Outcomes of Type-I Tympanoplasty with and without Cortical Mastoidectomy in Chronic Otitis Media- Inactive Mucosal Diseases
DOI:
https://doi.org/10.21276/s8tptt26Keywords:
Type-I tympanoplasty, Type-I tympanoplasty with Cortical mastoidectomy, Chronic otitis media-inactive mucosal disease.Abstract
Aims: To evaluate the outcomes of type-I tympanoplasty with and without cortical mastoidectomy in patients of inactive mucosal chronic otitis media with sclerosed mastoids.
Methods: The study was prospective in nature and comprised of 64 patients suffering from chronic otitis media inactive mucosal disease with sclerosed mastoids. The patients were divided into two groups (Group-I & Group-II) based on the patency of the eustachian tube. Further subgroups (Group-IA & Group-IB and Group-IIA & Group-IIB) were made into each group on the basis of intervention being done. Type-I tympanoplasty was done in Group-IA & group-IIA whereas cortical mastoidectomy along with type-I tympanoplasty was performed in Group-IB & Group-IIB. Evaluation was done in terms of uptake of the graft and post-operative mean audiological gain. The results of different interventions done was compared within each group.
Results: The difference in the successful graft uptake and mean audiological gain in the group of the patients with patent eustachian tube (Group-IA & Group-IB) was not statically significant. There was statically significant difference in the graft uptake and mean audiological gain in the patients undergoing type-I tympanoplasty alone and cortical mastoidectomy with type-I tympanoplasty with blocked eustachian tube group (Group-IIA & Group-IIB).
Conclusion: On combining the cortical mastoidectomy with type-I tympanoplasty there was no statistically significant difference in the outcome of the patients with patent eustachian tube. Whereas in the group of the patients with blocked eustachian tube the outcome improved significantly on combining the cortical mastoidectomy with type-I tympanoplasty.
Downloads
References
Holmquist J, Bergstrom B. The mastoid air cell system in ear surgery. Arch
Otolaryngol 1978;104:127‑9.
Sade J. The correlation of middle ear aeration with mastoid pneumatization. The
mastoid as a pressure buffer. Eur Arch Otorhinolaryngol 1992;249:301‑4.
Cinamon U, Sade J. Mastoid and tympanic membrane as pressure buffers: A
quantitative study in a middle ear cleft model. Otol Neurotol 2003;24:839‑42.
Jackler RK, Schinder RA et al (1984) Open mastoid in TM reconstruction.
Laryngoscope 94:495–500.
McGrew BM , Jackson CG, Glasscock ME 3rd. Impact of mastoidectomy on
simple tympanic membrane perforation repair. Laryngoscope. 2004
Mar;114(3):506-11.
Mishiro Y, Sakagami M, Takahashi Y, Kitahara T, Kajikawa H, Kubo T.
Tympanoplasty with and without mastoidectomy for non‑cholesteatomatous
chronic otitis media. Eur Arch Otorhinolaryngol 2001;258:13‑5.
Kakkar V et al (2014) Role of cortical mastoidectomy on the results of
tympanoplasty in tubotympanic type of CSOM. Natl J Otorhinolaryngol Head
Neck Surg 2(11):3.
Bhatt KV, Naseerudin K, Nagalotimath US, Kumar PR, Hegde JS (2008) Cortical
mastoidectomy in quiescent tubotympanic chronic otitis media, is it routinely
necessary? J Laryngol Otol 10:1–8.
Tawab HMA et al (2014) Myringoplasty with and without cortical
mastoidectomy in treatment of non-cholesteatomatous chronic otitis media: a
comparative study. Clin Med Insight Ear Nose Throat 7:19–23.
Toros SZ, Habesoglu TE et al (2010) Do patients with sclerotic mastoids require
aeration to improve the success of tympanoplasty? Acta Otolaryngol Supp
(8):909–912.
Albu S, Trabalzini F, Amadori M. Usefulness of cortical mastoidectomy in
myringoplasty. Otol Neurotol. 2012;33:604-9.
Kaur M, Singh B, Verma BS, Kaur G, Kataria G, SinghS Kansal P, Bhatia B
(2014) Comparative evaluation between tympanoplasty alone and tympanoplasty
combined with cortical mastoidectomy in non cholesteatomatous chronic
suppurative otitis media in patients with sclerotic bone. ISOR-JDMS 13(6):40–
Nayak DR, Balakrishnan R, Hazarika P, Mathew PT (2003) Role of cortical
mastoidectomy in the results of myringoplasty for dry tubotympanic disease.
Indian J Otol 9:11–15.
Habib MA, Huq MZ, Aktaruzzaman M, Alam MS, Joarder AH, Hussain MA.
Outcome of tympanoplsty with and without cortical mastoidectomy for
tubotymapanic chronic otits media. Mymensingh Med J. 2011;20:478-83.
Downloads
Published
Issue
Section
License
Copyright (c) 2024 International Archives of BioMedical and Clinical Research (IABCR)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Authors are required to sign and submit the completed “Copyright transfer Form” upon acceptance of publication of the paper. This is determined by a publishing agreement between the author and International Archives of Biomedical and Clinical Research. These rights might include the right to publish, communicate and distribute online. Author(s) retain the copyright of their work. International Archives of Biomedical and Clinical Research supports the need for authors to share, disseminate and maximize the impact of their research.
