Endoscopic type I tympanoplasty in 70 patients with chronic otitis media: A preliminary report
https://doi.org/10.32412/pjohns.v36i2.1793
- Author:
Bikramjit Singh
1
;
Pooja Pal
2
;
Hardeep Singh Osahan
2
;
Arvinder Singh Sood
2
Author Information
1. Government Medical College, Amritsar
2. Sri Guru Ram Das Institute of Medical Sciences and Research Sri Guru Ram Das University of Health Sciences
- Publication Type:Journal Article
- Keywords:
Chronic otitis media;
Type I tympanoplasty;
Endoscopic
- MeSH:
Pain, Postoperative;
Tympanic Membrane Perforation;
Hearing;
Morbidity
- From:
Philippine Journal of Otolaryngology Head and Neck Surgery
2021;36(2):13-17
- CountryPhilippines
- Language:English
-
Abstract:
Objective:To evaluate the preliminary surgical results of Endoscopic Type I Tympanoplasty among patients with inactive chronic otitis media without ossicular pathology.
Methods:Design: Prospective Series.
Setting: Tertiary Government Hospital.
Participants:Seventy patients with inactive mucosal chronic otitis media (COM) with air bone gap (ABG) of ≤ 40 dB on the preoperative audiogram scheduled to undergo Type I Tympanoplasty between July 2018 and December 2020 were enrolled.
Results:Seventy-three (73) ears were evaluated. The overall rate of graft uptake was 95.9% at 12 weeks. There was a statistically significant (p<.001) improvement in hearing on comparison of pre-operative (25.74 ± 7.34 dB) and post-operative (14.82 ± 6.55 dB) air bone gap. The duration of surgery was less than one hour in 76.7% and 77.2 % patients experienced only mild post[1]operative pain.
Conclusion:Endoscopic tympanoplasty can provide good results with respect to graft uptake and hearing gain with short surgical duration and minimum postoperative morbidity. Longer follow up of at least 6 months (for graft uptake) and preferably not less than 12 months (for hearing results) may confirm our preliminary findings.
- Full text:4pjohns.pdf