Clinical Study Of Impact of Size ,Site & Shape of Tympanic Membrane Perforation on Surgical Closure with Audiological Improvement for Chronic Otitis Media  – Our Experience.

Dr.M.SREEDHAR RAO; Dr.K.KISHORE; DR.C.RAJESH; DR.A.SESHA PRASAD

Volume : VII, Issue : IX, September - 2017

Clinical Study Of Impact of Size ,Site & Shape of Tympanic Membrane Perforation on Surgical Closure with Audiological Improvement for Chronic Otitis Media – Our Experience.

Dr. M. Sreedhar Rao, Dr. K. Kishore, Dr. C. Rajesh, Dr. A. Sesha Prasad

Abstract :

INTRODUCTION: Ear discharge is one of the most common ear complaint encountered by an Otorhinolaryngologist .Chronic Suppurative Otitis Media is of two types – safe and unsafe. Myringoplasty is a surgical procedure used to close the perforation of pars tensa of the tympanic memane and to improve the heå loss.METHODS: The present study of 50 cases between 15 – 60 years of age and both sexes with chronic suppurative otitis media – tubotympanic type disease and having dry central perforation was conducted as a cross sectional prospective study in the Department of ENT,Government General Hospital ,Kurnool.RESULTS: In this series the minimum age was 15 years and maximum age was 58 years .Number of male were 27( 54%) and female 23 (46%). It was found that the heå loss was proportional to the size of the perforation. No statistically significant difference was noted in heå loss based on site or shape of tympanic memane perforation in our study. All 50 patients underwent Myringoplasty & followed up regularly . Graft was successfully taken up in 42 patients giving a success rate of 87.5% in our study & the rest 6 patients (12.5% ) were considered as failures.CONCLUSION:In our study heå loss was proportional to the size of the perforation and no statistically significant difference was noted in heå loss based on site or shape of tympanic memane perforation .