scholarly journals Comparison of surgical outcomes in tympanoplasty with and without cortical mastoidectomy in non cholesteatomatous chronic otitis media with subtotal perforation

2020 ◽  
Vol 13 (3) ◽  
pp. 36-38
Author(s):  
Ayaz Rehman ◽  
◽  
Mirza Aneesa Afzal ◽  
Nowsheen Hamdani ◽  
Asef A wani ◽  
...  
Keyword(s):  
Otitis Media ◽  
Surgical Outcomes ◽  
Chronic Otitis Media ◽  
Cortical Mastoidectomy ◽  
Subtotal Perforation

scholarly journals Cortical Mastoidectomy with Tympanoplasty in the Management of Chronic Mucosal Otitis Media

KYAMC Journal ◽  
2020 ◽  
Vol 11 (2) ◽  
pp. 91-95
Author(s):  
Muntasir Mahbub ◽  
Abdullah Al Zobair ◽  
Nabila Mannan ◽  
Md Mahmudul Haque ◽  
Khabir Uddin Ahmed
Keyword(s):  
Medical Treatment ◽  
Otitis Media ◽  
Chronic Otitis Media ◽  
Female Ratio ◽  
Hearing Status ◽  
Graft Take ◽  
Cortical Mastoidectomy ◽  
Treatment Objective ◽  
Male To Female ◽  
Study Inclusion

Background: Cortical mastoidectomy with tympanoplasty is considered the standard of treatment in case of active mucosal chronic otitis media, refractory to medical treatment. Objective: Aim for this study was to find out the efficacy of cortical mastoidectomy with tympanoplasty in the management of chronic mucosal otitis media. Materials and Methods: This is an observational study conducted from January 2016 to July 2016. Total 50 patients were included in this study. Inclusion criteria was diagnosed cases of mucosal chronic otitis media with persistent ear discharge, adequate medical treatment, age between 15-60 years of both sexes. All the patients underwent cortical mastoidectomy with tympanoplasty, and patients were followed up to 12 weeks to evaluate graft take rate and compare pre-operative and post-operative hearing status. Results: In this study male to female ratio was 1.17:1. Mean age of study group was 30.66 ( 9.62) years. Graft uptake was successful in 43 (87%) and in 07 (14%) graft didn't take. Graft take rate was highest in 15-30 years age group. Mean preoperative and post-operative air bone gap were 28.45 (7.69) dB and 25.30 ( 8.5) dB respectively. Conclusion: Cortical mastoidectomy with tympanoplasty shows good outcome in aspects of disease clearance and graft uptake success in chronic mucosal otitis media. Although hearing gain occurs in most cases, it is rather modest. KYAMC Journal Vol. 11, No.-2, July 2020, Page 91-95

scholarly journals Surgical Outcomes of Revision Operation for Non-Cholesteatomatous Chronic Otitis Media

2021 ◽  
Vol 64 (5) ◽  
pp. 304-309
Author(s):  
Juho Han ◽  
Jisoo Lee ◽  
Sung Kwang Hong ◽  
Hyo Jeong Lee ◽  
Hyung-Jong Kim
Keyword(s):  
Otitis Media ◽  
Surgical Outcomes ◽  
Chronic Otitis Media ◽  
Surgical Approaches ◽  
Middle Ear Surgery ◽  
Canal Wall ◽  
Revision Operation ◽  
Canal Wall Down ◽  
Canal Wall Down Mastoidectomy ◽  
Better Than

Background and Objectives The aim of this study was to investigate the surgical outcomes of revision operation due to recurrence of non-cholesteatomatous chronic otitis media (COM) surgery cases.Subjects and Method From 1989 to 2018, 5197 cases of COM surgery were performed at Kangdong and Hallym University Sacred Heart Hospital. Among them, clinical data of 297 subjects who had undergone revision tympanoplasty and/or mastoidectomy for recurrent noncholesteatomatous COM were retrospectively collected from computerized database of middle ear surgery (Korean Otological Society program 2005). Each case was categorized by surgical approaches into canal wall down mastoidectomy (CWDM), canal wall up mastoidectomy (CWUM), or tympanoplasty only groups.Results Tympanoplasty only was performed in 170 cases, CWDM in 74 cases, and CMUM in 53 cases. Postoperative perforation occurred in 9.4% of total cases, and less frequently in CMDM compared with tympanoplasty only (<i>p</i>=0.023), and CMUM (<i>p</i>=0.049), respectively, whereas no differences between tympanoplasty only and CMUM (<i>p</i>=0.930) were found. Postoperative infection rate was 1.0% and did not show any differences among the groups. Postoperative successful hearing was obtained in 66.7% of total cases, and the success rate of tympanoplasty only was better than that of CMDM (<i>p</i>=0.001), and CMUM (<i>p</i>=0.011). And, that of CMUM was better than that of CMDM (<i>p</i>=0.011).Conclusion The results showed that postoperative perforation occurred less frequently in CMDM than in tympanoplasty only and in CWUM; successful hearing was achieved more frequently in tympanoplasty alone than in the other surgical approaches in recurrent non-cholesteatomatous COM.

