Evaluation and comparison of type I tympanoplasty efficacy and histopathological changes to the tympanic membrane in dry and wet ear: a prospective study. Issue 10 (October 2015)

• Record Type: Journal Article
• Authors: Shankar, R; Virk, R S; Gupta, K; Gupta, A K; Bal, A; Bansal, S
• Is Part Of: Journal of laryngology & otology. Volume 129:Issue 10(2015)
• Page Start: 945
• Page End: 949
• Publication Date: 2015-10
• Subjects: Otolaryngology -- Periodicals; 617.51
• DOI: 10.1017/S0022215115002091
• Languages: English
• ISSNs: 0022-2151

Abstract

<abstract abstract-type="normal"> <title>Abstract</title> <sec id="sec_a1"> <title>Objective:</title> <p>This study aimed to compare the success rate of type I tympanoplasty in active (wet) and inactive (dry) mucosal chronic otitis media.</p> </sec> <sec id="sec_a2"> <title>Methods:</title> <p>A prospective study was performed of 35 patients each with dry ear and wet ear undergoing type I tympanoplasty in the Otolaryngology Department, Postgraduate Institute of Medical Education and Research, India. All patients underwent type I tympanoplasty between January 2010 and June 2011 by the post-auricular approach. Samples of the remnant tympanic membrane were sent for histopathological examination.</p> </sec> <sec id="sec_a3"> <title>Results:</title> <p>After a minimum follow up of one year, the success rate was 88.6 per cent for dry ears and 80 per cent for wet ears. Neither the type (<italic>p</italic> = 0.526) nor the presence (<italic>p</italic> = 0.324) of discharge influenced the success rate. Histopathological examination of the tympanic membrane margins was performed for 46 patients: of these, 19 showed evidence of vascularity and 27 did not. There was no significant difference in success rate between groups (<italic>p</italic> = 0.115).</p> </sec> <sec id="sec_a4"> <title>Conclusion:</title> <p>The success rate was not influenced by the presence of ear discharge at the time of surgery, and tympanic membrane vascularity did not influence graft uptake.</p> </sec> </abstract>