Chronic otitis media is defined as chronic inflammation of the middle ear and mastoid cavity, which presents with recurrent discharge or otorrhea through a tympanic perforation. Chronic suppurative otitis media is a common clinical entity in India particularly in rural parts of the country, where the majority of the population lives under poor socioeconomic conditions. Myringoplasty is the surgery limited to repair of tympanic membrane perforation. It is preferable to make active ears inactive before surgery. Activity in the ear has been suggested as a cause of failure of myringoplasty. In some cases myringoplasty in wet ears has better results. A cortical mastoidectomy should be carried out at the same time as myringoplasty in active ears for better results. This is a hospital‐based study of 100 patients aged between 16 to 60 years with unilateral chronic suppurative otitis media attending GOVERNMENT GENERAL HOSPITAL, KADAPA from January 2018 to June 2019.The aim and objective of the study is to compare the outcome of myringoplasty in the dry and wet ear with or without mastoidectomy in tubotympanic type of chronic otitis media with respect to graft take up and hearing improvement. Group: A – This group of 25 patients who has a dry ear underwent myringoplasty alone Group‐B:‐ This Group of 25 patients who has a dry ear underwent myringoplasty along with cortical mastoidectomy. Group‐C: This Group of 25 patients who has a wet ear underwent myringoplasty alone. Group D: This group of 25 patients who have wet ear underwent myringoplasty along with cortical mastoidectomy. The current study takes into consideration the review of literature and observations made by the study and comes to the conclusion that the differences in audiological outcomes of the patients with DRY CHRONIC OTITIS MEDIA UNDERWENT MYRINGOPLASTY are statistically significant when compared to other groups. With respect to graft uptake WET CHRONIC OTITIS MEDIA patient who underwent myringoplasty along with cortical mastoidectomy shows best results.
V. Sravan Kumar, K. Bhaskaran, B. Sudha and K. Kishore. Comparative Study of Myringoplasty in Dry and Wet Ear with or Without Cortical Mastoidectomy at Tertiary Hospital: Our Experience.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.2.293.297
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.2.293.297