A Study of Different Otologic Prognostic Factors Determining the Hearing Outcome in Surgical Management of Chronic Otitis Media Squamous Disease
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Abstract
Introduction
The diagnosis of chronic otitis media (COM) implies a permanent abnormality of the pars tensa or flaccida. The definitive treatment of it is surgery. Restoration of hearing is by necessity a secondary consideration.
Materials and Methods
A prospective study was done from December 2017 to August 2019 in Department of ENT in a tertiary health care centre of eastern India. Total 50 patients were included in this study.
Results
Most of the patients (62%) are females and are within 30 years of age. Commonest ossicular defects are defects with incus. 82% patients gained hearing improvement >15 dB.
Conclusion
Our study shows that hearing improvement is greatest for type I tympanoplasty followed by cortical mastoidectomy, ossiculoplasty. Hearing improvement is inversely proportional to the incidence of post operative infection and complications.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
References
Browning GG. Chapter 3. Aetiopathology of inflammatory conditions of the external and middle ear. In: Kerr AG (ed.).Scott-Brown's Otolaryngology. 6th edn. Vol 3. London:Arnold, 1997
Abramson M, Gants BJ, Asarch RG, Litton WB. Cholesteatoma pathogenesis: evidence for the migration theory. In Cholesteatoma. First International Conference.(McCabe, B. F., Sadé, J., Abramson, M., eds.), Aesculapius, Birmingham,1977; pp 176-86
Jose Acuin. Chronic suppurative otitis media Burden of Illness and Management Options. Geneva: World Health Organisation;2004. Child and Adolescent Health and Development Prevention of Blindness and Deafness.
Bijan Basak, Ganesh Chandra Gayen, Munmun Das (Sarkar), Gautam Dhar, Ritam Ray, Atanu Kumar Das. Demographic profile of CSOM in a rural tertiary care hospital. IOSR Journal Of Pharmacy. 2014; 4(6):43-6
Glasscock ME 3rd. Tympanic membrane grafting with fascia: overlay vs. undersurface technique. Laryngoscope. 1973 May;83(5):754-70. doi: 10.1288/00005537-197305000-00011
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
Sarker Z, Ahmed M, Patwary K, Islam R, Joarder AH. Factors affecting surgical outcome of myringoplasty. Bangladesh J Otorhinolaryngol. 2011; 17(2):82-7
Mohammadi G, Naderpour M, Mousaviagdas M. Ossicular Erosion in Patients Requiring Surgery for Cholesteatoma. Iran J Otorhinolaryngol. 2012; 24(68):125-8
Ahmed A. Sharma SC. Middle Ear Risk Index [MERI] as Prognostic Factor in Tympanomastoidectomy with Tympanoplasty. Madridge J Otorhinolar. 2016; 1(1):15-22
Kevin F. Wilson, Nyall R. London, Clough Shelton. Tympanoplasty with intact canal wall mastoidectomy for cholesteatoma: Long-term hearing outcomes. Laryngoscope. 2013; 123(12):3168-71
Manpreet Kaur et al. Comparative Evaluation between Tympanoplasty Alone & Tympanoplasty Combined With Cortical Mastoidectomy in NonCholesteatomatous Chronic Suppurative Otitis Media in Patients with Sclerotic Bone. IOSR Journal of Dental and Medical Sciences. 2014; 13(6):40-45
Ghodrat Mohammadi, Masoud Naderpour, Mehrnoosh Mousaviagdas. Ossicular Erosion in Patients Requiring Surgery for Cholesteatoma. Iran J Otorhinolaryngol. 2012; 24(68): 125–8
Jha S, Mehta K, Prajapati V, Patel D, Kharadi P. A comparative study of Ossiculoplasty using various graft Materials. NJIRM 2011; 2(4): 53-56
Gary Jackson C, Glasscock ME, Schwaber MK, Nissen AJ, Christiansen SG, Smith PG. Ossicular chain reconstruction: the TORP and PORP in chronic ear disease. Laryngoscope 1983; 93(8): 981-8.