Type 1 Tympanoplasty With Cortical Mastoidectomy: Results and Complications

Abstract

ABSTRACT:Patients with safe CSOM may have associated disease process in the mastoids. It is a good practice to explore mastoids along with type-I tympanoplasty. MATERIAL AND METHODS: It is a prospective study conducted in the department of ENT, Tripura Medical College, Agartala during the period of July 2013 to December 2014. Forty two patients with safe CSOM were selected in the study. These patients were evaluated and prepared for surgery. Cortical mastoidectomy with type-I tympanoplasty was done and the patients were followed up for 6 months. RESULTS AND OBSERVATIONS: Graft uptake was successful in 85.7% cases. The complications were graft rejection (14.3%), disturbance in taste (11.9%), vertigo (14.3%), wound infection (9.5%) and sensorineural hearing loss (4.8%). CONCLUSION: Exploration of mastoid in conjunction with type-I tympanoplasty gives good result with few complications.

Correlation of Status of Mastoid with Outcomes of Myringoplasty with Cortical Mastoidectomy in Mucosal Otitis Media with High Risk Perforation

“…There was one case of postoperative wound infection which was just 2.9% of total cases. Singha et al 25 noted wound infection in 9.5% cases. According to Mishiro et al 13 performing mastoidectomy adds time, cost, and increased risk of post-operative complications which could be the reason for most of the surgeons being reluctant to perform mastoidectomy.…”