Factors Affecting Surgical Outcome of Myringoplasty

Sarker, MZ; Ahmed, Malik Iftikhar; Patwary, Khabiruddin; Islam, Rakibul; Joarder, AH

doi:10.3329/bmj.v41i3.18959

Cited by 3 publications

(4 citation statements)

References 2 publications

(3 reference statements)

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“…Therefore it is preferable to make the ear dry preoperatively in order to achieve the best results. These findings were comparable to the studies of Pinar et al and Sarker et al 10,11 The success of hearing reconstruction of the hearing mechanism depends on the pre-operative ossicular status. An intact ossicular system with only a perforation in the tympanic membrane gives the best results.…”

Section: Discussionsupporting

confidence: 90%

Impact of otorrhoea and ossicular status on the effect of tympanoplasty

Sridhar

2018

Int J Otorhinolaryngol Head Neck Surg

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Background: The objective of the study was to assess the effect of otorrhoea, osscicular and middle ear status on anatomical and functional results in patients undergoing tympanoplasty with or without mastoidectomy for chronic otitis media mucosal diseaseMethods: This was a prospective study conducted on 100 patients with otological complaints (otorrhoea, hearing loss) attending the out-patient Department of ENT, at Mamata Medical College and Research Hospital, Khammam Telangana state during the period from December 2015 to July 2017. All the patients underwent a detailed general physical, otoneurological evaluation, hearing assessment by pure-tone audiometry prior to surgery. As per MERI the patients were evaluated for factors preoperatively and intraoperatively. Postoperatively the patients were followed up at 3 and 6 months to ascertain the structural (graft take up) and functional (hearing improvement) success.Results: Otorrhoea was the most common complaint observed (48%). As per Belluci's classification of otorrhoea, maximum number of patients (52%) had a dry ear, wet ears (48%) and persistently wet ears (8%). According to Austin-Kartush classification 50 patients had an intact ossicular chain, defects of the incus in 36 patients, defects in both malleus and incus, stapes and incus was seen in 7 patients each. Majority of the patients 79% had normal middle ear status while 21% of them had middle ear effusion present. Majority of the patients belonged to the group of mild risk MERI (l-3) (n=69) patients, moderate risk category MERI (4-6) (n=26) severe risk (7-12) (n=5). Graft uptake was successful in 78 patients and failure in 22 patients. Hearing Improvement was noticed in 78 patients.Conclusion: Otorrhoea and middle ear cleft status have an impact on the success of the tympanoplasty, while ossicular status did not have a significant effect on the outcome.

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Section: Discussionsupporting

confidence: 90%

Impact of otorrhoea and ossicular status on the effect of tympanoplasty

Sridhar

2018

Int J Otorhinolaryngol Head Neck Surg

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“…Another study by Md. Zakaria Sarker et al 5 showed majority of the patients (50%) were among the age group 26-35 years.…”

Section: Discussionmentioning

confidence: 91%

“…Zakaria Sarker et al the size of the perforation was graded as small (less than 50%), medium (50-75%) and large (> 75%). 5 In another study by Geetanjali Jaiswani and Rajesh Kumar had 21 (26.3%) small (0-25%) perforations, 27 (33.75%) medium-sized (26 -50%) perforations and 32 (40%) large (> 50%) perforations. 6 Most common approach used was transcanal (90% in group 1 and 83.3% in group 2) in our study.…”

Section: Discussionmentioning

confidence: 95%

Evaluation of Graft Uptake in Type 1 Tympanoplasty With Dry and Wet Temporalis Fascia Graft

Islah¹,

Palliyalippadi²

2016

jemds

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“…In another study Alam et al showed the mean pre and post operative air conduction threshold in the successful grafting cases were 31.43 dB and 21.43 dB respectively with a mean audiological improvement of 10 dB & improvement of mean air bone gap was 10.83 dB 16 . 19,23 .…”

Section: Discussionmentioning

confidence: 99%

Evaluation of hearing status after type I tympanoplasty

Mahamud

Aich²,

Mamun

et al. 2020

Bangladesh J of Otorhinolaryngology

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Objective: To evaluate hearing outcome after type I tympanoplasty in inactive mucous type of chronic otitis media. Methods: It was a cross-sectional study conducted in the department of Otolaryngology & Head Neck Surgery, Sir Salimullah Medical College and Mitford Hospital, Dhaka, from July 2014 to June 2016. 50 cases were selected by matching inclusion and exclusion criteria. Paired t-test and Z test was used to analyze the variables. P values <0.05 was considered as statistically significant. Results: The mean age was found 28.5 years with range from 15 to 41 years and male female ratio was 1.3:1. All patients had intermittent otorrhoea and varying degree of hearing loss. The mean air conduction threshold was 40.2 dB preoperatively and 27.1 dB post-operatively. Air-bone gap was found 26.9 dB in preoperative and 16.1 dB in post-operative group. The differences were statistically significant between preoperative and post-operative group. Thus mean improvement of air conduction threshold was 13.1 dB and air-bone gap was 10.8 dB. Two third (66.%) patients improved <15 db air conduction thresholds and 17(34%) improved ≥15 db air conduction thresholds. Using the proportion of patients with a postoperative hearing within 40 dB as the criterion, this study showed 46(92%) patients achieving this and 40(80%) patients achieving AB gap within 20 db postoperatively. Conclusion: Improvement of air conduction threshold and AB gap after type I tympanoplasty was statistically significant. Thus from this study it can be concluded that type I tympanoplasty is an effective technique for hearing improvement in inactive mucous type of chronic otitis media. Bangladesh J Otorhinolaryngol; April 2018; 24(1): 50-55

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Factors Affecting Surgical Outcome of Myringoplasty

Abstract: DOI: http://dx.doi.org/10.3329/bmj.v41i3.18959Bangladesh Medical Journal 2012 Vol.41(3): 45-48

Cited by 3 publications

References 2 publications

Impact of otorrhoea and ossicular status on the effect of tympanoplasty

Impact of otorrhoea and ossicular status on the effect of tympanoplasty

Evaluation of Graft Uptake in Type 1 Tympanoplasty With Dry and Wet Temporalis Fascia Graft

Evaluation of hearing status after type I tympanoplasty

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