Chronic suppurative otitis media (CSOM) is a communal ailment of the middle ear Objective: To compare hearing status with and without reconstruction after a modified radical mastoidectomy. Methods: 40 total patients with Chronic suppurative otitis media (the Atico-antral variety) who endured a modified radical mastoidectomy (MRM) with reconstruction or without reconstruction were enrolled in the study. The subjects were alienated into 2 groups depending on the surgical procedure. Patients done with modified radical mastoidectomy but reconstruction was not accomplished were added in the group I (n = 20), and patients done with reconstruction after MRM (n = 20) added to the group II. The patients were thoroughly examined one week before the operation, and their hearing levels were assessed using pure tone audiometry. The general anesthesia was given to the patients of both groups and operated under a microscope with post auricular approach. Temporal fascia and cartilage were collected as a material for grafting after modified radical mastoidectomy in group II. After surgery, patients were monitored at regular intervals. After 8 weeks, pure tone audiometry was performed and the closure of the air-bone gap was compared with the hearing assessment. Results: Many of the patients in this analysis were amongst 11 and 20 years of age and the majority of patients were male. Bone-air gap closure was more common in patients undergoing reconstructive MRM. Conclusion: Reconstruction after MRM results in improved hearing amplification and similarly results in greater improvement of life quality.
Hoarseness of voice is much frequent in recent times and it alters the normal quality of voice Objective: To understand and assess the etiological factors of hoarseness. Methods: A Non-randomized, longitudinal and cross-sectional study was conducted in the ENT Head & Neck Surgery, Lady Reading Hospital Peshawar and Al Nafees Medical College and Hospital, Islamabad for six months duration from September 2021 to February 2022. All subjects with a history of hoarseness underwent routine specific clinical evaluation to establish diagnosis. The simple manual analysis was applied for final outcomes assessment with percentage and frequency using SPSS 21.0. Results: Participants enrolled were 150, amongst them, the patients of 21-30 and 31-40 years of age suffered from hoarseness. Likewise, 98 (72%) were males, 52 (28%) were females with a M: F proportion of 1.45: 1. According to the distribution, the utmost communal etiology observed in this study was acute laryngitis (30%), trailed by acid peptic laryngitis in 25.3%, laryngeal neoplasms in 8.7% and other includes laryngeal tuberculosis, intubation granuloma, and very rarely trauma. Conclusions: There was an etiological variability of hoarseness, varies from simple laryngitis to malignant neoplasms. For this reason, it is significant not to overlook hoarseness and a thorough examination, investigation and proper history should be taken
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