Overview of tympanoplasty techniques and results

Abstract

<p>The objective of this article is to overview about the changing techniques of tympanoplasty surgery and increase in the anatomical and functional success rate of surgeries. Introduction of endoscope in ear surgeries is time saving. Endoscopes are helpful to access hidden areas which was difficult with the help of microscope such as facial recesses, sinus tympani, extension of posterior-superior retraction pockets, etc. Also various modifications done in the techniques of using graft material for tympanoplasty surgery are reviewed in terms of graft acceptance and improvement of hearing. Articles reviewed are research articles, original articles and review articles published in pub med indexed journals. Because of Newer techniques in ear surgeries, tympanoplasty is becoming day care surgery. Also newer techniques are with cosmetic view and gives maximum post-operative hearing using minimal instrumentation. Efforts are taken to review the tympanoplasty surgical technique and its results.</p><p> </p>

A study on the effect of grommet as partial ossicular replacement prosthesis in type III tympanoplasty in patients with chronic suppurative otitis media

“…In our study the mean age group of patients was 31 to 45 years which is similar to the study by Chavan et al, a retrospective study on 50 patients who underwent ossiculoplasty in the Department of ENT at a tertiary care hospital that had mean age in the 3 rd decade. 6 In our study out of 20 patients 13 were male and 7 female which is comparable to the study by Chavan et al a prospective study on 80 patients who underwent various type of ossiculoplasties wherein male preponderance was observed. 7 In our study, the long process of incus was eroded in 17 out of 20 cases and malleus was eroded in 2 out of 20 cases and malleus with incus eroded in 1 case, which is comparable to the study by Chavan et al in which long process of incus was the most susceptible part of the ossicular chain, affected due to the disease process in 74 patients, followed by the stapes in 29 patients with the malleus being the most resistant amongst the three, being affected in only 10 cases.…”

Tympanogram and Audiogram Presentation after Tympanomastoidectomy Surgery Using Musculus Temporalis Fascia Profunda Graft and Composite Graft

“…Regular control after tympanomastoidectomy prevents reperforation from Chavan et al, 8 Kumar et al, 9 and Previous research by Tao et al 10 found that temporal graft fascia has more advantages such as being easier to extract, more quantity, relatively transparent, thinner and more flexible, but its elasticity strength as a low tympanic membrane makes it far more susceptible to negative pressure from the middle ear. Based on the background above, this study aims to determine changes in the image of tympanogram and audiogram postoperative tympanomastoidectomy using deep temporalis muscular graft fascia and composite graft.…”