Comparative Study between Tympanoplasty vs. Tympanomastoidectomy for the surgical outcome in tubotympanic Type CSOM

Abstract

Traditionally tympanoplasty along with mastoidectomy has been considered as an effective procedure in the surgical management of chronic ear infection resistant to antibiotic therapy otologists have argued that with Tympanoplasty closure of tympanic membrane perforations and elimination of chronic ear drainage can be achieved effectively irrespective of mastoidectomy. Materials and Method: It is a prospective Case-control type of study comprises of 80 patients with chronic suppurative otitis media safe type. All the cases were operated during a period of 2 years between May 2018- May 2020 in the department of ENT and Head & Neck Surgery, A.B.V Govt Medical college, Vidisha, M.P, India 40 of these cases were selected for tympanoplasty alone (Group A) and 40 cases were selected for tympanoplasty along with cortical mastoidectomy (Group B). Result: In our study in Group A (Tympanoplasty) out of 40 cases 35 (87.5%) had good graft acceptance rate after 3 month follow up whereas 05 (12.5%) cases Graft were rejected. In Group B (Tympanoplasty with cortical mastoidectomy) Graft acceptance rate was 36 (90%) and graft rejection rate was 04 (10%).Conclusion: In our study we have concluded that Cortical mastoidectomy does not gives any statistically significant benefit over simple tympanoplasty in the treatment of CSOM tubotympanic type with dry ear in graft acceptance rate and eradication of the disease as P value is insignificant.