Endoscopic Type I Tympanoplasty in 70 Patients with Chronic Otitis Media: A Preliminary Report

Authors

  • Bikramjit Singh, MS Government Medical College, Amritsar
  • Pooja Pal, MS, DNB Sri Guru Ram Das Institute of Medical Sciences and Research Sri Guru Ram Das University of Health Sciences https://orcid.org/0000-0003-0449-3546
  • Hardeep Singh Osahan Sri Guru Ram Das Institute of Medical Sciences and Research Sri Guru Ram Das University of Health Sciences
  • Arvinder Singh Sood Sri Guru Ram Das Institute of Medical Sciences and Research Sri Guru Ram Das University of Health Sciences

Keywords:

Chronic otitis media, type I tympanoplasty, endoscopic, post-operative pain, tympanic membrane perforation, hearing, morbidity

Abstract

ABSTRACT

Objective: To evaluate the preliminary surgical results of Endoscopic Type I Tympanoplasty

among patients with inactive chronic otitis media without ossicular pathology.

Methods:

Design: Prospective Series

Setting: Tertiary Government Hospital

Participants: Seventy patients with inactive mucosal chronic otitis media (COM) with air bone gap (ABG) of ≤ 40 dB on the preoperative audiogram scheduled to undergo Type I Tympanoplasty between July 2018 and December 2020 were enrolled.

Results: Seventy-three (73) ears were evaluated. The overall rate of graft uptake was 95.9% at 12 weeks. There was a statistically significant (p<.001) improvement in hearing on comparison of pre-operative (25.74 ± 7.34 dB) and post-operative (14.82 ± 6.55 dB) air bone gap. The duration of surgery was less than one hour in 76.7% and 77.2 % patients experienced only mild post[1]operative pain.

Conclusion: Endoscopic tympanoplasty can provide good results with respect to graft uptake and hearing gain with short surgical duration and minimum postoperative morbidity. Longer follow up of at least 6 months (for graft uptake) and preferably not less than 12 months (for hearing results) may confirm our preliminary findings

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Published

2021-11-11

How to Cite

1.
Singh B, Pal P, Osahan HS, Sood AS. Endoscopic Type I Tympanoplasty in 70 Patients with Chronic Otitis Media: A Preliminary Report. Philipp J Otolaryngol Head Neck Surg [Internet]. 2021 Nov. 11 [cited 2021 Nov. 28];36(2):13. Available from: https://pjohns.pso-hns.org/index.php/pjohns/article/view/1793