Comparative study of type I tympanoplasty with or without mastoidectomy in tubotympanic type of chronic suppurative otitis media patients

Methwani, Disha; Deshmukh, Prasad

doi:10.4103/jdmimsu.jdmimsu_8_16

Cited by 4 publications

(10 citation statements)

References 2 publications

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“…13 Methwani et al also found the third decade to be the predominant age group to be affected. 14 More number of patients in our study has an ear discharge for more than 1 year to 3 years followed by discharge for 4-6 years. The hearing loss in most of the patients was mild and the number of perforation was moderate in the present study.…”

Section: Discussionmentioning

confidence: 66%

“…16 In another study by Methwani et al, more number of patients had discharge for 1-5 years. 14 84% of the surgeries in group I, i.e., patients who underwent only tympanoplasty, was successful while 88% of the patients in Group II, i.e., tympanoplasty with cortical mastoidectomy, the surgery was successful with the graft being completely accepted. However, there was no significant difference of the rate of acceptance between the two groups.…”

Section: Discussionmentioning

confidence: 96%

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Impact of cortical mastoidectomy on tympanoplasty for recurrent suppurative otitis media: a prospective study

Sisodia

Sriprakash

2019

Int J Otorhinolaryngol Head Neck Surg

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Background: Chronic suppurative otitis media condition is characterized by an ear discharge and a perforation in the tympanic membrane. Tympanoplasty and tympanoplasty with mastoidectomy are the two common surgeries performed to manage this condition.Methods: 50 patients were divided into two groups of 25 each. On Group I, tympanoplasty alone was done and on Group II tympanoplasty along with mastoidectomy was performed and outcome was noted. Results: The most common age group to be affected was 21-30 years. Discharge of 1-3 years was observed in 32% in Group I and 36% in Group II. 84% in Group I and 72% in Group II had mild hearing loss, and in both the groups, moderate perforations were more common. 84% of the patients in Group I and 88% in group II showed acceptance to the surgeries and the hearing gain in both the groups was around 10.Conclusions: This study shows that tympanoplasty with mastoidectomy has no added advantage over tympanoplasty alone in the patients with chronic suppurative otitis media.

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Section: Discussionmentioning

confidence: 66%

Section: Discussionmentioning

confidence: 96%

Impact of cortical mastoidectomy on tympanoplasty for recurrent suppurative otitis media: a prospective study

Sisodia

Sriprakash

2019

Int J Otorhinolaryngol Head Neck Surg

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“…Post-operative middle ear retraction occurs in tympanoplasty with mastoidectomy much more than tympanoplasty without mastoidectomy. Some of the related studies were reviewed [12,13]. Jain et al reported on role of eustachian dysfunction and primary sclerotic mastoid pneumatisation pattern in aetiology of squamous chronic otitis media [12].…”

Section: Discussionmentioning

confidence: 99%

“…Jain et al reported on role of eustachian dysfunction and primary sclerotic mastoid pneumatisation pattern in aetiology of squamous chronic otitis media [12]. Methwani and Deshmukh reported about Type I Tympanoplasty with or without mastoidectomy in tubotympanic type of chronic suppurative otitis media patients [13]. Singh et al studied the correlation of preoperative findings with intra-operative ossicular status in patients with chronic otitis media [14].…”

Section: Discussionmentioning

confidence: 99%

Study of Clinical Profile and Comparison of Various Dimensions of Chronic Otitis Media among the Adult and Paediatric Population from Rural Area

Vijayappan

Deshmukh

2021

JPRI

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Background: The term Chronic Suppurative Otitis Media (CSOM) is characterized as "chronic middle ear and mastoid cavity infection, which occurs through tympanic membrane perforation with recurrent ear discharge or otorrhoea . Though there are many similarities between adult and pediatric CSOM in terms of disease progression and pathological changes, there are certain notable differences stemming from temporal bone anatomy and extent of pneumatization, the immaturity of Eustachian Tube in terms of its function and variable progression of disease. Pediatric temporal bone being more pneumatized makes the disease to spread more extensively. Childhood cholesteatoma has much greater rates of residual and recurrence disease than seen in adults. This study is aimed to compare various dimensions of CSOM among the paediatric and adult age group in rural population. Methods: This cross-sectional comparative study is scheduled from November 2020 to November 2023 in ENT Department of AVBRH, Wardha. Total 50 patients with chronic Otitis Media in the paediatric and adult age group will be enrolled. Baseline investigations will be performed for all patients and compared. Expected Results: Clinical profile and behavior of chronic otitis media in adult and paediatric population in rural areas will be outlined, emphasizing middle ear changes, grade and extent of retraction pockets and cholesteatoma respectively. Pneumatization of the temporal bone and audiological status will be reported. Conclusion: Differentiating characteristics of chronic otitis media in adult and paediatric population with specified features will be concluded.

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“…Middle ear ventilation being obstructed by the anatomical blockage is another reason that may contribute to the development of COM. Researchers Jain et al, Methwani et al, and Singh et al have published studies on chronic otitis media and also found that KS can be one of the factors affecting the etiopathogenesis of chronic otitis media [ 22 - 24 ]. Few more related research was reviewed [ 25 ].…”

Section: Reviewmentioning

confidence: 99%

Clinical Significance of Körner’s Septum in Relation to Occurrence of Squamous Chronic Otitis Media

Murali¹,

Jain²,

Hande³

2022

Cureus

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The Körner's septum (KS), persistent petrosquamosal lamina, is a bony lamina (developmental remnant) that extends from the articular fossa to the mastoid apex, above the middle ear, and runs inferiorly and laterally to the facial nerve canal. The petrous and squamous bones meet at this septum. The anatomical structure of KS, which most frequently occurs at the level of the head of the malleus and/or the anterior semicircular canal, is described in depth in this work. The embryological elements of the temporal bone development that result in the formation of KS are taken into consideration. Clinically KS is considered an important anatomical variation, in the development of chronic diseases of the ear like chronic otitis media, especially attic retraction pockets, and cholesteatoma as it can contribute to attic blockage. Also, studies have found a significant association between tympanosclerosis and KS. High-resolution computed tomography (HRCT) and cone-beam computed tomography are the two imaging methods most commonly used to identify KS. It is observed that KS was associated with an increased risk for chronic otitis media, and residual cholesteatoma. The purpose of this review article is to provide a general overview of the KS and its clinical implication, as well as to summarize and discuss the latest clinical data regarding this entity.

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Comparative study of type I tympanoplasty with or without mastoidectomy in tubotympanic type of chronic suppurative otitis media patients

Cited by 4 publications

References 2 publications

Impact of cortical mastoidectomy on tympanoplasty for recurrent suppurative otitis media: a prospective study

Impact of cortical mastoidectomy on tympanoplasty for recurrent suppurative otitis media: a prospective study

Study of Clinical Profile and Comparison of Various Dimensions of Chronic Otitis Media among the Adult and Paediatric Population from Rural Area

Clinical Significance of Körner’s Septum in Relation to Occurrence of Squamous Chronic Otitis Media

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