Abstract
Aims: To evaluate a group of patients undergoing surgery for chronic otitis media with reference to theprognostic value of middle ear risk index and other factors in predicting the anatomical and functionaloutcome of tympanomastoidectomy with tympanoplasty.Subjects: The study comprised of 90 patients suffering from chronic otitis media with or withoutcholesteatoma. Patients attending the Otorhinolaryngology out patients department were considered for thisstudy.Methods: The patients underwent tympanomastoidectomy with tympanoplasty in which mastoidectomyperformed was of either canal wall up or canal wall down technique. In cholesteatoma surgery, wheneverpossible a canal wall up procedure was performed. Myringoplasty was done using autologous temporalisfascia graft by underlay technique. Middle ear risk index [MERI] and other factors were evaluated for theiroutcome predictive role in patients undergoing tympanomastoidectomy with tympanoplasty.Results: Outcomes were evaluated in terms of tympanic membrane graft uptake and post operative meanaudiological gain. The Middle ear risk index was also found to be significant predictor ofthe outcome ofsurgery. The patients with mild MERI scores had significantly better prognosis than the patients with severMERI scores.Conclusion: The Anatomical and Functional outcome of tympanomastoidectomy with tympanoplasty isdiversely affected by the pathological and technical factors associated with disease and its management. Abetter understanding of these factors is helpful for better prognostication of the factors affecting the diseaseand in planning the surgical procedure.
Published Version (
Free)
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callMore From: Indian Journal of Public Health Research & Development
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
