Chronic suppurative otitis media is a common condition seen in patients attending the otolaryngology clinic. The discharging ear presents the otologist with the dilemma of operating on it or not. This due to the widespread belief that the success rate while doing tympanoplasty on wet ears is decidedly inferior. To evaluate this fact we conducted a study to compare outcomes of type 1 tympanoplasty in dry and wet ears. Wet ear meant that the patient had a mild mucoid discharge which was negative on culture. Type 1 tympanoplasty was done in all patients under local anesthesia using temporalis fascia graft and by underlay technique. We conclude that the presence of discharge in the ear at the time of operation does not interfere with the results of tympanoplasty, but it should be mucoid and scanty.
Getting comfort and solace is an increasingly important idea in 21st century. The getting of progressing development and capacities directly deals with an unrivaled choice for pediatric surgeries.It was a randomized, twofold outwardly disabled, comparable equivalent social affair study including 60 patients, spread also 30 each in Group 1 (concentrate calm Midazolam) and Group 2 (control pack Dexmedetomidine). Sedation achieved in the dexmedetomidine pack was more than that practiced in the midazolam gathering. Extremely (90% versus 56%) P regard 0.0074 was found. 21 out of 30 in the midazolam pack achieved honorable parent piece disquiet score took a gander at and 28 out of 30 in the dexmedetomidine gathering. 18 out of 30 in the midazolam pack achieved exceptional spread request score and 27 out of 30 in the dexmedetomidine achieved tasteful spread affirmation score. An unquestionably fundamental number of youths in pack Dexmedetomidine achieved beguiling spread validation score of 1 or 2 when isolated and bunch Midazolam. wake up score were desperate down where 14 out of 30 in the midazolam get cultivated great wake together score. A consistently noticeable number of children in wrap Dexmedetomidine achieved wake up score of 1 or 2 when isolated and pack Midazolam. Post usable absense of wretchedness was less required in the dexmedetomidine gathering. Study was viewed as that Dexmedetomidine can be used as an unmatched drug broke down than midazolam as an intramuscular premedication in pediatric age.
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