Abstract
Tympanoplasty has been the mainstay of treatment in chronic otitis media. In a non cholesteatomatous chronic otitis media, there has been much debate whether a cortical mastoidectomy is required or not. Creating an aerating mastoidectomy in cases of blocked aditus ad antrum helps in reducing the recurrence. However, the status of aditus is not always known unless a mastoidectomy is performed. In this study we try to find out if there is any clinical clue regarding a blocked aditus ad antrum by looking at the tympanic membrane. Fourty-three cases of cortical mastoidectomies were retrospectively studied in this series. Patency of aditus ad antrum was analyzed with respect to presence of myringosclerosis and the status of middle ear mucosa. In this study myringosclerosis was found to be significantly associated with a blocked aditus while no such association was found with the status of middle ear mucosa. The presence of myringosclerosis may indicate a blocked aditus ad antrum and performing a cortical mastoidectomy in such cases may help in creating an aerated mastoid, thereby possibly reducing the recurrence rate.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Albu S, Babighian G, Trabalzini F (2000) Surgical treatment of tympanosclerosis. Am J Otol 21:631–635
Pinar E, Sadullahoglu K, Calli C, Oncel S (2008) Evaluation of prognostic factors and middle ear risk index in tympanoplasty. Otolaryngol Head Neck Surg 139:386–390
Bluestone CD, Cantekin EI, Kenna MA et al (1987) Prognostic value of eustachian tube function in pediatric tympanoplasty. Laryngoscope 97:1012–1016
Holmquist J, Bergstrom B (1978) The mastoid air cell system in ear surgery. Arch otolaryngol 104:127–129
Ruhl CM, Pensak ML (1999) Role of aerating mastoidectomy in non cholesteatomatous chronic otitis media. The laryngoscope 109:1924–1927
Hellstrom S, Stenfors LE (1983) The original description of sharpnels membrane reviewed in light of recent experimental studies. J Laryngol Otol 97:985–989
Sade J (1992) The correlation between middle ear aeration and mastoid pneumatization. Eur Arch Otorhinolaryngol 249:301–304
Baylan FR, Celikanat S, Aslan A, Taibah A, Russo A, Sanna M (1997) Mastoidectomy in non cholesteatomatous chronic suppurative otitis media: Is it necessary? Otolaryngol Head Neck Surg 117:592–595
Vijayendra H, Mahadevaiah A, Surendran K, Sangeetha R (2005) Micro ear surgery—its purpose and procedure for tubotympanic pathology. Indian J Otolaryngol Head Neck Surg 57(4):360–363
Migrov L, Volkov A (2009) Influence of coexisting myringosclerosis on myringoplasty outcomes in children. J Laryngol Otol 123:969–972
Pal I, Sengupta A (2005) Clinicopathological and audiological study of tympanosclerosis. Indian J Otolaryngol Head Neck Surg 57:235–239
Makishima K, Toriya Y, Inoue S, Nakashima T, Igarashi Y (1982) Clinicopathological studies in tympanosclerosis. Am J Otol 3(3):260–265
Wielinga EWJ, Kerr AG (1993) Tympanosclerosis. Clin Otolaryngol 18:341–349
Tos M, Bak Pederson K (1974) Middle ear mucosa in tympanosclerosis. J Laryngol Otol 88:119–126
Conflict of interest
The authors declare that they have no conflict of interest.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Manjunath, M.K., Swarup, R.J., Chary, G. et al. Myringosclerosis: An Indication of A Blocked Aditus. Indian J Otolaryngol Head Neck Surg 64, 230–232 (2012). https://doi.org/10.1007/s12070-011-0321-8
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12070-011-0321-8