Removal of lymphoid tissue mass (Tonsils) from the vocal tracts between the vocal folds and lips may cause a change in voice quality postoperatively. This study was conducted to determine the effect of tonsillectomy on voice in terms of its quality under the Category: Hoarse, Harsh and Breathy. This study was done on 50 patients (32 females and I8 males) who underwent tonsillectomy for chronic tonsillitis during a period from January 2004 to February 2005 in a Tertiary Care Centre. The preoperative and postoperative voice samples of vowels /a/, /i/ and /u/ were recorded in a computer. The recordings were analyzed using a computerised programme, Dr Speech Software Version 4 (Tiger DRS, Inc. Seattle, USA). The patients reported that they did not perceive any change in his/her voice after surgery. The vocal assessment between the preoperative, first postoperative followup and second postoperative follow-up for all the three vowels /a/,/i/ and /u/ were not statistically significant. As a conclusion, tonsillectomy do not appear to change the acoustic features of vowels remarkably, but in professional voice users they should be warned for any possible changes in voice after surgery.

OBJECTIVEThis study was conducted to find out the ideal graft between septal cartilage and cortical mastoid bone in Farrior's type 3 tympanoplasty in cholesteatoma patients in terms of hearing improvement, graft status and recurrence rate of the disease after canal wall down mastoidectomy. METHODSThis randomized controlled trial was conducted in a tertiary care centre and the procedure and data collections were carried out for one and a half calendar year with effect from September 2007 and each case was followed up for 6 months. The data were entered and calculated statistically using SPSS16 for windows. RESULTSThe study shows significant hearing improvement in both the groups. The tympanoplasty type 3 with cortical mastoid bone had air bone gap less than 20dB in 40% of patients. In septal cartilage, tympanoplasty group air bone gap less than 20dB was observed in 36.4%. Retraction of graft developed in 1(2.4%) out of 20 patients among cortical mastoid bone tympanoplasty group. Among 22 patients of septal cartilage tympanoplasty type 3, 2(4.8%) patients had cartilage resorption and 3(7.1%) had graft displacement. Of the total 42 patients, 2(4.8%) developed recurrence of the disease. CONCLUSIONCholesteatoma management is controversial. Canal wall down mastoidectomy can reduce the recurrence of disease. The cortical mastoid bone and septal cartilage grafts can provide hearing improvement after tympanoplasty type 3. There is no significant difference in hearing improvement between the two grafts. KEYWORDSTympanoplasty, Cholesteatoma, Decibel (dB), Airbone Gap (ABG). HOW TO CITE THIS ARTICLE:Singh TB, Singh ND, Lungleng N. "Tympanoplasty with septal cartilage and cortical mastoid bone in cholesteatoma patients