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Cortical mastoidectomy in quiescent, tubotympanic, chronic otitis media: is it routinely necessary?

Published online by Cambridge University Press:  10 October 2008

K V Bhat ,
K Naseeruddin ,
U S Nagalotimath ,
P R Kumar  and
J S Hegde
K V Bhat*
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Karnataka Institute of Medical Sciences, Hubli, India
K Naseeruddin
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Vijayanagar Institute of Medical Sciences, Bellary, India
U S Nagalotimath
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Karnataka Institute of Medical Sciences, Hubli, India
P R Kumar
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Karnataka Institute of Medical Sciences, Hubli, India
J S Hegde
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Karnataka Institute of Medical Sciences, Hubli, India
*
Address for correspondence: Dr Vikram Bhat K, 102 Arvind Apartments, Kalyan-nagar, Hubli 580031, Karnataka, India. E-mail: vikram.ent@gmail.com
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Abstract

Objective:

This study aimed to compare outcomes for mastoidotympanoplasty and for tympanoplasty alone in cases of quiescent, tubotympanic, chronic, suppurative otitis media.

Study design:

Single-blinded, randomised, controlled study within a tertiary referral hospital.

Methods:

Sixty-eight cases were randomly allocated into two groups. In group one, 35 ears underwent type one tympanoplasty along with cortical mastoidectomy. In group two, 33 ears underwent type one tympanoplasty alone. Outcome measures were as follows: perforation closure and graft uptake, hearing improvement, disease eradication, and post-operative complications.

Results:

There were no statistically significant differences in hearing improvement, tympanic perforation closure, graft uptake or disease eradication, comparing the two groups at three and six months post-operatively.

Conclusion:

Mastoidotympanoplasty was not found to be superior to tympanoplasty alone over a short term follow-up period. Hence, it may not be necessary to undertake routine mastoid exploration at this stage of disease.

Keywords

Chronic Otitis MediaTympanoplastyMastoidectomyTympanic Membrane Perforation
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 123 , Issue 4 , April 2009 , pp. 383 - 390
Copyright
Copyright © JLO (1984) Limited 2008

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