Abstract
Chronic suppurative otitis media is very common otological disease in general population. Persistent wet ear produces dilemma for ENT surgeons whether to go ahead with tympanoplasty or not. Present study compare outcome of type 1 tympanoplasty in both wet and dry ear. Present study is randomized, prospective, Interventional type of study carried in ENT department of tertiary care hospital over period of 18 months. Total 62 cases fulfilling study criteria were included in the study, which were equally divided in dry and wet group. All cases underwent type 1 tympanoplasty. Temporalis fascia was used as graft material in all cases. Most of the patients in both dry and wet group belonged to the age group between 21 to 30 (40.32%). 26 (41.94%) were males and 36 (58.06%) were females. Male: Female ratio was 1:1.38. After 12 weeks 27 (87.10%) cases of dry group and 20 (64.52%) cases of wet group had significant hearing improvement and in dry group 28 (90.32%) cases had intact graft while in wet group 23 (74.19%) cases had intact graft. According to the statistical analysis, in current study, there is no significant differences between the success rates of wet and dry ears, either in terms of graft uptake or the hearing improvement, thus it can be concluded that the presence of minimal ear discharge at the time of surgery does not affect the success rate of type 1 tympanoplasty
Similar content being viewed by others
References
Hamilton J (2008) Chronic otitis media in childhood. In: Gleeson M, Browning GG, Burton MJ, Clarke R, Hibbert J, Jones NS, Lund VJ, Luxon LM, Watkinson JC (eds) Scott-Brown’s Otorhinolaryngology, Head and Neck Surgery, vol 1, 7th edn. Great Britain, Edward Arnold Ltd, p 929
Manolidis S (2003) Closure of tympanic membrane perforations. In: Gulya AJ (ed) glasscock and shambaugh’s surgery of the ear, 5th edn. Ontario, BC Decker, p 400
Perkins R (1975) Grafting materials and methods in reconstructive ear surgery. Ann Otol Rhinol Laryngol. 84(4 pt1):518–526
Jackson CG, Kaylie DM, Glasscock ME, Strasnick B (2010) Tympanoplasty-undersurface graft technique. In: Brackmann DE, Shelton C, Arriaga MA (eds) Otologic Surgery, 3rd edn. Saunders, Elsevier, Philadelphia, p 149
Vijayendra H, RangamChetty K, Sangeeta R (2006) Comparative study of tympanoplasty in wet perforation v/s totally dry perforation in tubotympanic disease. Indian J Otolaryngol Head Neck Surg 58(2):165–167
Paparella MM, Froymowich O (1994) Surgical advances in treating otitis media. Ann Otol Rhinol Laryngol Suppl 103:49–53
Nagle SK, Jagade MV, Gandhi SR, Pawar PV (2009) Comparative study of outcome of type 1 tympanoplasty in dry and wet ear. Indian J Otolaryngol Head Neck Surg 61(2):138–140
Emir H, Ceylan K, Kizilkaya Z, Gocmen H, Uzunkulaoglu H, Samim E (2007) Success is a matter of experience: type 1 tympanoplasty: influencing factors on type 1 tympanoplasty. Eur Arch Otorhinolaryngol. 264(6):595–599
Singh BJ, Sengupta A, Das SK, Ghosh D, Basak B (2009) A comparative study of different graft materials used in myringopasty. Indian J Otolaryngol Head Neck surg. 61(2):131–134
Fadl FA (2003) Outcome of type-1 tympanoplasty. Saudi Med J 24(1):58–61
Raj A, Vidit T (1999) Review of patients undergoing wet myringoplasty. Indian J Otol 5(3):134–136
Adkins WY, White B, Charleston SC (1984) Type 1 tympanoplasty: Influencing factors. Laryngoscope 94:916–918
Vartiainen E, Nuutinen J (1993) Success and pitfalls in myringoplasty: follow-up study of 404 cases. Am J Otol 14(3):301–305
Vartiainen E, Karja J, Karjalainen S, Harma R (1985) Failures in myringoplasty. Arch Otorhinolaryngol 242:27–33
Sarker MZ, Ahmed M, Patwary K, Islam R, Joarder AH (2011) Factors affecting surgical outcome of myringoplasty. Bangladesh J Otorhinolaryngol 17(2):82–87
Glasscock ME, Jackson CG, Nissen AJ, Schwaber MK (1982) Postauricular undersurface tympanic membrane grafting: a follow-up report. Laryngoscope 92:718–727
Funding
There was no funding of any kind for this study.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
There is no conflict of interest of any kind about this study.
Ethical Approval
The study was approved by the Bioethics Committee of Shri Vasantrao Naik Government Medical College and Hospital, Yavatmal, Maharashtra, India in August 2010
Human Participants and/or Animal Rights
All procedures performed in present study 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
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Dhanajkar, P.S., Keche, P.N., Ambulgekar, V.K. et al. Comparative Study of Outcome of Type 1 Tympanoplasty in Dry and Wet Ear in Tertiary Care Hospital. Indian J Otolaryngol Head Neck Surg 74 (Suppl 1), 217–223 (2022). https://doi.org/10.1007/s12070-020-01985-9
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12070-020-01985-9