Comparative Study On Success Rate Following Tympanoplasty With Or Without Canaloplasty
Keywords:
Medial graft tympanoplasty, Air bone gap, Canaloplasty, Graft uptakeAbstract
Background: Chronic otitis media is a highly prevalent disease in developing as well as developed countries, causing hearing disabilities to the patients and causing huge problems to the patients in their daily routine lives. The patients are routinely advised for tympanoplasties in the specialized centers. Canaloplasties are routinely performed in such patients to get wide exposure while doing tympanoplasties. The present study seeks to determine the impact of canaloplasty on the outcome of the tympanoplasty.
Material and methods: The study was conducted in Department of Otorhinolaryngology in which 60 patients were included. These patients were randomly divided into two groups. Group A patients underwent type I tympanoplasty with canaloplasty while group B patients underwent type I tympanoplasty alone. Patients in both the groups were followed up with pure tone audiometry and otoscopy at 6 weeks and 12 weeks postoperatively. Hearing was compared in both the groups in terms of air bone gap closure. Air bone gap closure at 12 weeks was considered final. Final analysis was done using SPSS version 21.0.
Results: The patients were randomly divided into two groups. Group A patients underwent type 1 tympanoplasty with canaloplasty, and group B comprises of case l graft tympanoplasty alone. Graft uptake was better in group A with a success rate of 94.3% as compared to group B which had a success rate of 88.57%. Air bone gap closure was better in group A as compared to group B (15.76 dB ± 6.75 v/s 14.87 dB ± 5.99) at 12 weeks postoperatively.
Conclusion: Tympanoplasty with canaloplasty showed advantageous outcome over tympanoplasty alone and thus should be considered with limited exposures. However, the surgical procedures should be formulated based on the patient and surgical Expertise.
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Monasta L, Ronfani L, Marchetti F et al (2012) Burden of disease caused by otitis media: systematic review and global estimates. PLoS One 7:e36226
Schilder AG (1999) Assessment of complications of the condition and of the treatment of otitis media with efusion. Int J PediatrOtorhinolaryngol 49(Suppl 1):S247–S251
Sano S, Kamide Y, Schachern PA, Paparella MM (1994) Micropathologic changes of pars tensa in children with otitis media with efusion. Arch Otolaryngol Head Neck Surg 120(8):815–819
Lim DJ (1970) Human tympanic membrane. An ultrastructural observation. Acta Otolaryngol 70:176–186
Wullstein H (1953) Technic and early results of tympanoplasty. Monatsschr Oh renheilkd Laryngorhinol 87(4):308–311
Glasscock ME III (1976) Symposium: Contraindications to tympanoplasty. II. An exercise in clinical judgment. Laryngoscope 86(1):70–76
Huttenbrink KB (2010) Biomechanical aspects of middle ear reconstruction. In: Jahnke K (ed) Middle Ear Surgery, Recent Advances and Future Directions. ThiemePublishers, New York
Lavy J, Fagan P (2001) Canaloplasty: review of 100 cases. J Laryngol Otol. 115(4):270–273
Morrison DR, O’Connell B, Lambert PR (2019) The impact of canaloplasty on outcomes of medial graft tympanoplasty. Otol Neurotol. 40(6):761–766
Vijayendra H, Ittop CJ, Sangeetha R (2008) Comparative study of hearing improvement in type 1 tympanoplasty with and without canaloplasty. Indian J Otolaryngol Head NeckSurg. 60(4):341–344
Prakash MD, Badkar P (2018) Efect of canaloplasty in tympanoplasty. Int J Otorhinolaryngol Head Neck Surg 4:1049–10527.
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