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Interlay Type-1 Tympanoplasty with or Without Cortical Mastoidectomy in an Inactive Mucosal Chronic Otitis Media with Large Central Perforation: A Retrospective Comparative Study

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Abstract

Background: Chronic otitis media (COM) is a pathology involving the middle ear cleft characterized by discharging ear and a non-healing perforation in tympanic membrane. Different techniques have been used for closing the perforation but interlay myringoplasty has become popular among surgeons since the past few decades. Objectives: To evaluate and compare the success rate of Type-1 interlay tympanoplasty in large tympanic membrane perforation with or without cortical mastoidectomy in terms of graft take-up rate and improvement in hearing outcomes. Materials and methods: A retrospective study for the period of eighteen months with total of 90 patients further subdivided into two groups. Group I of 45 patients underwent Type-1 interlay tympanoplasty alone, and 45 patients in Group II underwent type-1 interlay tympanoplasty with cortical mastoidectomy. Results: In group I the mean pre-operative, post-operative pure tone average and air bone gap was found to be 36.49 ± 4.49, 29.24 ± 4.39 and 25.11 ± 3.15, 14.76 ± 3.12 respectively. In group II the mean pre-operative, post-operative pure tone average and air bone gap was found to be 35.60 ± 5.27, 25.96 ± 5.29 and 23.96 ± 3.76 and 13.33 ± 3.38. An independent sample t-test was performed for intergroup comparison and found to be statistically significant (p < 0.005). The graft uptake was 95.5% in group II and 82.2% in group I. Conclusion: Interlay type-1 tympanoplasty coupled with cortical mastoidectomy gives excellent results in terms air bone gap closure and graft uptake in inactive mucosal COM than Interlay type-1 tympanoplasty alone.

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References

  1. Kadah SM, Mokhemar SM, Ibrahim H, Ibrahim HE (2019 Apr) Impact of mastoidectomy on tympanoplasty for recurrent suppurative otitis media. Egypt J Otolaryngol 35(2):168–172

  2. Paparella MM, Abdelhammid MM, Schachern PA, Sahni R, Yoon TH, da Costa SS (1990 Jun) Otopathologic correlates of the continuum of otitis media. Annals of Otology Rhinology & Laryngology 99(6suppl):17–22

  3. Rajneesh DV, Pawar S, Doddamani AK (2021 Jan) Outcome of underlay versus interlay tympanoplasty in patients with inactive mucosal chronic otitis media with large central perforation: a retrospective comparative study. Int J Otorhinolaryngol Head Neck Surg 7(1):121

  4. Alleva M, Paparella MM, Morris MS, da Costa SS (1989) The flexible/intact-bridge tympanomastoidectomy technique. Otolaryngologic Clinics of North America. Feb 1;22(1):41 – 9

  5. Jackler RK, Schindler RA (1984 Aug) Role of the mastoid in tympanic membrane reconstruction. Laryngoscope 94(4):495–500

  6. Mishiro Y, Sakagami M, Takahashi Y, Kitahara T, Kajikawa H, Kubo T (2001 Jan) Tympanoplasty with and without mastoidectomy for non-cholesteatomatous chronic otitis media. European archives of Oto-rhino-laryngology. 258:13–15

  7. Agrawal A, Bhargava P (2017 Jun) Comparative evaluation of tympanoplasty with or without mastoidectomy in treatment of chronic suppurative otitis media tubotympanic type. Indian J Otolaryngol Head Neck Surg 69:172–175

  8. World Health Organization. Chronic suppurative otitis media: burden of illness and management options

  9. Sergi B, Galli J, De Corso E, Parrilla C, Paludetti G (2011 Dec) Overlay versus underlay myringoplasty: report of outcomes considering closure of perforation and hearing function. Acta Otorhinolaryngol Ital 31(6):366

  10. Patil BC, Misale PR, Mane RS, Mohite AA (2014 Dec) Outcome of interlay grafting in type 1 tympanoplasty for large central perforation. Indian J Otolaryngol Head Neck Surg 66:418–424

  11. Kawatra R, Maheshwari P, Kumar G (2014) A comparative study of the techniques of myringoplasty–overlay, underlay & interlay. IOSR J Dent Med Sci 13(12):12–16

    Article  Google Scholar 

  12. Jain S, Gupta N, Gupta R, Roy A (2017) Interlay Type I tympanoplasty in large central perforations: Analysis of 500 cases. Indian Journal of Otology. Jan 1;23(1):32

  13. Komune S, Wakizono S, Hisashi K, Uemura T Interlay method for myringoplasty.Auris Nasus Larynx. 1992 Jan1;19(1):17–22

  14. Hay A, Blanshard J (2014) The anterior interlay myringoplasty: outcome and hearing results in anterior and subtotal tympanic membrane perforations. Otology & Neurotology. Oct 1;35(9):1569-76

  15. Holmquist J, Bergström B The mastoid air cell system in ear surgery. Archives of Otolaryngology. 1978 Mar 1;104(3):127-9

  16. Balyan FR, Celikkanat S, Asian A, Taibah A, Russo A, Sanna M (1997) Mastoidectomy in noncholesteatomatous chronic suppurative otitis media: is it necessary?. Otolaryngology—Head and Neck Surgery. Dec;117(6):592-5

  17. Chavan SS, Desmukh SD, Pawar VG (2011) Tympanoplasty with or without cortical mastoidectomy. Gujrat Med J 8(1):8–10

    Google Scholar 

  18. Sharma A, Baisakhiya N, Garg LN, Singh G (2016 Dec) Evaluation of role of mastoid surgery in the management of safe chronic suppurative otitis media. Indian J Otolaryngol Head Neck Surg 68:434–440

  19. Nayak DR, Balakrishnan R, Hazarika P, Mathew PT Role of cortical masteoidectomy in the results of myringoplasty for dry tubotympanic disease. Indian journal of Otology. 2003 Dec 1;9(4):11 – 5

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  1. Department of ENT and Head & neck surgery, T.S Misra Medical College & Multispecialty hospital, Lucknow, Uttar Pradesh, India

    Sanchit Bajpai, Gaurav Kumar, Rahul Dashrath Kanojia, Saurabh Kumar Jaiswal & Brig. Deshpal

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  1. Sanchit Bajpai
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  2. Gaurav Kumar
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Contributions

Conceptualization: Gaurav Kumar, Sanchit Bajpai, Brig. Deshpal.

Draft Preperation: Sanchit Bajpai, Gaurav Kumar, Saurabh Kumar Jaiswal, Rahul Dashrath Kanojia.

Draft Review: Gaurav Kumar, Brig. Deshpal.

Draft Editing: Sanchit Bajpai, Rahul Kanojia, Saurabh Kumar Jaiswal.

Validation: Gaurav Kumar, Brig. Deshpal, Sanchit Bajpai.

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Correspondence to Gaurav Kumar.

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Bajpai, S., Kumar, G., Kanojia, R.D. et al. Interlay Type-1 Tympanoplasty with or Without Cortical Mastoidectomy in an Inactive Mucosal Chronic Otitis Media with Large Central Perforation: A Retrospective Comparative Study. Indian J Otolaryngol Head Neck Surg 75, 2100–2106 (2023). https://doi.org/10.1007/s12070-023-03781-7

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