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Effectiveness of Type I Tympanoplasty in Wet and Dry Ear in Safe Chronic Suppurative Otitis Media

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Abstract

The aims and objectives of the study were to compare the rate of graft uptake after type 1 tympanoplasty in wet and dry ears and also to compare the postoperative hearing improvement in wet and dry ears. It was a Non Randomized Experimental Study. This study was done in ENT OPD at Tertiary Health Care Institute of Central India. It was conducted from November 2012 to October 2014 on 86 patients having Safe Chronic Suppurative Otitis Media. The patients were divided into two groups as Dry ear group and Wet ear group. Dry ear group included patients whose ear was dry for at least 6 weeks prior to the surgery. Wet ear group included patients who had minimal mucoid discharge in the middle ear which on culture and sensitivity showed no microorganisms. Type 1 Tympanoplasty was done in all patients. Results were analyzed statistically. Complete graft uptake was seen in 86.95% cases of Dry ear group and 80% of Wet ear group and the difference was statistically insignificant. Hearing improvement was achieved in 80% cases in dry group and 67.5% cases in wet group. The difference in hearing improvement in both groups was also statistically insignificant. So conclusion was drawn that, presence of minimal mucoid ear discharge at the time of surgery does not affect the success rate of Type 1 Tympanoplasty.

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References

  1. Singh M, Rai A, Bandyopadhyay S (2006) Middle ear microsurgery in India: a retrospective audit study. Indian J Otolaryngol Head Neck Surg 58:133–136

    PubMed  PubMed Central  Google Scholar 

  2. Biswas A (1999) Eustachian tube function test: a new dimension in the management of CSOM. IJO-HNS 51(2):23–28

    Article  Google Scholar 

  3. Livingstone G, Millar H (1961) Results of tympanoplasties. J Laryngol Otol 75:669–678

    Article  PubMed  CAS  Google Scholar 

  4. Maharajan M, Kafle P, Bista M, Shrestha S, Toran KC (2009) Observation of hearing loss in patients with chronic suppurativeotitis media tubotympanic type. Kathmandu Univ Med J 7(28):397–401

    Google Scholar 

  5. Shrestha BL, Bhusal CL, Bhattarai H (2008) Comparison of pre and post-operative hearing results in canal wall down mastoidectomy with type three tympanoplasty. J Nepal Med Assoc 47(172):224–227

    CAS  Google Scholar 

  6. Ministry of Social Justice and Empowerment, Govt of India (2001) Sub-guidelines for evaluation of various disabilities and procedure for certification. New Dehli No. 16-18/97-NI/I

  7. Ophir D, Porat M, Marshak G (1987) Myringoplasty in paediatric population. Arch Otolaryngol Head Neck Surg 113(12):1288–1290

    Article  PubMed  CAS  Google Scholar 

  8. Dhar G, Basak B, Gayen GC, Ray R (2014) Outcome of myringoplasty in dry and wet ear—a comparative study. IOSR-JDMS 13(3 Ver V):01–03

    Article  Google Scholar 

  9. Albu S, Babighian G (1998) Trabalzini F. prognostic factor in tympanoplasty. Am J Otol 19:136–140

    Article  PubMed  CAS  Google Scholar 

  10. Jurovitzki I, Sade J (1988) Myringoplasty: long term follow up. Am J Otol 9:52–53

    Article  PubMed  CAS  Google Scholar 

  11. Booth JB (1973) Myringoplasty: factors affecting results. J Laryngol Otol 83(11):1079–1084

    Google Scholar 

  12. Mathai J (1999) Myringoplasty with temporal is fascia: analysis of 200 cases. Ind J Otol Head Neck Surg 51:9–12

    Article  CAS  Google Scholar 

  13. Packer P, Macendrick Solar M (1982) What’s best in myringoplasty: underlay or overlay, dura or fascia. J Laryngol Otol 96(1):25–41

    Article  PubMed  CAS  Google Scholar 

  14. Vartiainen E, Karja J, Karjalainen S, Harma (1985) Failures in myringoplasty. Arch Otorhinolaryngol 242:27–33

    Article  PubMed  CAS  Google Scholar 

Download references

Funding

This study has not been funded by any funding agency or sponsor. It was conducted without any financial interest.

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Authors and Affiliations

  1. Department of ENT, NKP Salve Institute of Medical Sciences and Research Centre and Lata Mangeshkar Hospital, K-28, Bharat Nagar, Amravati Road, Nagpur, Maharashtra, 440033, India

    Nitin V. Deosthale, Sonali P. Khadakkar, Priyanka D. Kumar, Vivek V. Harkare, Priti Dhoke, Kanchan Dhote, Madhurima Banerjee, Vikrant Dagar & Rahul Varma

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  1. Nitin V. Deosthale
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  2. Sonali P. Khadakkar
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  3. Priyanka D. Kumar
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  4. Vivek V. Harkare
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  5. Priti Dhoke
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  6. Kanchan Dhote
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  7. Madhurima Banerjee
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  8. Vikrant Dagar
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  9. Rahul Varma
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Correspondence to Nitin V. Deosthale.

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All authors declare that they have no conflict of interest.

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This material has never been published and is not currently under evaluation in any other peer reviewed publication.

Ethical Approval

The permission was taken from Institutional Ethics Committee prior to starting the project. All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

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Deosthale, N.V., Khadakkar, S.P., Kumar, P.D. et al. Effectiveness of Type I Tympanoplasty in Wet and Dry Ear in Safe Chronic Suppurative Otitis Media. Indian J Otolaryngol Head Neck Surg 70, 325–330 (2018). https://doi.org/10.1007/s12070-017-1075-8

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  • DOI: https://doi.org/10.1007/s12070-017-1075-8

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