A STUDY ON OUTCOME OF CORTICAL MASTOIDECTOMY WITH TYMPANOPLASTY IN CSOM

Abstract

Suresh Palukri 1 , P. Narayana Rao 2

ABSTRACT: OBJECTIVE: To perform tympanoplasty with mastoidectomy in chronic supporative otitis media cases. To periodically evaluate the post operative benefit in terms of graft take up and hearing improvement. METHODS: A prospective study where 42 patients with CSOM underwent tympanoplasty with cortical mastoidectomy in department of ENT at Katuri Medical College and Hospital. Underlay technique with temporalis fascia graft, cortical mastoidectomy was done in all cases. Follow up at 3 months, 6 months and 1year was done for graft takeup and hearing improvement. RESULTS: Post op AB gap closure at the end of 1 year follow-up below 10 db was achieved in 74% of cases, between 11-20 db was achieved in 21% of cases. Graft uptake at the end of 1year was 88%. CONCLUSION: Our study emphasizes the fact that overall satisfactory hearing outcome and graft uptake can be achieved after tympanoplasty with cortical mastoidectomy in dry and quiescent ears.

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