Fat Plug Myringoplasty Vs Trichloroacetic Acid Cauterization as Office Procedures for Managing Small Central Perforation
Introduction In a series of day care office procedures, techniques like fat plug myringoplasty and Trichloroacetic acid (TCA) cauterization are becoming increasingly popular for managing small central perforations now-a-days[Office1] . These are minor, cost effective procedures and have success r...
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| Format: | Article |
| Language: | English |
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The Association of Otolaryngologists of India, West Bengal
2020-07-01
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| Series: | Bengal Journal of Otolaryngology and Head Neck Surgery |
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| Online Access: | https://bjohns.in/journal3/index.php/bjohns/article/view/203 |
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| author | Kanchan Sandeep Dhote Priti Rakesh Dhoke Vivek Vishwas Harkare Nitin Vasant Deosthale Sonali Prabhakar Khadakkar |
| author_facet | Kanchan Sandeep Dhote Priti Rakesh Dhoke Vivek Vishwas Harkare Nitin Vasant Deosthale Sonali Prabhakar Khadakkar |
| author_sort | Kanchan Sandeep Dhote |
| collection | DOAJ |
| description | Introduction
In a series of day care office procedures, techniques like fat plug myringoplasty and Trichloroacetic acid (TCA) cauterization are becoming increasingly popular for managing small central perforations now-a-days[Office1] . These are minor, cost effective procedures and have success rates that match success rates of conventional tympanoplasty[Office2] . The aim of this prospective randomized controlled trial, was to compare the effectiveness of fat plug myringoplasty and chemical cauterization in the management of small centrally located perforations of the pars tensa.
Materials and Methods
The study was carried out over a period of 2 years on 62 patients selected from ENT OPD in our tertiary health care setup of central India. All the selected patients were grouped into two using a random allocation software EPi Info7.1.1.14. Group A included those who underwent fat plug myringoplasty while group B were those who underwent TCA cauterization.
Results
At 6 months follow up there was closure of perforation in 29 out of 30(96.6%) patients of group A and 29 out of 32(91%) patients of group B. In both groups success was defined by closure of perforation. Comparison of results was done using Fisher Exact Test. The difference between the success rates of the two procedures was statistically insignificant with p value of 0.6624, indicating that both the office procedures are equally effective and can be used according to the needs of the patients.
Conclusion
These office procedures can revolutionize the protocol of tympanoplasty which has an obvious higher morbidity and more days of absenteeism as compared to these minor procedures. |
| first_indexed | 2024-03-09T06:09:50Z |
| format | Article |
| id | doaj.art-e309832d45f7439fbc6a9394181aa1d2 |
| institution | Directory Open Access Journal |
| issn | 2395-2407 |
| language | English |
| last_indexed | 2024-04-24T14:15:38Z |
| publishDate | 2020-07-01 |
| publisher | The Association of Otolaryngologists of India, West Bengal |
| record_format | Article |
| series | Bengal Journal of Otolaryngology and Head Neck Surgery |
| spelling | doaj.art-e309832d45f7439fbc6a9394181aa1d22024-04-03T08:47:59ZengThe Association of Otolaryngologists of India, West BengalBengal Journal of Otolaryngology and Head Neck Surgery2395-24072020-07-0126310.47210/bjohns.2018.v26i3.203Fat Plug Myringoplasty Vs Trichloroacetic Acid Cauterization as Office Procedures for Managing Small Central PerforationKanchan Sandeep Dhote0Priti Rakesh Dhoke1Vivek Vishwas Harkare2Nitin Vasant Deosthale3Sonali Prabhakar Khadakkar4Assistant Lecturer at NKP Salve Institute of medical Sciences and Research Institute NagpurAssociate Professor in ENT Department at NKPSIMS and LMH NagpurHOD and Professor at NKPSIMS and LMH NagpurProfessor at NKPSIMS and LMH NagpurAssistant lecturer at NKPSIMS and LMH NagpurIntroduction In a series of day care office procedures, techniques like fat plug myringoplasty and Trichloroacetic acid (TCA) cauterization are becoming increasingly popular for managing small central perforations now-a-days[Office1] . These are minor, cost effective procedures and have success rates that match success rates of conventional tympanoplasty[Office2] . The aim of this prospective randomized controlled trial, was to compare the effectiveness of fat plug myringoplasty and chemical cauterization in the management of small centrally located perforations of the pars tensa. Materials and Methods The study was carried out over a period of 2 years on 62 patients selected from ENT OPD in our tertiary health care setup of central India. All the selected patients were grouped into two using a random allocation software EPi Info7.1.1.14. Group A included those who underwent fat plug myringoplasty while group B were those who underwent TCA cauterization. Results At 6 months follow up there was closure of perforation in 29 out of 30(96.6%) patients of group A and 29 out of 32(91%) patients of group B. In both groups success was defined by closure of perforation. Comparison of results was done using Fisher Exact Test. The difference between the success rates of the two procedures was statistically insignificant with p value of 0.6624, indicating that both the office procedures are equally effective and can be used according to the needs of the patients. Conclusion These office procedures can revolutionize the protocol of tympanoplasty which has an obvious higher morbidity and more days of absenteeism as compared to these minor procedures.https://bjohns.in/journal3/index.php/bjohns/article/view/203MyringoplastyTrichloroacetic AcidFat Plug |
| spellingShingle | Kanchan Sandeep Dhote Priti Rakesh Dhoke Vivek Vishwas Harkare Nitin Vasant Deosthale Sonali Prabhakar Khadakkar Fat Plug Myringoplasty Vs Trichloroacetic Acid Cauterization as Office Procedures for Managing Small Central Perforation Bengal Journal of Otolaryngology and Head Neck Surgery Myringoplasty Trichloroacetic Acid Fat Plug |
| title | Fat Plug Myringoplasty Vs Trichloroacetic Acid Cauterization as Office Procedures for Managing Small Central Perforation |
| title_full | Fat Plug Myringoplasty Vs Trichloroacetic Acid Cauterization as Office Procedures for Managing Small Central Perforation |
| title_fullStr | Fat Plug Myringoplasty Vs Trichloroacetic Acid Cauterization as Office Procedures for Managing Small Central Perforation |
| title_full_unstemmed | Fat Plug Myringoplasty Vs Trichloroacetic Acid Cauterization as Office Procedures for Managing Small Central Perforation |
| title_short | Fat Plug Myringoplasty Vs Trichloroacetic Acid Cauterization as Office Procedures for Managing Small Central Perforation |
| title_sort | fat plug myringoplasty vs trichloroacetic acid cauterization as office procedures for managing small central perforation |
| topic | Myringoplasty Trichloroacetic Acid Fat Plug |
| url | https://bjohns.in/journal3/index.php/bjohns/article/view/203 |
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