ROLE OF CORTICAL MASTOIDECTOMY IN MYRINGOPLASTY: A CLINICAL STUDY

• Published in: Journal of evolution of medical and dental sciences Vol. 5; no. 55; pp. 3756 - 3759
• Main Authors: Swamy, D. Ranganath, Shankar, T, Kumar, Manish
• Format: Journal Article
• Language: English
• Published: Akshantala Enterprises Private Limited 11.07.2016
• Subjects: Analysis; Care and treatment; Inflammation; Otitis media; Risk factors
• ISSN: 2278-4748; 2278-4802
• DOI: 10.14260/jemds/2016/860

BACKGROUND Chronic Suppurative Otitis Media (CSOM) is a chronic inflammatory process of mucoperiosteal lining of middle ear cleft effect of simple mastoidectomy on patients without evidence of active disease remains highly debated and unproven. OBJECTIVE To evaluate the efficiency and role of cortical mastoidectomy in patients with CSOM (safe type) in wet as well as in dry ears. STUDY DESIGN Retrospective study. METHODS Data were collected from the patients operated for myringoplasty with or without cortical mastoidectomy. The study was carried out on a total no. of 156 cases in the total period of 04 years with 06 months follow-up; outcome is evaluated in terms of graft lateralization, rejection and change in AB gap and achieving dry ear. RESULTS In this study the overall success rate was (94.2), it was higher in dry ear (90.5) as compared to wet ear (86.4). CONCLUSION In both myringoplasty alone or with simple mastoidectomy, failure rates were higher in wet ear as compared to dry ear; however, odds of failure in wet ear cases were higher in myringoplasty alone done as compared to myringoplasty with simple mastoidectomy. KEYWORDS Cortical mastoidectomy, CSOM, Myringoplasty, Ear discharge, Audiogram.