IJIMS.2016.152
Type of Article: Original Research
Volume 3; Issue 10: October 2016
Page No.: 433-438
DOI: 10.16965/ijims.2016.152
A Study of Surgical Outcomes of Tympanoplasties with and without Cortical Mastoidectomy
Rajiv Kumar Saxsena 1, Hemendra Bamaniya *2.
1 Associate Professor, Department of Otolaryngology, Ananta Institute of Medical science, rajsamand, Rajasthan, India.
*2 Assistant Professor, Department of Otolaryngology, Ananta Institute of Medical science, rajsamand, Rajasthan, India.
CORRESPONDING AUTHOR ADDRESS: Dr. Hemendra Bamaniya, 3-N-20,Sector-5,Prabhat Nagar, Hiran Magri, Udaipur -313002, Rajasthan, India. E-Mail: drhemendra12345678@gmail.com
ABSTRACT
Background: Tympanoplasty, also called eardrum repair, refers to surgery performed to reconstruct a perforated tympanic membrane (eardrum) or the small bones of the middle ear. Eardrum perforation may result from chronic infection or, less commonly, from trauma to the eardrum.
Objective: The Objective of the study is to evaluate the surgical outcomes of tympanoplasties with and without mastoidectomies in terms of graft uptake and hearing improvement.
Methods: A total of 56 patients undergoing tympanoplasties with and without mastoidectomy were included and followed up for a period of one year.
Results: There was no significant difference in the surgical outcomes of both the surgeries in terms of graft uptake and hearing improvement. In unilateral cases Belfast rule of thumb application enables the actual hearing benefit of the patient.
Conclusion: There is no difference in related to outcome The addition of cortical mastoidectomy to tympanoplasty did not improve the outcome of surgeries done for mucosal type of chronic suppurative otitis media.
Key words: Cortical Mastoidectomy, Tympanoplasty, Belfast Rule.
REFERENCES
- Downey, T. J., A. L. Champeaux, and A. B. Silva. “AlloDerm Tympanoplasty of Tympanic Membrane Perforations.” American Journal of Otolaryngology. (January/February 2003;24:6-13.
- Albera R, Ferrero V, Canale A. Tympanic reperforation in Myringoplasty: Evaluation of prognostic factors. Ann Otol Rhinol Laryngol. 2006;115(12):875-9.
- Black JH, Wormald PJ Myringoplasty – Effects on Hearing and contributing factors. South Afr Medi Jour 1995;85(1):41-3.
- Uzun, C., M. Velepic, D. Manestar, D. Bonifacic, and T. Braut. “Cartilage Palisade Tympanoplasty, Diving and Eustachian Tube Function.” Otology & Neurotology 24 (March 2003):350-1.
- Gibb AG, Chang SK et al. Myringoplasty ( A review of 365 operations). J Laryngology Otology 1982;96(10):915-30.
- Kageyama-Escobar AM, Rivera- Moreno MA, Rivera- Mendez A. Risk factors for Myringoplasty failure. Gac Med Mex. 2001 May-June;137(3):209-20.
- Kotecha B, Fowler S, Topham J Myringoplasty: A prospective Audit Study. Clin Otolaryngol Allied Sci. 1999 Apr;24(2):126-9.
- Uzun, C., M. Velepic, D. Manestar, D. Bonifacic, and T. Braut. “Cartilage Palisade Tympanoplasty, Diving and Eustachian Tube Function.” Otology & Neurotology. March 2003;24:350-1.
- MirkoTos Manual of Middle ear surgery- volume 1.
- Mishiro Y, Sakagami M, Takahashi Y, Kitahara T, Kijikawa H. Tympanoplasty with and without Mastoidectomy in non cholesteatomatous chronic otitis media. Eur Arch Otorhinolaryngol. 2001;258(1):13-15.
- Sheahan, P., T. O’Dwyer, and A. Blayney. Results of Type 1 Tympanoplasty in Children and Parental Perceptions of Outcome of Surgery. Journal of Laryngology & Otology. June 2002;116:430-4.
- Scott-Brown Otorhinolaryngology, Head and Neck Surgery 6th edition.
- Scott-Brown Otorhinolaryngology, Head and Neck Surgery 7th edition.
- Vartiainen E, Karga J, Karjalainen S,Harma R.Failures in Myringoplasty. Archives Otolaryngol. 1985;242(1)27-33.