A STUDY ON BENEFIT OF CONCOMITANT MASTOIDECTOMY OVER TYMPANOPLASTY ALONE IN SAFE EAR TYMPANIC PERFORATION IN SOUTH INDIA.

Dr. D.SAMPATH RAO; Dr.G.RAJA MOHAN

Volume : IX, Issue : V, May - 2019

A STUDY ON BENEFIT OF CONCOMITANT MASTOIDECTOMY OVER TYMPANOPLASTY ALONE IN SAFE EAR TYMPANIC PERFORATION IN SOUTH INDIA.

Dr. D. Sampath Rao, Dr. G. Raja Mohan

Abstract :

INTRODUCTION: – The use of mastoidectomy as a means to reestablish drainage of mastoid antrum in safe or non cholesteatomatious chronic suppurativeotitis media is still controversial.The opinion regarding importance of mastoidectomy along with tympanoplasty still remains divided even among the most experienced surgeons. This is an issue of debate. The purpose of this study is to ascertain thatmastoidectomy should be combined as a standard operating procedure for closing central perforations in safe type of chronic suppurativeotitis media or not so as to achieve acceptable functional status postoperatively and hence minimize graft failure. AIM:–The aim of this study is to contemplate the surgical outcome of Tympanoplasty alone and Tympanoplasty combined with Cortical Mastoidectomy METHODS: –Comparativesurgical evaluation studyof 60 patientsof chronic suppurativeotitis media of safe type in dry ear.30 of these cases were selected for tympanoplasty alone (Group–I) and 30 cases were selected for cortical Mastoidectomy with Tympanoplasty (Group–II). RESULTS: –Post operative ear discharge was seen only in 4 cases,6.6% in each group. (GROUP I–2 cases, GROUP II–2 cases) and 4 cases of Graft Failure postoperatively in (GROUP I–2 cases, GROUP II–2 cases), with the success rate of 93.33% in Group–I andGroup II. CONCLUSION :– Mastidectomy with tympanoplasty gives no statistically significant benefit over tympanoplasty alone in safe type of CSOM in regards to post operative discharge, graft success rate and heå gain.