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Evaluation of Role of Mastoid Surgery in the Management of Safe Chronic Suppurative Otitis Media

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Abstract

This study evaluates the outcome of type 1 tympanoplasty with and with out mastoidectomy. The comparative study comprises of 40 patients with CSOM safe type in dry ear. All cases were operated during a period of one and a half years. 20 of these cases were selected for tympanoplasty alone (Group A) and 20 cases were selected for Tympanoplasty with cortical mastoidectomy (Group B). Patients were reviewed after 3 weeks for inspection of the operated ear. The second and third postoperative reviews were done 6 and 12 weeks respectively for clinical assessment of the operated ear with respect to graft status, ear discharge and hearing improvement. The postoperative audiograms were recorded after 3 months. Type I tympanoplasty with cortical mastoidectomy has better graft uptake (100 %) as compared to without mastoidectomy (95 %). Post-operative A–B gap closure is better in tympano-mastoidectomy (20.48 dB) than tympanoplasty (15.75 dB) with p value <0.05. Post-operative hearing gain and graft uptake were both better with tympano-mastoidectomy and tympanoplasty.

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Authors and Affiliations

  1. Department of ENT, Maharishi Markandeshwar Institute of Medical Sciences and Research Mullana, Ambala, Haryana, India

    Akriti Sharma, Nitish Baisakhiya, L. N. Garg & Gurchand Singh

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  1. Akriti Sharma
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  2. Nitish Baisakhiya
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  3. L. N. Garg
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  4. Gurchand Singh
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Correspondence to Nitish Baisakhiya.

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There is no conflict of interest and there is no financial disclosure. Detailed written consent was taken from all the patients who have participated in the study pre-operatively.

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Sharma, A., Baisakhiya, N., Garg, L.N. et al. Evaluation of Role of Mastoid Surgery in the Management of Safe Chronic Suppurative Otitis Media. Indian J Otolaryngol Head Neck Surg 68, 434–440 (2016). https://doi.org/10.1007/s12070-015-0921-9

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  • DOI: https://doi.org/10.1007/s12070-015-0921-9

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