scholarly journals A clinical study of evaluation of tympanoplasty with mastoidectomy in mucosal chronic otitis media

2019 ◽  
Vol 6 (1) ◽  
pp. 163
Author(s):  
Ritesh Mahajan ◽  
Nidhi Abraham ◽  
Nagaraj T. M.
Keyword(s):  
Otitis Media ◽  
Disease Process ◽  
Chronic Otitis Media ◽  
Chronic Suppurative Otitis Media ◽  
Suppurative Otitis Media ◽  
Medical College ◽  
Cortical Mastoidectomy ◽  
A Prospective Study

<p class="abstract"><strong>Background:</strong> Chronic suppurative otitis media (CSOM) is one of the most common ear diseases in developing countries with a varying incidence of 3% to 57%. It the disease process is further divided into mucosal type and squamosal type depending on clinical presentation. The mainstay of therapy in CSOM remains surgery which aims at eradication of disease and restoring the hearing mechanism. The main objective of our study was to evaluate the changes and impact of tympanoplasty with mastoidectomy as a surgical treatment modality in mucosal type of CSOM.</p><p class="abstract"><strong>Methods:</strong> A prospective study was conducted in Rajarajeshwari Medical College and Hospital between November 2015 and June 2017, involving 50 patients with mucosal type of chronic otitis media. These patients, after complete clinical examination and hearing analysis, underwent tympanoplasty with cortical mastoidectomy. Follow-up of the patients was done at one month and three months after the surgery where the parameters recorded preoperatively were assessed.  </p><p class="abstract"><strong>Results:</strong> The graft uptake three months after the surgery was 94%. Patients reported a subjective improvement in symptoms of ear discharge, decreased hearing, earache and tinnitus to 94%, 70%, 86% and 78% respectively. There was hearing improvement in ears that had discharge preoperatively and those ears that did not.</p><p class="abstract"><strong>Conclusions:</strong> Chronic suppurative otitis media is a very common problem and it can lead to recurrent ear discharge and hearing problems. Timely intervention is necessary as early diagnosis results in good surgical outcomes and can make an impact on patient’s quality of life.</p>

Cortical mastoidectomy in quiescent, tubotympanic, chronic otitis media: is it routinely necessary?

2008 ◽  
Vol 123 (4) ◽  
pp. 383-390 ◽  
Author(s):  
K V Bhat ◽  
K Naseeruddin ◽  
U S Nagalotimath ◽  
P R Kumar ◽  
J S Hegde
Keyword(s):  
Otitis Media ◽  
Chronic Otitis Media ◽  
Controlled Study ◽  
Hearing Improvement ◽  
Tertiary Referral Hospital ◽  
Suppurative Otitis Media ◽  
Disease Eradication ◽  
Cortical Mastoidectomy ◽  
Randomised Controlled Study ◽  
Randomised Controlled

AbstractObjective:This study aimed to compare outcomes for mastoidotympanoplasty and for tympanoplasty alone in cases of quiescent, tubotympanic, chronic, suppurative otitis media.Study design:Single-blinded, randomised, controlled study within a tertiary referral hospital.Methods:Sixty-eight cases were randomly allocated into two groups. In group one, 35 ears underwent type one tympanoplasty along with cortical mastoidectomy. In group two, 33 ears underwent type one tympanoplasty alone. Outcome measures were as follows: perforation closure and graft uptake, hearing improvement, disease eradication, and post-operative complications.Results:There were no statistically significant differences in hearing improvement, tympanic perforation closure, graft uptake or disease eradication, comparing the two groups at three and six months post-operatively.Conclusion:Mastoidotympanoplasty was not found to be superior to tympanoplasty alone over a short term follow-up period. Hence, it may not be necessary to undertake routine mastoid exploration at this stage of disease.

scholarly journals Outcome of ear surgeries in dry and wet ear

2017 ◽  
Vol 3 (3) ◽  
pp. 562 ◽  
Author(s):  
Shreyash C. S. ◽  
Rajneesh . ◽  
Rahul S.
Keyword(s):  
Success Rate ◽  
Otitis Media ◽  
Chronic Otitis Media ◽  
Success Rates ◽  
Hearing Improvement ◽  
Suppurative Otitis Media ◽  
Time Of Surgery ◽  
Type 1 Tympanoplasty ◽  
Cortical Mastoidectomy

