wet ear group amongst 56 patients, 51 patients had successful graft uptake (91.07%). In dry ear group, among 49 patients, successful graft uptake was seen in 44 cases (89.79%). In the wet ear group 50 out of 56 patients had hearing improvement (89.28%). In dry ear group 44 out of 49 patients had hearing improvement (89.79%). Statistically significant results were obtained postoperatively in each group; however, inter group analyses showed no statistical significance.
Conclusion
Success rate of tympanoplasty does not depend upon the wet or dry state of middle ear at the time of surgery.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
References
Parmar SM, Sood A, Chakkal HS. Prevalence of chronic suppurative otitis media in school going children. Indian J Otol. 2018; 24:223-6
Saha AK. Otology & Middle Ear Surgery. 1st ed: Jaypee, New Delhi;2016
Yaor MA, El-Kholey A, Jafari B. Surgical management of chronic suppurative otitis media; A 3 year experience. Annals of African Medicine 2006; 5(1):24-7
Worrall G. Common cold. Can Fam Physician. 2011; 57(11):1289-90
OECD. Health at a Glance 2015: OECD Indicators, OECD Publishing,Paris; 2015
Iacobucci G. NHS waiting times: number of patients waiting 18 weeks for treatment rises sharply. BMJ 2018; 361:k2114
Al- Juboori AN. Evaluation of spontaneous Healing of Traumatic Tympanic membrane. Gen Med. (Los Angel) 2014; 2:129
Glasscok ME, Gulya AJ. Eds Glasscock-Shambaugh: Surgery of the Ear: Tympanoplasty, 5th ed. Hamilton : BC Decker Inc, 2003
Patil K, Baisakhiya N, Deshmukh P T. Evaluation of different graft material in type1 tympanoplasty. Indian J Otol. 2014; 20:106-14
Lin YC, Wang WH, Weng HH, Lin YC. Predictors of surgical and hearing long-term results for inlay cartilage tympanoplasty. Arch Otolaryngol Head Neck Surg. 2011 Mar;137(3):215-9
Mishra P, Sonkhya N, Mathur N. Prospective study of 100 cases of underlay Tympanoplasty with superiorly based circumferential flap for subtotal perforation. Indian J Otolaryngol Head Neck Surg. 2007 Sept; 59(3) ; 225 -8
Nagle SK, Jagade MV, Gandhi SR, Pawar PV. Comparative study of outcome of type I Tympanoplasty in dry and wet ear. Indian J Otolaryngol Head Neck Surg. 2009; 61(2):138-40
Chandrasekhar Y, Chandrasekhar R. Comparison of efficacy of myringoplasty in dry and wet ears in chronic suppurative otitis media of tubotympanic type. International Journal of Otolaryngol Head Neck Surg. 2017 ; 3(3);705-9
Gamra OB, Nacef I, Ramdhane N, et. al. Tympanoplasty outcome in dry and wet ears. Otolaryngol Open J. 2016; 2(2) ; 51-7
Sivasankari L. A study of surgical outcomes of Tympanoplasties with or without cortical mastoidectomy. Ann Int Med. Dec. 2016; 2(5):EN-01-EN05
Pothala H, Shukla SC, Khan W, Ramalingam R, Ramalingam KK. A prospective comparative study between dry and wet tympanoplasty. AONO. 2018; 01(02):083-8
Hosny S, El-Anwar MW, Abd-Elhady M, Khazbak A, Feky AE. Outcomes of myringoplasty in wet and dry ears. Int Adv Otol. 2014; 10(3):256-9
Sheehy JL, Anderson RG. Myringoplasty. A review of 472 cases. Ann Otol Rhinol Laryngol. 1980; 89 (4pt 1):331-4
Anderson SA, Aabenhus K, Glad H, Sorensen MS. Graft take-rates after tympanoplasty: results from a prospective ear surgery database. Otology & Neurotology 2014; 35(10) ; e292-7
Shrestha S, Sinha BK. Hearing results after myringoplasty. Kathmandu University Medical Journal. 2006 ; 4(16), 455-9
Kumar G, Sharma R, Shakeel M, Jassal SS. Interlay myringoplasty: hearing gain and outcome in large central tympanic membrane perforation. Orissa J Otolaryngol & Head and Neck Surgery 2016; 10(2):42-8
Thakur SK, Singh SK, Afaque A, Ghimire N. Outcome of Type I Tympanoplasty: An experience at Biratnagar Eye Hospital in Eastern Nepal. Asian Journal of Medical Sciences 2016; 7(2): 55-60.