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Indian Journal of Otolaryngology and Head & Neck Surgery

Published in:

01-12-2016 | Original Article

Evaluation of Role of Mastoid Surgery in the Management of Safe Chronic Suppurative Otitis Media

Authors: Akriti Sharma, Nitish Baisakhiya, L. N. Garg, Gurchand Singh

Published in: Indian Journal of Otolaryngology and Head & Neck Surgery | Issue 4/2016

Abstract

This study evaluates the outcome of type 1 tympanoplasty with and with out mastoidectomy. The comparative study comprises of 40 patients with CSOM safe type in dry ear. All cases were operated during a period of one and a half years. 20 of these cases were selected for tympanoplasty alone (Group A) and 20 cases were selected for Tympanoplasty with cortical mastoidectomy (Group B). Patients were reviewed after 3 weeks for inspection of the operated ear. The second and third postoperative reviews were done 6 and 12 weeks respectively for clinical assessment of the operated ear with respect to graft status, ear discharge and hearing improvement. The postoperative audiograms were recorded after 3 months. Type I tympanoplasty with cortical mastoidectomy has better graft uptake (100 %) as compared to without mastoidectomy (95 %). Post-operative A–B gap closure is better in tympano-mastoidectomy (20.48 dB) than tympanoplasty (15.75 dB) with p value <0.05. Post-operative hearing gain and graft uptake were both better with tympano-mastoidectomy and tympanoplasty.

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Title: Evaluation of Role of Mastoid Surgery in the Management of Safe Chronic Suppurative Otitis Media
Authors: Akriti Sharma
Nitish Baisakhiya
L. N. Garg
Gurchand Singh
Publication date: 01-12-2016
Publisher: Springer India
Published in: Indian Journal of Otolaryngology and Head & Neck Surgery / Issue 4/2016
Print ISSN: 2231-3796
Electronic ISSN: 0973-7707
DOI: https://doi.org/10.1007/s12070-015-0921-9

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Evaluation of Role of Mastoid Surgery in the Management of Safe Chronic Suppurative Otitis Media

Abstract

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