Evaluation of outcomes of tympanoplasties with and without cortical mastoidectomy

M, Sagesh

doi:10.4103/0971-7749.146934

Cited by 2 publications

(4 citation statements)

References 7 publications

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“…In the study conducted by Madayambath Sagesh (7) The hearing improvement that he obtained in terms of air-bone gap closure ≥10 dB, were 78.1% in the tympanoplasty group and 81% in the mastoidectomy group, with the average closure being 15.1 dB and 15.3 dB, respectively. In their study, McGrew et al, (8) got an average air-bone gap closure of 17.6 dB in the tympanoplasty group and 11.4 dB in the mastoidectomy group, but with no significant difference between the two on statistical analysis.…”

Section: Discussionmentioning

confidence: 97%

“…There was no significant difference in the graft uptake rates of the two groups. In the study done by Madayambath Sagesh (7) they obtained a graft uptake rate of 91.3% in patients who had tympanoplasty alone and 93% in patients who had tympanoplasty with cortical mastoidectomy. They concluded that tympanoplasty combined with intact canal wall mastoidectomy offered no significant improvement over tympanoplasty alone, in the rate of closure of tympanic membrane perforations, excluding the cases with reservoir of infection.…”

Section: Discussionmentioning

confidence: 98%

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Role of Cortical Mastoidectomy in the Management of Mucosal Chronic Suppurative Otitis Media

2021

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This is a comparative study done to evaluate outcome of type 1 Tympanoplasty with and without mastoidectomy in terms of hearing improvement and graft uptake. This is a prospective study done in 100 patients at a tertiary care referral centre during November 2018 to march 2020. Patients were divided in two groups, Group A consists of 50 patients in whom type 1 Tympanoplasty was done and in Group B 50 patients were there who had undergone Type 1 Tympanoplasty with cortical mastoidectomy. Patients were evaluated postoperatively at 2nd wk, 4th wk, 2nd month and 3rd month for graft uptake, disease clearance, and hearing improvement. PTA was done at 3rd month postoperatively. In our study we observed graft uptake in 94% of patients in Group A as compared to 98% of patients in Group B and in terms of hearing improvement there is not much difference in both the groups i.e. in Group A it is 13.996 ± 4.235 while in Group B it is 14.172 ± 5.381 P value is 1 which means there is no statistically significant difference in two groups. Though better results were observed for cortical mastoidectomy with Type 1 Tympanoplasty than Type 1 Tympanoplasty alone but the difference was insignificant. Keywords: Cortical Mastoidectomy; Mucosal Chronic Suppurative Otitis Media; CSOM.

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 98%

Role of Cortical Mastoidectomy in the Management of Mucosal Chronic Suppurative Otitis Media

2021

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“…Females made up 51.3% of the T group and 50.3% of the T&M group. Most studies analyzed patients with chronic suppurative otitis media (11,15,29,32,(37)(38)(39)(40)(41)43,46,(49)(50)(51) or COM (31,33,35,42,44,47,48,52). Most studies operated on all dry ears (10,29,32,35,36,(38)(39)(40)(41)43,47,48,50,52), but some studies did include a range (17.6-100.0%) of wet ears on day of operation (11,15,37,42,44).…”

Section: Patient Characteristicsmentioning

confidence: 99%

“…Most studies analyzed patients with chronic suppurative otitis media (11,15,29,32,(37)(38)(39)(40)(41)43,46,(49)(50)(51) or COM (31,33,35,42,44,47,48,52). Most studies operated on all dry ears (10,29,32,35,36,(38)(39)(40)(41)43,47,48,50,52), but some studies did include a range (17.6-100.0%) of wet ears on day of operation (11,15,37,42,44). Different definitions of graft success were reported, with "graft take" being the most common (11,29,31,33,(37)(38)(39)41,…”

Section: Patient Characteristicsmentioning

confidence: 99%

Tympanoplasty With and Without Mastoidectomy for Chronic Otitis Media Without Cholesteatoma: A Systematic Review and Meta-analysis

et al. 2022

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This study aimed to compare surgical and audiometric outcomes of tympanoplasty alone (T) to tympanoplasty and mastoidectomy (T&M) in patients without cholesteatoma. Databases Reviewed: According to PRISMA guidelines, English articles in PubMed, Scopus, CINAHL, and Cochrane Library databases from inception to 7/29/2021 were searched. Methods: Studies describing a comparison of patients who underwent T to patients who underwent T&M were included. Studies describing patients with cholesteatoma were excluded. Patient demographics, graft failure rates, and preoperative and postoperative audiological findings were collected. Mean differences (MD) and risk difference (RD) were calculated using RevMan 5.4. Heterogeneity was assessed using Q test and I 2 statistic. Risk of bias was assessed using both version 2 of the Cochrane risk-of-bias tool for randomized trials and Risk of Bias in Non-randomized Studies of Interventions. Results: A total of 27 studies fulfilled eligibility with T (n = 1,711) and T&M (n = 1,186). When pooling the data, mean differences between T versus T&M for air bone gap (−0.3 dB: 95% CI = −1.9 to 1.3, p = 0.730) and pure tone average (1.9 dB: 95% CI = −0.3 to 4.2, p = 0.090) were not statistically significant. Graft failure was higher with T only (16.4% versus 14.2%) than T&M (RD = −0.04, 95% CI = −0.07 to −0.00, p = 0.030, I 2 = 35%]. Conclusion: This study endorses clinically similar audiological outcomes and a reduced risk difference of graft failure with mastoidectomy. Although these data suggest that adding a mastoidectomy could decrease the risk of graft failure, the risk reduction is minimal. More research on the cost-effectiveness and the specific patient clinical characteristics and comorbidities that would benefit from adding a mastoidectomy is warranted.

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Evaluation of outcomes of tympanoplasties with and without cortical mastoidectomy

Cited by 2 publications

References 7 publications

Role of Cortical Mastoidectomy in the Management of Mucosal Chronic Suppurative Otitis Media

Role of Cortical Mastoidectomy in the Management of Mucosal Chronic Suppurative Otitis Media

Tympanoplasty With and Without Mastoidectomy for Chronic Otitis Media Without Cholesteatoma: A Systematic Review and Meta-analysis

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