OUTCOME OF TYPE-1 TYMPANOPLASTY: A SURGICAL MANAGEMENT OF CHRONIC SUPPURATIVE OTITIS MEDIA
Background: Chronic suppurative otitis media is one of the most common otological problems in developing countries. It affects all age groups. Type-1 tympanolpasty is simple repair of tympanic membrane. The objectives of this study were to describe the outcome of type-1 tympanoplasty in terms of gra...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Gomal Medical College, D.I.Khan, Pakistan
2016-12-01
|
| Series: | Gomal Journal of Medical Sciences |
| Subjects: | |
| Online Access: | http://gjms.com.pk/ojs24/index.php/gjms/article/view/1348 |
| _version_ | 1829100652775604224 |
|---|---|
| author | Ali Khan kamran iqbal Muhammad ismail khan Muhammad Marwat Muhammad Naseem Khan |
| author_facet | Ali Khan kamran iqbal Muhammad ismail khan Muhammad Marwat Muhammad Naseem Khan |
| author_sort | Ali Khan |
| collection | DOAJ |
| description | Background: Chronic suppurative otitis media is one of the most common otological problems in developing countries. It affects all age groups. Type-1 tympanolpasty is simple repair of tympanic membrane. The objectives of this study were to describe the outcome of type-1 tympanoplasty in terms of graft take rate, hearing improvement and complications.
Material & Methods: This quasi-experimental study was carried out in Department of ENT, Al-Noor Specialist Hospital, Makkah, Saudi Arabia from February 2005 to July 2005. Patients with dry central perforations were included in the study. Pre-operative audiogram and x-ray mastoid were performed for all the cases.
Results: Out of 40 patients, 21(52.5%) were males and 19(47.5%) females. The mean age was 29 (15-45) years. Out of 40 cases, 22(55%) tympanoplasties were performed on right ear and 18(45%) on left ear. Twelve (30%) patients had large size, 24(60%) medium size, one (2.5%) pin hole size and 3(7.5%) had subtotal tympanic membrane perforation. Fourteen (35%) patients had anterio-inferior perforation, 22(55%) had central, and 4(10%) had posterior-inferior perforation of tympanic membrane. The graft was intact in 35(87.5%) patients while it failed in 4(10%) cases. One (2.5%) case had small residual pinhole perforation. Hearing improvement was documented in 26(65%) patients. There were no complications.
Conclusion: Type-1 tympanoplasty has a good outcome in the management of chronic suppurative otitis media, using temporalis fascia as graft material by underlay technique. |
| first_indexed | 2024-12-10T22:35:29Z |
| format | Article |
| id | doaj.art-b16ce60ce6e14a76976a3b52c609fc86 |
| institution | Directory Open Access Journal |
| issn | 1819-7973 1997-2067 |
| language | English |
| last_indexed | 2024-12-10T22:35:29Z |
| publishDate | 2016-12-01 |
| publisher | Gomal Medical College, D.I.Khan, Pakistan |
| record_format | Article |
| series | Gomal Journal of Medical Sciences |
| spelling | doaj.art-b16ce60ce6e14a76976a3b52c609fc862022-12-22T01:30:55ZengGomal Medical College, D.I.Khan, PakistanGomal Journal of Medical Sciences1819-79731997-20672016-12-01141853OUTCOME OF TYPE-1 TYMPANOPLASTY: A SURGICAL MANAGEMENT OF CHRONIC SUPPURATIVE OTITIS MEDIAAli Khan0kamran iqbal1Muhammad ismail khan2Muhammad Marwat3Muhammad Naseem Khan4Gomal Medical College, D.I.khanGomal Medical College, D.I.khanGomal Medical College, D.I.khanDepartment of Ophthalmology, Gomal Medical College, D.I.KhanDepartment of ENT and Head & Neck Surgery, Goamal Medical College, D.I.KhanBackground: Chronic suppurative otitis media is one of the most common otological problems in developing countries. It affects all age groups. Type-1 tympanolpasty is simple repair of tympanic membrane. The objectives of this study were to describe the outcome of type-1 tympanoplasty in terms of graft take rate, hearing improvement and complications. Material & Methods: This quasi-experimental study was carried out in Department of ENT, Al-Noor Specialist Hospital, Makkah, Saudi Arabia from February 2005 to July 2005. Patients with dry central perforations were included in the study. Pre-operative audiogram and x-ray mastoid were performed for all the cases. Results: Out of 40 patients, 21(52.5%) were males and 19(47.5%) females. The mean age was 29 (15-45) years. Out of 40 cases, 22(55%) tympanoplasties were performed on right ear and 18(45%) on left ear. Twelve (30%) patients had large size, 24(60%) medium size, one (2.5%) pin hole size and 3(7.5%) had subtotal tympanic membrane perforation. Fourteen (35%) patients had anterio-inferior perforation, 22(55%) had central, and 4(10%) had posterior-inferior perforation of tympanic membrane. The graft was intact in 35(87.5%) patients while it failed in 4(10%) cases. One (2.5%) case had small residual pinhole perforation. Hearing improvement was documented in 26(65%) patients. There were no complications. Conclusion: Type-1 tympanoplasty has a good outcome in the management of chronic suppurative otitis media, using temporalis fascia as graft material by underlay technique.http://gjms.com.pk/ojs24/index.php/gjms/article/view/1348type-1 tympanoplastytemporalis fasciaunderlay technique. |
| spellingShingle | Ali Khan kamran iqbal Muhammad ismail khan Muhammad Marwat Muhammad Naseem Khan OUTCOME OF TYPE-1 TYMPANOPLASTY: A SURGICAL MANAGEMENT OF CHRONIC SUPPURATIVE OTITIS MEDIA Gomal Journal of Medical Sciences type-1 tympanoplasty temporalis fascia underlay technique. |
| title | OUTCOME OF TYPE-1 TYMPANOPLASTY: A SURGICAL MANAGEMENT OF CHRONIC SUPPURATIVE OTITIS MEDIA |
| title_full | OUTCOME OF TYPE-1 TYMPANOPLASTY: A SURGICAL MANAGEMENT OF CHRONIC SUPPURATIVE OTITIS MEDIA |
| title_fullStr | OUTCOME OF TYPE-1 TYMPANOPLASTY: A SURGICAL MANAGEMENT OF CHRONIC SUPPURATIVE OTITIS MEDIA |
| title_full_unstemmed | OUTCOME OF TYPE-1 TYMPANOPLASTY: A SURGICAL MANAGEMENT OF CHRONIC SUPPURATIVE OTITIS MEDIA |
| title_short | OUTCOME OF TYPE-1 TYMPANOPLASTY: A SURGICAL MANAGEMENT OF CHRONIC SUPPURATIVE OTITIS MEDIA |
| title_sort | outcome of type 1 tympanoplasty a surgical management of chronic suppurative otitis media |
| topic | type-1 tympanoplasty temporalis fascia underlay technique. |
| url | http://gjms.com.pk/ojs24/index.php/gjms/article/view/1348 |
| work_keys_str_mv | AT alikhan outcomeoftype1tympanoplastyasurgicalmanagementofchronicsuppurativeotitismedia AT kamraniqbal outcomeoftype1tympanoplastyasurgicalmanagementofchronicsuppurativeotitismedia AT muhammadismailkhan outcomeoftype1tympanoplastyasurgicalmanagementofchronicsuppurativeotitismedia AT muhammadmarwat outcomeoftype1tympanoplastyasurgicalmanagementofchronicsuppurativeotitismedia AT muhammadnaseemkhan outcomeoftype1tympanoplastyasurgicalmanagementofchronicsuppurativeotitismedia |