A Retrospective Study to Compare the Surgical Outcomes in Patients Who Underwent Myringoplasty Alone or Along with Cortical Mastoidectomy
Introduction: Chronic suppurative otitis media (CSOM) is a chronic inflammation of the middle ear cleft with non-healing tympanic membrane perforation leading to conductive hearing loss. Surgery is the definitive management. Myringoplasty with or without cortical mastoidectomy is a matter of discuss...
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| Format: | Article |
| Language: | English |
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Light House Polyclinic Mangalore
2023-11-01
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| Series: | Online Journal of Health & Allied Sciences |
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| Online Access: | https://www.ojhas.org/issue87/2023-3-8.html |
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| author | Priya K Raghvi A |
| author_facet | Priya K Raghvi A |
| author_sort | Priya K |
| collection | DOAJ |
| description | Introduction: Chronic suppurative otitis media (CSOM) is a chronic inflammation of the middle ear cleft with non-healing tympanic membrane perforation leading to conductive hearing loss. Surgery is the definitive management. Myringoplasty with or without cortical mastoidectomy is a matter of discussion among the otorhinolaryngologists society. One hypothesis suggests that myringoplasty combined with cortical mastoidectomy in tubotympanic type of chronic suppurative otitis media (CSOM) is useful, whereas another fraction believes that cortical mastoidectomy combined with myringoplasty has no inconsequential effects on the surgical result. Aim: To compare the surgical outcome of chronic suppurative otitis media of tubotympanic type in patients who underwent myringoplasty alone or with cortical mastoidectomy and myringoplasty. Materials and Methods: A retrospective study includes 300 patients with CSOM of tubotympanic type. Preoperative assessments were done including pure tone audiometry. Patients were divided into two groups. Group I underwent myringoplasty alone and Group II underwent cortical mastoidectomy with myringoplasty. At one month post-operative period, patients were assessed for graft uptake and pure tone audiometry. These values were compared between the two groups. Results: Out of 300 patients the graft uptake was present in 272 patients (90.7%) and graft uptake was absent in 28 patients (9.3%). The significant value is 0.000 which is less than 0.05 at 95% confidence interval. Therefore, there is significant relationship between Pre PTA and Post PTA in group II. Conclusion:There is a statically significant difference in results in both groups. Cortical mastoidectomy with myringoplasty gives better surgical outcomes in graft uptake rate and audiological improvement than myringoplasty alone. |
| first_indexed | 2024-03-08T05:15:37Z |
| format | Article |
| id | doaj.art-f377ce0e757e471eb8371527d4789a05 |
| institution | Directory Open Access Journal |
| issn | 0972-5997 |
| language | English |
| last_indexed | 2024-03-08T05:15:37Z |
| publishDate | 2023-11-01 |
| publisher | Light House Polyclinic Mangalore |
| record_format | Article |
| series | Online Journal of Health & Allied Sciences |
| spelling | doaj.art-f377ce0e757e471eb8371527d4789a052024-02-07T04:06:02ZengLight House Polyclinic MangaloreOnline Journal of Health & Allied Sciences0972-59972023-11-01223A Retrospective Study to Compare the Surgical Outcomes in Patients Who Underwent Myringoplasty Alone or Along with Cortical MastoidectomyPriya K0Raghvi A1Professor, Department of ENT, Chettinad Hospital and Research Institute, Chettinad Academy of Research and education, Kelambakkam, Tamil NaduSenior Resident, Department of ENT, Sree Balaji Medical College and Hospital, Chromepet, Tamil NaduIntroduction: Chronic suppurative otitis media (CSOM) is a chronic inflammation of the middle ear cleft with non-healing tympanic membrane perforation leading to conductive hearing loss. Surgery is the definitive management. Myringoplasty with or without cortical mastoidectomy is a matter of discussion among the otorhinolaryngologists society. One hypothesis suggests that myringoplasty combined with cortical mastoidectomy in tubotympanic type of chronic suppurative otitis media (CSOM) is useful, whereas another fraction believes that cortical mastoidectomy combined with myringoplasty has no inconsequential effects on the surgical result. Aim: To compare the surgical outcome of chronic suppurative otitis media of tubotympanic type in patients who underwent myringoplasty alone or with cortical mastoidectomy and myringoplasty. Materials and Methods: A retrospective study includes 300 patients with CSOM of tubotympanic type. Preoperative assessments were done including pure tone audiometry. Patients were divided into two groups. Group I underwent myringoplasty alone and Group II underwent cortical mastoidectomy with myringoplasty. At one month post-operative period, patients were assessed for graft uptake and pure tone audiometry. These values were compared between the two groups. Results: Out of 300 patients the graft uptake was present in 272 patients (90.7%) and graft uptake was absent in 28 patients (9.3%). The significant value is 0.000 which is less than 0.05 at 95% confidence interval. Therefore, there is significant relationship between Pre PTA and Post PTA in group II. Conclusion:There is a statically significant difference in results in both groups. Cortical mastoidectomy with myringoplasty gives better surgical outcomes in graft uptake rate and audiological improvement than myringoplasty alone.https://www.ojhas.org/issue87/2023-3-8.htmlgraftmastoidaudiogramotitis media |
| spellingShingle | Priya K Raghvi A A Retrospective Study to Compare the Surgical Outcomes in Patients Who Underwent Myringoplasty Alone or Along with Cortical Mastoidectomy Online Journal of Health & Allied Sciences graft mastoid audiogram otitis media |
| title | A Retrospective Study to Compare the Surgical Outcomes in Patients Who Underwent Myringoplasty Alone or Along with Cortical Mastoidectomy |
| title_full | A Retrospective Study to Compare the Surgical Outcomes in Patients Who Underwent Myringoplasty Alone or Along with Cortical Mastoidectomy |
| title_fullStr | A Retrospective Study to Compare the Surgical Outcomes in Patients Who Underwent Myringoplasty Alone or Along with Cortical Mastoidectomy |
| title_full_unstemmed | A Retrospective Study to Compare the Surgical Outcomes in Patients Who Underwent Myringoplasty Alone or Along with Cortical Mastoidectomy |
| title_short | A Retrospective Study to Compare the Surgical Outcomes in Patients Who Underwent Myringoplasty Alone or Along with Cortical Mastoidectomy |
| title_sort | retrospective study to compare the surgical outcomes in patients who underwent myringoplasty alone or along with cortical mastoidectomy |
| topic | graft mastoid audiogram otitis media |
| url | https://www.ojhas.org/issue87/2023-3-8.html |
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