European Journal of Molecular & Clinical Medicine

one of the primary causes of hearing loss. The current study was designed to evaluate the
improvement in hearing after tympanoplasty in CSOM patients who presented to a tertiary care
teaching hospital.
MaterialsAnd Methods: The current study was a prospective observational study that took
place in the department of ENT at Viswarabharathi Medical College and General Hospital
from March 2019 to February 2020. The study included 50 individuals who were clinically
diagnosed with chronic suppurative otitis media Tubotympanic type illness. Pre-operatively,
pure tone audiometry was performed, and hearing loss and the mean AB Gap were recorded.
Tympanoplasty type 1 was done with or without mastoidectomy. After 6 weeks, all of these
patients were followed up on and Pure tone audiometry was done. The outcomes of hearing
loss and mean AB Gap were compared to pre-operative data.

Chronic otitis media is a mucoperiosteal chronic inflammation in the middle ear
cleft which is associated with perforation of the tympanic membrane, ear
discharge and hearing impairment. The main goal of tympanoplasty is the
reconstruction of the tympanic membrane and closure of a perforation that has
been impaired by chronic ear diseases with or without trying to improve the
hearing mechanism.

Background and objectives: Chronic Suppurative Otitis Media (CSOM) is one of the
most common ear diseases in South East Asia having a prevalence of approximately
5.2% in the general population.Cartilage material is criticized in terms of hearing
results due to its thickness. The objective of this study was to evaluate the effectiveness
of cartilage as grafting material in terms of graft uptake and post-operative hearing
following Type-I tympanoplasty.
Materials and methods: All patients undergoing Tympanoplasty in Govt. ENT Hospital,
Osmania Medical College, Hyderabad, who comply with inclusion and exclusion
criteria, and who were diagnosed as Tubotympanic type of chronic suppurative otitis
media and were taken up for Type-I Tympanoplasty were included in the present study
for a period of one and half years from November 2015 to June 2017. 50 subjects were
enrolled and Subjects were reviewed on 8thpost-operative day, 6thand 12thpost-operative
weeks. The graft uptake and post-operative hearing were evaluated.
Results: The graft uptake on 6thand 12thpost-operative weeks was 87.7% & 86.6%
respectively. The difference of means of air bone gaps for pre-operative, 6th postoperative
week and 12thpost-operative week were 30.11 ± 1.66 dB, 18 ± 1.50 dB, 15.86 ±
1.50 dB respectively.The results were statistically significant, showing improvement in
hearing after surgery. On 12thpost-operative week 5 subjects had no hearing gain.
Closure of air-bone gap within 30 dB was achieved in 81.10% subjects.
Conclusion: The cartilage was found to be excellent grafting material in terms of both
the graft uptake rates and hearing results after type 1 tympanoplasty.

Background: Chronic suppurative otitis media (CSOM) is a chronic inflammation of the middle ear and mastoid cavity, which presents with recurrent ear discharges or otorrhoea through a tympanic perforation. The present study was conducted to assess factors affecting the surgical outcome in tympanoplasty in children.
Materials & Methods: 54pediatric patients of persistent perforation of the tympanic membraneof both genders were enrolled. Age at time of surgery, state of contralateral ear, previous adenoidectomy, cause of perforation, size of perforation, infection at the time of surgery, state of mucosa, age at first occurrence of perforation, presence of craniofacial dysmorphia, and surgical technique were recorded.
Results: Out of 54 patients, boys were 34 and girls were 20. Success rate was seen in 30 and failure in 24 cases. Contralateral ear normal in 22 and 18 and CME in 8 and 6. Cause of perforation was infection in 24 and 19, previous adenoidectomy was not done in 17 and 14 and done in 13 and 10, size of perforation was <50% in 16 and 16 and >50% in 14 and 8, state of mucosa was normal in 25 and 17, surgical technique was onlay in 24 and 18, otorrhea at time of surgery was absent in 28 and 20 and present in 2 and 4 in success and failure cases respectively. The difference was significant (P< 0.05). Closure of perforation was seen in 50. Hearing gain was seen in 32 and no gain in 22. Air-filled space was adequate in 46, otitis media with effusion in 6 and partial atelectasis in 2 cases. The difference was significant (P< 0.05).
Conclusion: Study mitigates against delaying tympanoplasty type I in paediatric patients.

An Observational Study was undertaken at Department of Otorhinolaryngology,. The aim of this study was to observe the outcome of cartilage tympanoplasty  for tubotympanic type of CSOM. All the patients attending ENT OPD at SIMS within the age group of 11-60 years, irrespective of sex with tubotympanic CSOM either unilateral or bilateral were included in this study. In our study of 80 patients, 40 patients had graft uptake after disease clearance and 8 had failure of graft uptake without chronic otorrhoea and 2 had failure with chronic otorrhoea. Through this study we concluded that cartilage tympanoplasty for tubotympanic type of CSOM is an excellent technique for complete removal of disease especially from inaccessible areas of middle ear cleft.

An Observational Study was undertaken at Department of Otorhinolaryngology, AIMSR from Jan 2020 - August 2021. The aim of this study was to observe the outcome of endoscopic tympano-mastoidectomy for tubotympanic type of CSOM. All the patients attending ENT OPD at AIMSR within the age group of 11-60 years, irrespective of sex with tubotympanic CSOM either unilateral or bilateral were included in this study. In our study of 50 patients, 40 patients had graft uptake after disease clearance and 8 had failure of graft uptake without chronic otorrhoea and 2 had failure with chronic otorrhoea. Through this study we concluded that Endoscopic Tympano-mastoidectomy for tubotympanic type of CSOM is an excellent technique for complete removal of disease especially from inaccessible areas of middle ear cleft.

The aim of our study was to study, using a questionnaire (СОМОТ--15 questionnaire), the level of quality of life of patients with chronic suppurative otitis media before and after tymponoplast.
Material and research methods: We examined 60 patients, over 18 years old, with chronic suppurative otitis media. All participants filled out the СОМОТ--15 questionnaire, anamnesis and otoscopy were studied in detail, all patients underwent clinical studies - these are endoscopic and microscopic assessment of ENT organs, as well as audiological studies, which included a tonal audiogram with measurement of the air-bone interval in both ears.
Conclusions: Patients with chronic suppurativeotitis media report a decrease in the quality of life associated with a decrease in hearing acuity, and not with disturbing tinnitus or otorrhea. The type of chronic suppurative otitis media (epitympanitis or mesotympanitis) in no way reflects the patient's quality of life. Tympanoplasty significantly improves the patient's quality of life.