European Journal of Molecular & Clinical Medicine

Abstract

Aim: To determine the functional outcome of endoscopic composite cartilage tympanoplasty in patients having chronic otitis media with safe central perforation (small or medium).
Methods: This prospective study was conducted on 100 chronic otitis media cases with safe central perforation (small/medium) in the department of Otorhinolaryngology, RVM Institute of Medical Sciences & Research Centre, Laxmakkapally, Telangana, India for the period of 1 year. All the patients were selected as per the described inclusion and exclusion criteria. All cases underwent endoscopic composite cartilage graft tympanoplasty (type-I) under general anesthesia. Audiological outcomes were assessed by comparing mean pure tone average pre-and post-operatively and morphological results (successful graft uptake) were evaluated at 6 months.
Results: The result of this study showed graft uptake success in 94 cases and failure was seen in 6 cases. The pre-operative ACT was 44.8±6.1 dB whereas postoperatively it was 29.61±6.31 dB and the difference between the pre-operative and post-operative values was found to be statistically significant.
Conclusions: We conducted an endoscopic composite cartilage graft tympanoplasty (type-I) in 50 cases and observed a graft uptake success rate of 94%. There was good uptake of graft along with improvement in the audiological profile of the patients.