Evaluation of the surgical treatment results of chronic otitis media with tympanic membrane perforation

Abstract

Objectives: To describe the clinical and paraclinical characteristics of chronic otitis media with tympanic membrane perforation and evaluate the results of surgical treatment of chronic otitis media with perforation. Materials and methods: 75 patients were diagnosed with chronic otitis media with perforation and underwent surgery at the Hue University of Medicine and Pharmacy Hospital and Hue Central Hospital from May 2020 to September 2021. Results: The disease was more common in women, mainly in the age group of 16-30 years old (34.7%). Common preoperative symptoms are hearing loss and tinnitus. The main reason for surgery was a history of prolonged otorrhea (50.7%). The primary location of the tympanic membrane perforation is central (74.7%). The symptoms of hearing loss and tinnitus in patients after myringoplasty improved significantly compared to before surgery. The average hearing after myringoplasty and attico-antrostomy surgery improved statistically significantly compared to before surgery. The overall anatomical outcome after surgery was good, accounting for the majority with the rate of 86.7%. Conclusion: Chronic otitis media is a common disease with a long duration and affects life quality. Surgical treatment for chronic otitis media is safe and effective. Key words: Chronic otitis media, tympanic membrane perforation.