A Study on Outcome of Myringoplasty in Dry Ear (Quiescent/Inactive CSOM) Without Using Gelfoam in Middle Ear

Ramalingam, Vijay; Ramanathan, Muthukumar; Muraleedharan, Amarapathy; Kamindan, Kandasamy; Ramkumar, Thalapathy; Mohankumar, Venugopal; Murugesan, Rajeswari

doi:10.1007/s12070-019-01687-x

Cited by 7 publications

(2 citation statements)

References 11 publications

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“…The functional advantage of large aerated mastoid act as a buffer to the changes in pressure within middle ear as suggested by Holmquist and Bergstrom 8 and later reiterated by Sade et al and Richards et al 9,10 The 60 patients in our study were divided into group A of 30 patients who underwent tympanoplasty using temporalis fasia with refashioned tragal cartilage support and group B of 30 patients who underwent tympanoplasty using temporalis fascia graft alone. Medicated gel foam was used in the patients, the use of which did not significantly change the outcome of tympanoplasty according to Vijay et al 11 In the present study more number of patients were in the age of group 25 to 35 years, more with duration of the disease of 6 months to 1 year and more females were in both group A and B.…”

Section: Discussionmentioning

confidence: 39%

Evaluating the outcome of type I Tympanoplasty with cortical mastoidectomy using temporalis fascia graft with and without tragal cartilage support

Ramalingam¹,

Subramaniam

Rajeevan³

et al. 2022

IJOAS

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Type 1 tympanoplasty with graft helps in closure of perforation thereby arresting otorrhoea and improvement in hearing. Selecting a graft in tympanoplasty with cortical mastoidectomy is still a debatable topic among ENT surgeons across the world. Cortical mastoidectomy is opted by many for good mastoid ventilation and disease clearance in chronic otitis media.Evaluating postoperative outcomes of patients in graft uptake and hearing improvement in cortical mastoidectomy with type I tympanoplasty using temporalis fascia graft with and without tragal cartilage support in quiescent mucosal type of chronic otitis media with conductive hearing loss. A retrospective study of 60 patients who underwent cortical mastoidectomy with type I tympanoplasty were screened and taken for study. Group A had 30 patients who had underwent tympanoplasty with temporalis fascia supported by cartilage and group B included 30 patients who underwent tympanoplasty with temporalis fascia alone. They were followed periodically for 6 months and the outcome of graft uptake and hearing improvement were compared. Successful Graft uptake in group A was 90% and group B was 93%. Hearing improvement in group A was 83% and group B was 87%. Type I Tympanoplasty with cortical mastoidectomy gives a good outcome in terms of graft uptake and hearing improvement in chronic otitis media, but our study showed no significant difference between the two types of grafts used for tympanoplasties. The selection of patients, the condition of middle ear, postoperative asepsis and compliance of the patient and periodic follow up remains the crux in best outcome.

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Section: Discussionmentioning

confidence: 39%

Evaluating the outcome of type I Tympanoplasty with cortical mastoidectomy using temporalis fascia graft with and without tragal cartilage support

Ramalingam¹,

Subramaniam

Rajeevan³

et al. 2022

IJOAS

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“…Some recent studies demonstrated that the type of EAC packing did not affect the graft outcome [ 3 ], which avoids the discomfort of ear pack removal and an unnecessary out-patient visit, thereby potentially reducing the cost of care. However, although biological materials packing is gradually reduced in the EAC packing, even it was abandoned entirely in some studies [ 2 , 4 ], it is relatively common for surgeons to use antibiotic ointment only in EAC packing in tympanoplasty/tympanomastoidectomy [ 2 , 3 , 5 ],this is believed to prevent the infection of graft. Nevertheless, the antibiotic ointment may also adhere to the graft, ear canal or, in particular, the tympanomeatal flap, traumatizing these and disturbing the graft on removal [ 1 , 2 ].…”

Section: Introductionmentioning

confidence: 99%

Role of Topical Antibiotic Ointment in the Lateral Graft following Underlay Myringoplasty: A Prospective Randomised Study

Lou,

et al. 2023

Journal of Otolaryngology - Head & Neck Surgery

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Objective The objective of this study was to compare the graft outcome and postoperative infection of with and without the use of antibiotic ointment following myringoplasty for the treatment of chronic perforations. Study Design Randomized controlled trial. Material and Methods 135 chronic perforations were prospectively randomized to use of antibiotic ointment group (UAO, n = 68) or no use of antibiotic ointment group (NAO, n = 67) following myringoplasty. The graft outcomes and postoperative infection were compared among two groups at 6 months. Results At postoperative 6 months, the graft infection rate was 4.4% in the UAO group and 10.4% in the NAO group, the difference was not significant (P = 0.312).The graft success rates were 92.6% in the UAO group and 91.0% in the NAO group, the difference was not significant (P = 0.979). In the UAO group, 3 patients with purulence ear discharge resulted in a residual perforation although they received ofloxacin ear drops and intravenous antibiotic therapy treatment. In the NAO group, 6 patients with purulence ear discharge resulted in a residual perforation, only one, with mild purulence discharge was successfully treated and closed. In addition, no significant between-group differences were observed pre- (P = 0.746) or post- (P = 0.521) operative air bone gap (ABG) values or mean ABG gain (P = 0.745). However, granular myringitis with minimal moistness but without infection has been noted in 3 (4.4%) patients in the UAO group and in 5 (7.5%) in the NAO group, the difference was not significant (P = 0.699). Conclusions Use and non-use of antibiotic ointments for lateral packing of graft are both comparable methods following myringoplasty for postoperative infection and graft outcomes.

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Comparison of endoscopic over-underlay technique with and without packing for repairing chronic perforation

Lou¹,

Lou

et al. 2022

Eur Arch Otorhinolaryngol

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A Study on Outcome of Myringoplasty in Dry Ear (Quiescent/Inactive CSOM) Without Using Gelfoam in Middle Ear

Cited by 7 publications

References 11 publications

Evaluating the outcome of type I Tympanoplasty with cortical mastoidectomy using temporalis fascia graft with and without tragal cartilage support

Evaluating the outcome of type I Tympanoplasty with cortical mastoidectomy using temporalis fascia graft with and without tragal cartilage support

Role of Topical Antibiotic Ointment in the Lateral Graft following Underlay Myringoplasty: A Prospective Randomised Study

Comparison of endoscopic over-underlay technique with and without packing for repairing chronic perforation

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