<p class="abstract"><strong>Background:</strong> Chronic suppurative otitis media (CSOM) can present with dry and wet ear (discharging ear). It’s an accepted fact that an actively draining central perforation is not a contraindication for ear surgery. The discharging ear presents the otologists with the dilemma of operating on it or not, this is due to widespread belief that the success rate while doing ear surgeries on wet ears is decidedly inferior. Hence the present dissertation is intended to find the outcome of ear surgeries in dry and wet ear.</p><p class="abstract"><strong>Methods:</strong> The present study comprises of 60 patients who have undergone type 1 tympanoplasty with cortical mastoidectomy, at Fr Muller’s Medical College, Mangalore. These patients were divided into two groups- Wet and Dry, based on the presence or absence of ear discharge at the time of surgery respectively. Inclusion Criteria: Patients of age group 16-60 years and both sexes, with mucosal type of chronic otitis media who underwent type 1 tympanoplasty with cortical mastoidectomy. Exclusion criteria: Patients with squamosal type of chronic otitis media or with ossicular chain erosion. A comparative analysis was done on the hearing improvement and incidence of the graft uptake postoperatively between the two groups.</p><p class="abstract"><strong>Results:</strong> In dry group, complete graft uptake was seen in 90% cases, whereas in wet group, a graft uptake rate of 86.7% was achieved. The graft take up rate is better in high x socio-economic status. Higher take up rates were seen in small and medium perforation compared to subtotal perforations. Hearing improvement, assessed by mean gain of PTA at the end of 6th month postoperatively, was achieved in 86% cases in Wet group and 90% cases in Dry group. There was an average hearing improvement of 13.08 db in speech frequencies in 88.3% cases. The difference between the two groups was statistically insignificant.</p><p><strong>Conclusions:</strong> In our study, we found no statistically significant differences between the success rates of Wet and Dry group, either in terms of graft uptake or the hearing improvement. Thus, from our study, we conclude that the presence of ear discharge at the time of surgery does not affect the success rate of type 1 tympanoplasty. </p>

scholarly journals A study of surgical outcomes of myringoplasty in active and inactive ears

2017 ◽  
Vol 4 (1) ◽  
pp. 148
Author(s):  
Vasim Ismail Patel ◽  
N. H. Kulkarni ◽  
Jyothi A. C. ◽  
ShriKrishna B. H.
Keyword(s):  
Otitis Media ◽  
Chronic Otitis Media ◽  
Group Differences ◽  
Hearing Improvement ◽  
Ear Surgery ◽  
Hearing Gain ◽  
Gain Rate ◽  
Graft Take ◽  
Cortical Mastoidectomy ◽  
Widespread Belief

<p class="abstract"><strong>Background:</strong> Chronic otitis media (COM) can present with inactive (dry) and active (wet) ear. It’s an accepted fact that an actively draining central perforation is not a contraindication for ear surgery. The discharging ear presents the otologists with the dilemma of operating on it or not, this is due to widespread belief that the success rate while doing ear surgeries on active ears is decidedly inferior. Hence the present study is intended to find the outcome of ear surgeries in inactive and active ear with objective to find the incidence of graft uptake and hearing improvement in both the groups.</p><p class="abstract"><strong>Methods:</strong> A total of 50 active ear (with mucoid discharge) and 52 inactive ears (not discharging at least 3 month before surgery) with mucosal chronic otitis media underwent myringoplasty with cortical mastoidectomy. Graft take and hearing gain rates 3 and 6 months after surgery were calculated for both groups and compared.  </p><p class="abstract"><strong>Results:</strong> The graft take rate was 90% for the active ear group and 94% for the inactive ear group. The hearing gain rate was 90% for the active ear group and 94% for the inactive ear group. Differences were found to be statistically insignificant for both graft intake (p=0.461) and hearing gain (p=0.543).</p><p><strong>Conclusions:</strong> The success of myringoplasty is not adversely affected by the presence of mucoid ear discharge at time of surgery, and outcomes are comparable to those of the opration done for inactive ears. </p>

Endoscopic epitympanic exploration in mucosal chronic otitis media: is canal wall up mastoidectomy really needed?

2021 ◽  
Vol 135 (1) ◽  
pp. 39-44
Author(s):  
A Das ◽  
S Mitra ◽  
S Hazra ◽  
A Sengupta
Keyword(s):  
Otitis Media ◽  
Operating Time ◽  
Chronic Otitis Media ◽  
Canal Wall ◽  
Surgical Time ◽  
Cortical Mastoidectomy ◽  
Post Operative Pain ◽  
Significant Difference ◽  
Canal Wall Up

AbstractObjectiveTo compare endoscopic epitympanic exploration with conventional canal wall up (cortical) mastoidectomy for mucosal chronic otitis media in terms of post-operative outcomes.MethodsSeventy-six patients diagnosed with chronic otitis media (mucosal variety) were randomly assigned to two treatment groups: endoscopic epitympanic exploration and conventional canal wall up (cortical) mastoidectomy. The groups were compared in terms of: post-operative anatomical outcomes (graft uptake), middle-ear physiological outcomes (post-operative tympanometry), audiological outcomes (air–bone gap), surgical time, post-operative pain, vertigo, and long-term complications such as retraction pocket and re-perforation.ResultsThere was a statistically significant difference between the groups in terms of mean air–bone gap at 12 months, surgical time, and median post-operative pain measured at 6 hours (p < 0.05). No statistically significant differences were noted in terms of: graft uptake at 1, 3 and 6 months, mean air–bone gap at 3 and 6 months, tympanometry at 3, 6 and 12 months, vertigo at 1 week, or long-term complications.ConclusionEndoscopic epitympanic exploration resulted in significantly better long-term audiological outcomes, shorter operating time and less pain compared with conventional canal wall up (cortical) mastoidectomy.

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