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ORIGINAL ARTICLE
Year : 2014  |  Volume : 20  |  Issue : 4  |  Page : 178-182

Evaluation of outcomes of tympanoplasties with and without cortical mastoidectomy


Assistant Professor of Ear, Nose and Throat, Malabar Medical College Hospital and Research Centre, Kozhikode, Kerala, India

Correspondence Address:
Madayambath Sagesh
Assistant Professor of Ear, Nose and Throat, Malabar Medical College Hospital and Research Centre, Modakkallur, Atholi, Kozhikode 673 315, Kerala
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-7749.146934

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Context: Even today well-trained and experienced otologists remain divided as to the importance of combining mastoidectomy with tympanoplasty in the treatment of chronic non-cholesteatomatous otitis media. We performed a comparison of patients with postinfectious simple tympanic membrane perforations treated with tympanoplasty or with tympanoplasty 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 hearing improvement. Settings and Design: A combination of retrospective and prospective cohort study. Materials and Methods: A total of 65 patients undergoing tympanoplasty with or without cortical mastoidectomy were included in the study and were followed up for a period of one year for the graft uptake and hearing 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 hearing 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 hearing improvement in cases of chronic suppurative otitis media tubotympanic disease.


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