A clinical study of mastoid ventilation tube in tympanoplasty

Background: A ventilated middle ear space is an essential component of a functioning middle ear transformer mechanism. A mastoid ventilation tube (MVT) placed post-aurally in the antrum near the aditus is used in this study for the benefit of improvement in results of tympanoplasty. In support of th...

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Main Authors: Harish Swamy Dharmagadda, Kathyayani Burugula, Sujay Kumar Parasa
Format: Article
Language:English
Published: Manipal College of Medical Sciences, Pokhara 2023-04-01
Series:Asian Journal of Medical Sciences
Subjects:
Online Access:https://www.nepjol.info/index.php/AJMS/article/view/49630
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author Harish Swamy Dharmagadda
Kathyayani Burugula
Sujay Kumar Parasa
author_facet Harish Swamy Dharmagadda
Kathyayani Burugula
Sujay Kumar Parasa
author_sort Harish Swamy Dharmagadda
collection DOAJ
description Background: A ventilated middle ear space is an essential component of a functioning middle ear transformer mechanism. A mastoid ventilation tube (MVT) placed post-aurally in the antrum near the aditus is used in this study for the benefit of improvement in results of tympanoplasty. In support of this concept, very few experimental documents are reported. Aims and Objectives: The aims of this study were to find out if the MVT has any effect on the outcome of tympanoplasty in cases of chronic suppurative otitis media (CSOM) tubo-tympanic disease. Materials and Methods: This study was performed in 50 cases which were selected from the total number of cases using stratified random sampling method. In the research, patients with CSOM, who did not respond to medical therapy and required a combined approach tympanoplasty, were enrolled. Patients who needed just myringoplasty and those found to have cholesteatoma intraoperatively were not included in the research. Results: The study showed significant improvement in graft uptake, air-bone closure, and hearing in cases with MVT, thus resulting in better success rate in cases with MVT than cases without MVT. Furthermore, most of the cases had sclerosed mastoids and very few cases had complications such as MVT block and post-operative discharge. Conclusion: The MVT had a beneficial effect on the final outcome of combined approach tympanoplasty in cases of CSOM tubo-tympanic type active stage.
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spelling doaj.art-57c833af6c3346da930e04e9c3a9a8562023-04-01T23:31:47ZengManipal College of Medical Sciences, PokharaAsian Journal of Medical Sciences2467-91002091-05762023-04-01144121125https://doi.org/10.3126/ajms.v14i4.49630A clinical study of mastoid ventilation tube in tympanoplastyHarish Swamy Dharmagadda 0https://orcid.org/0000-0001-9262-9321Kathyayani Burugula 1Sujay Kumar Parasa 2Assistant Professor, Department of ENT, Government Medical College and Government General Hospital, Nizamabad, Telangana, India Assistant Professor, Department of ENT, Government Medical College and Government General Hospital, Nizamabad, Telangana, IndiaAssistant Professor, Department of Anaesthesiology, Government Medical College and Government General Hospital, Nizamabad, Telangana, IndiaBackground: A ventilated middle ear space is an essential component of a functioning middle ear transformer mechanism. A mastoid ventilation tube (MVT) placed post-aurally in the antrum near the aditus is used in this study for the benefit of improvement in results of tympanoplasty. In support of this concept, very few experimental documents are reported. Aims and Objectives: The aims of this study were to find out if the MVT has any effect on the outcome of tympanoplasty in cases of chronic suppurative otitis media (CSOM) tubo-tympanic disease. Materials and Methods: This study was performed in 50 cases which were selected from the total number of cases using stratified random sampling method. In the research, patients with CSOM, who did not respond to medical therapy and required a combined approach tympanoplasty, were enrolled. Patients who needed just myringoplasty and those found to have cholesteatoma intraoperatively were not included in the research. Results: The study showed significant improvement in graft uptake, air-bone closure, and hearing in cases with MVT, thus resulting in better success rate in cases with MVT than cases without MVT. Furthermore, most of the cases had sclerosed mastoids and very few cases had complications such as MVT block and post-operative discharge. Conclusion: The MVT had a beneficial effect on the final outcome of combined approach tympanoplasty in cases of CSOM tubo-tympanic type active stage.https://www.nepjol.info/index.php/AJMS/article/view/49630mastoid ventilation tube; tympanoplasty; chronic suppurative otitis media
spellingShingle Harish Swamy Dharmagadda
Kathyayani Burugula
Sujay Kumar Parasa
A clinical study of mastoid ventilation tube in tympanoplasty
Asian Journal of Medical Sciences
mastoid ventilation tube; tympanoplasty; chronic suppurative otitis media
title A clinical study of mastoid ventilation tube in tympanoplasty
title_full A clinical study of mastoid ventilation tube in tympanoplasty
title_fullStr A clinical study of mastoid ventilation tube in tympanoplasty
title_full_unstemmed A clinical study of mastoid ventilation tube in tympanoplasty
title_short A clinical study of mastoid ventilation tube in tympanoplasty
title_sort clinical study of mastoid ventilation tube in tympanoplasty
topic mastoid ventilation tube; tympanoplasty; chronic suppurative otitis media
url https://www.nepjol.info/index.php/AJMS/article/view/49630
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