Online ISSN: 2515-8260

Keywords : Temporalis fascia


OUTCOME OF ENDOSCOPIC TYMPANOMASTOIDECTOMY IN TUBOTYMPANIC TYPE OF CHRONIC SUPPURATIVE OTITIS MEDIA – AN INSTITUTIONAL EXPERIENCE

DR GRACE BUDHIRAJA, DR DARSHAN GOYAL, DR PULKIT, DR NAVJOT KAUR, DR HARSIMRAT SINGH .

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 3055-3059

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.

To evaluate the effectiveness of cartilage as grafting material in terms of graft uptake following type-I tympanoplasty

Dr K. Anjani Kumari, Dr Swetha Polisetti, Dr C.Anand Kumar

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 5136-5144

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.

MANAGEMENT OF TYMPANIC MEMBRANE PERFORATION WITH CARTILAGE TYMPANOPLASTY IN RELATION TO TEMPORALIS FASCIA GRAFT TECHNIQUE

DR DEEPA KUMARI, DR CHANDRESH AGGARWAL, DR SACHIN AGARWAL, DR SARITA GUPTA ,DR GEETANJALI JAISWANI .

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 10677-10681

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.