Comparative study of outcome of type I tympanoplasty in dry and wet ear

Nagle, Smita; Jagade, Mohan; Gandhi, Saudamini; Pawar, Prashant

doi:10.1007/s12070-009-0053-1

Cited by 44 publications

(51 citation statements)

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“…Nagle et al and Bunzen et al found no influence of the condition of the ear at the time of surgery on the subsequent graft take rate which is comparable to our study. 7,8 Histopathology of excised remnant TM in wet ears showed evidence of inflammatory cells and vascularization within stroma of fibroblasts while these were absent in dry ears which is similar to other studies who have postulated that vascularity and inflammation in cases of active COM has influence on graft uptake. 5,9 In this study the overall success rate in graft uptake following myringoplasty was 88.3%, with 86.7% in wet ears and 90% in dry ears.…”

Section: Discussionsupporting

confidence: 83%

“…There is slight female preponderance (M:F =0.93:1) in our study which is comparable to study by Nagle et al wherein female preponderance was observed with male to female ratio was found to be 0.85:1.36. 7 On considering the side of involvement in tubotympanic COM, perforation was more common on left side (51.9%) with 8 patients having bilateral COM. Nagle et al observed perforation to be common on right side (42%) and with bilateral presentation in 18% of their cases.…”

Section: Discussionmentioning

confidence: 96%

“…Nagle et al observed perforation to be common on right side (42%) and with bilateral presentation in 18% of their cases. 7 Microbiological examination in wet ears showed discharge being mucoid in consistency and sterile on culture and sensitivity testing. Eighty seven percent of patients with wet ears had successful graft uptake after 3 months of follow up in our study.…”

Section: Discussionmentioning

confidence: 99%

“…Nagle et al observed a similar finding wherein majority of cases presented in the second decade. 7 The early presentation may be due to increased awareness to health issues and difficulty in hearing affecting the work efficiency, leading patients to seek early medical intervention. There is slight female preponderance (M:F =0.93:1) in our study which is comparable to study by Nagle et al wherein female preponderance was observed with male to female ratio was found to be 0.85:1.36.…”

Section: Discussionmentioning

confidence: 99%

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Comparison of efficacy of myringoplasty in dry and wet ears in chronic otitis media of tubotympanic type

Chandrashekar

2017

Int J Otorhinolaryngol Head Neck Surg

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Background: The objective of the study was to compare the outcome of myringoplasty in dry and wet ears in tubotympanic type of chronic otitis media (COM) with respect to graft uptake and hearing improvement.Methods: This is a prospective study done in department of ENT Bangalore Medical College and Research Institute during the study period of November 2014 to May 2016, wherein a total of 60 patients of tubotympanic type COM with 30 cases each of dry and wet ears, aged 15-60 years were included. The hearing impairment was assessed and recorded by pure tone audiometry (PTA). After obtaining informed written consent the patients underwent myringoplasty (temporalis fascia graft, underlay technique). Microbiological examination of discharge in wet ears was done and histopathology of the excised remnant TM analyzed in both groups. Both groups of patients were followed up for 3 months and assessed for graft uptake and hearing improvement. PTA was repeated at 3 months postoperatively. Results: Our study included 60 patients of tubotympanic type of COM with 30 cases each with dry and wet ears who underwent myringoplasty. Majority of our patients were in second decade in both the groups. There was slight female preponderance in our study with male to female ratio of 0.93:1. Discharge from ears in wet ears was mucoid in consistency and were culture negative. Histopathology of excised remnant TM in wet ears revealed evidence of inflammatory cells and vascularization within stroma of fibroblasts while these were absent in dry ear cases. The overall successful graft uptake following myringoplasty was 88.3% with 86.7% for wet ears and 90% for dry ears with no statistical significance (p value of 0.688>0.05) between the two groups. With respect to hearing improvement post-operatively there was significant hearing improvement in both the groups when compared to preoperative hearing with a mean hearing gain (dB) of 3.43±2.81 in wet ear cases to 3.85±3.05 in dry ear cases, but when compared between the two groups, there was no significant statistical difference (p value of 0.582>0.05).Conclusions: The outcome is equally good for myringoplasty in dry and wet ears in tubotympanic type of chronic otitis media with respect to graft uptake and hearing improvement.

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Section: Discussionsupporting

confidence: 83%

Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Comparison of efficacy of myringoplasty in dry and wet ears in chronic otitis media of tubotympanic type

Chandrashekar

2017

Int J Otorhinolaryngol Head Neck Surg

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“…For Nagle, 15 closure rate was 88% for dry ears and 74% for wet ears without a significant difference (p=0.07). A hearing gain rate more than 10 dB was seen in 72% for dry ears versus 60% for wet ears (p=0.85).…”

Section: 6-15mentioning

confidence: 90%

Tympanoplasty Outcomes In Dry and Wet Ears

Gamra¹,

Nacef²,

Romdhane³

et al. 2016

Otolaryngol Open J

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Citation Tympanoplasty Outcomes in Dry and Wet EarsPage 51 Research ABSTRACT Introduction: Chronic suppurative otitis media is a major public health problem in children and adults. Tympanoplasty is a surgical procedure which aims to prevent recurrent otorrhea and restore hearing ability. Objective: To compare the graft uptake and the hearing outcome of tympanoplasty in non cholesteatomatous chronic otitis media between wet and totally dry ears. Methods: A total of 108 wet ears (with mucoid discharge) and 232 dry ears (at least 3 months before surgery) with chronic suppurativeotitis media were operated on by myringoplasty between 2000 and 2014. Postoperative graft uptake and hearing gain rates were compared between both groups. Results: Cartilage was used in 100% of wet ears and 35% of dry ears. In the other cases, temporalis fascia was the chosen graft. Anatomical success rate was 88% for the wet ear group and 87.5% for the dry ear group. The hearing gain rate was 62%% for the wet ear group and 56% for the dry ear group. Differences were found to be statistically non significant for both graft intake (p=0.9) and hearing gain (p=0.29). In the wet ear group, only age <40 years was found to be a predictive factor of audio logical success in tympanoplasty (p=0.001). Conclusion:The success of myringoplasty is not adversely affected by the presence of mucoid ear discharge at time of surgery, and outcomes are comparable to those of the operation done for dry ears.

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Fungal otitis externa and wet ear with mucopurulent should be influencing factors on tympanic membrane closure

Lou¹

2020

Eur Arch Otorhinolaryngol

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Comparative study of outcome of type I tympanoplasty in dry and wet ear

Cited by 44 publications

References 1 publication

Comparison of efficacy of myringoplasty in dry and wet ears in chronic otitis media of tubotympanic type

Comparison of efficacy of myringoplasty in dry and wet ears in chronic otitis media of tubotympanic type

Tympanoplasty Outcomes In Dry and Wet Ears

Fungal otitis externa and wet ear with mucopurulent should be influencing factors on tympanic membrane closure

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