Outcomes of Myringoplasty in Wet and Dry Ears

Hosny, Sameh M.; El‐Anwar, Mohammad Waheed; Abdelhady, Mohammad; Khazbak, Alaa Omar; Feky, Alaa El

doi:10.5152/iao.2014.500

Cited by 20 publications

(17 citation statements)

References 21 publications

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“…The p value was 0.665 which was statistically insignificant. 11 Shankar et al observed success rate of 88% in the dry ear group and 80% in the wet ear group (p=-0.324) and concluded that success rate is not influenced by the presence of ear discharge at the time of surgery. 12 The mean pre-operative pure tone audiometry (PTA) in group I was 30.57±7.80 dB while post-operative PTA was 20.68±8.22 dB with a mean hearing gain of 9.89 dB.…”

Section: Discussionmentioning

confidence: 99%

Graft uptake and post-operative hearing outcome with type-I tympanoplasty in dry versus wet ear: a comparative study

Sandhu

Kaur

Singh

et al. 2019

Int J Otorhinolaryngol Head Neck Surg

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Background: The discharging ear presents the otologist with the dilemma of operating on it or not. This study is being undertaken to study and compare the results of type I tympanoplasty in dry ear (no ear discharge at the time of surgery) and wet ear (culture negative consistent ear discharge at the time of surgery).Methods: 50 patients of either sex aged between 18 to 50 years undergoing type-I tympanoplasty were included in the study on the basis of pre-determined clinical criteria. Type I tympanoplasty was performed using temporalis fascia graft by underlay technique. Post-operative data regarding graft uptake and hearing improvement was recorded in the follow up period of three months. Results: The complete graft uptake was there in 88% of the patients in group 1 and 84% patients in group 2. The difference in the two groups was statistically insignificant (p>0.05). The mean pre-operative pure tone average in group 1 was 30.57±7.80 dB while post-operative pure tone average was 20.68±8.22 dB with a mean hearing gain of 9.89 dB. The mean pre-operative pure tone average in group 2 was 35.21±5.98 dB while the post-operative pure tone average was 27.07±9.25 dB with a mean hearing gain of 8.12 dB. There was marked hearing improvement in both the groups post operatively (p<0.001 i.e., highly significant). When hearing improvement was compared between two groups there was no significant statistical difference (p>0.05).Conclusions: The outcome is equally good for type 1 tympanoplasty in dry and wet ear in safe (mucosal) type of chronic suppurative otitis media with respect to graft uptake and hearing improvement.

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Section: Discussionmentioning

confidence: 99%

Graft uptake and post-operative hearing outcome with type-I tympanoplasty in dry versus wet ear: a comparative study

Sandhu

Kaur

Singh

et al. 2019

Int J Otorhinolaryngol Head Neck Surg

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“…In a study conducted by Sameh Hosny et al, hearing gain rate of 91.3% in wet ears and 92.3% in dry ears was seen and these differences were not statistically significant. 4 Hatice Emir et al found that post-operative hearing gain was 47.3% in dry ears and 40.7% in wet ears. 5 Benjamin D et al found post-operative hearing gain for dry and wet ear were not statistically significant.…”

Section: Discussionmentioning

confidence: 99%

A Comparison of Postoperative Hearing Gain in Dry and Wet Ear Tympanoplasty

Gangwar¹,

Kuchhal²

2016

jemds

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OBJECTIVETo compare hearing gain in dry and wet tympanoplasty. MATERIALS AND METHODSA total of 100 ears were included in the study. Two groups were created with 50 ears in each group. All patients had mucosal chronic otitis media. One group had dry ear, another had wet ear at the time of surgery. Type 1 tympanoplasty was done in all the cases by a single surgeon. Hearing gain was calculated 3 months after surgery for both groups and compared. RESULTSHearing improvement seen in 35 (70%) cases in dry ear group and 38 (76%) cases in wet ear group. Statistically, both comparisons were insignificant. CONCLUSIONThe success of tympanoplasty was not adversely affected by the presence of discharge at time of surgery and outcomes were comparable to those of the operation done for dry ear. KEYWORDSTympanoplasty, Dry Ear, Wet Ear. HOW TO CITE THIS ARTICLE:Gangwar A, Kuchhal V. A comparison of postoperative hearing gain in dry and wet ear tympanoplasty.

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“…Other studies comparable to this study have shown that presence of ear discharge at the time of surgery has no significant bearing on the results of myringoplasty. 7,[9][10][11][12] A comparison of graft uptake of this study with other studies is given in Table 2. Mean hearing gain observed in wet and dry ears were 3.43 dB and 3.85 dB respectively.…”

Section: Discussionmentioning

confidence: 95%

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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Outcomes of Myringoplasty in Wet and Dry Ears

Cited by 20 publications

References 21 publications

Graft uptake and post-operative hearing outcome with type-I tympanoplasty in dry versus wet ear: a comparative study

Graft uptake and post-operative hearing outcome with type-I tympanoplasty in dry versus wet ear: a comparative study

A Comparison of Postoperative Hearing Gain in Dry and Wet Ear Tympanoplasty

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

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