DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20202985

Demographic profile of subjects undergoing tympanoplasty in a tertiary care centre of Punjab: analysis of 60 cases

Manish Munjal, Gopika Talwar, Shubham Munjal, Tulika Saggar

Abstract


Background: Different tympano meatal vascularised flaps were compared in the tympanoplastic surgery in chronic suppurative otitis media.

Methods: 60 cases with diagnosis of chronic suppurative otitis media were selected from ENT OPD of Dayanand Medical College and Hospital Ludhiana. 6 types of tympanomeatal flaps were used and 10 cases of each flap were taken. The study was conducted for the period of 1 year from June 2015 to August 2016.

Results: Maximum numbers of patients were in the age group of 31-40 years (26.7%), followed by age group of >50 years (23.3%). Minimum age among these patients was 11 years and maximum 65 years. Mean age was 36.67. Graft failure was in 2 patients, 1 lies under age group 31-40 years and other was in more than 50yrs group. Female patients constituted 56.7% and male patients were 43.3% in our study population. Graft uptake was 93% in females and 100% in males. In our study on 60 patients, 41 (68.3%) patients had a rural and 19 (31.7%) an urban background.

Conclusions: Age does not affect the results of tympanoplasty, whatever flap maybe utilised. Awareness in rural population regarding reconstructive ear surgery is there nowadays though there is still gender discrimination, with less number of ladies opting for this elective surgery.


Keywords


Tympanomeatal flaps, Tympanoplasty, Vascularised

Full Text:

PDF

References


Wullsteian H. Theory and practice of Tympanoplasty. Laryngoscope. 1956:66:1076-93.

Bluestone CD, Cantekin EI, Douglas GS. Eustachian tube function related to the results of Tympanoplasty in children. Laryngoscope. 1979;89:450-8.

Davis H, Walsh TE. The limits of improvement of hearing following the fenestration operation. Laryngoscope. 1950;60:273-95.

Withers BT. A technique for using preserved autogenous skin in otologic grafting. Annals Otol Rhinol Laryngol. 1958;67(2):341-7.

Zollner F. The principles of plastic surgery of the sound conducting apparatus. J Laryngol Otol. 1955;69:637-52.

Khanna S. Myringoplasty comparison between different tissues grafts a prospective study. J Otolaryngology ENT Res. 2018;10(3):150-1.

Armstrong BW. Tympanoplasty in children. Laryngoscope. 1965;75(7):1062-9.

Miller GF. Eustachian tubal function in normal and diseased ears. Arch Otolaryngol. 1965;81:41-8.

Flisberg K. Ventilatory studies on the eustachian tube a clinical investigation of cases with perforated ear drums. Acta Otolaryngol. 1966;62(219):1-79.

Chamyal PC, Kessar PRV, Ahluwalia KJS. Myringoplasties in moist ears. Indian J Otolaryngol. 1981;33(3):97-9.

Palva A, Karja J. Eustachian tube patency in chronic ears- preoperative evaluation corrected to post operative results. Acta Otolaryngol. 1970;263:25-8.

Reeve DRE. Myringoplasty. J Otologylaryngol. 1977;91:767-71.

PM Shenoi Management of chronic suppurative otitis media Scott-Brown's Otolaryngology, 6th ed. Oxford, London, Boston, Butterworth-Heinemann, 1987;215-37,

Fairbanks DN. Antimicrobial therapy for chronic suppurative otitis media Ann Otol Rhinol Laryngol. 1981;90(3):58-62.

Rain CH, Singh SD. Tympanoplasty in children a review of 472 cases. Ann Otol rhinol Laryngol. 1980;89:331-4.

Strahan RW, Ward PH, Acquarelli M, Jafek B. Tympanic membrane grafting analysis of materials and techniques. Annals Otol Rhinol Laryngol. 1971;80(6):854-60.




Bookmark and Share