EVALUATION OF OUTCOMES OF TYMPANOPLASTIES WITH AND WITHOUT CORTICAL MASTOIDECTOMY

Dr.Hemang Brahmbhatt; Dr.Hardik. V. Shah

Volume : V, Issue : VIII, August - 2016

EVALUATION OF OUTCOMES OF TYMPANOPLASTIES WITH AND WITHOUT CORTICAL MASTOIDECTOMY

Dr. Hemang Brahmbhatt, Dr. Hardik. V. Shah

Abstract :

Context: Even today well?trained and experienced otologists remain divided as to the importance of com? bining mastoidectomy with tympanoplasty in the treatment of chronic non?cholesteatomatous otitis media. We performed a comparison of patients with post infectious simple tympanic memane perforations treated with tympanoplasty and tympa? noplasty combined with intact canal wall mastoidectomy, in terms of outcome. Aims: The aim of the study was to evaluate the outcomes of tympanoplasties with and without cortical mastoidectomy in terms of graft uptake rate and he� improvement. Settings and Design: A combination of retrospective and prospective cohort study. Materials and Methods: A total of 50 patients undergoing tympanoplasty with or without cortical mastoidectomy were included in the study and were followed up for a period of six months for the graft uptake and he� improvement. Statistical analysis used: Fisher�s exact test and chi square test. Results: In our study, there was no significant difference in the graft uptake rate or the he� improvement in both these groups. Conclusions: As per this study, it can be concluded that the addition of cortical mastoidectomy to type I tympanoplasty did not improve the graft uptake rate or the he� improvement in cases of chronic suppurative otitis media tubotympanic disease.