ABSTRACT
This study was done to compare the pre and post-operative hearing results in patients undergoing canal wall down mastoidectomy with classical type III tympanoplasty using temporalis fascia alone. Patients of >or=5 years age with the diagnosis of Chronic otitis media (squamous) with conductive or mixed hearing loss, needing canal wall down mastoidectomy and with intact and mobile stapes suprastructure at surgery who underwent classical type III tympanoplasty were included in the study. The pre and post-operative PTA was performed and evaluated. The post-operative hearing was assessed in terms of average ABG and size of ABG closure. Mean pre and post-operative air bone gap in classical type III tympanoplasty were 37.8 dB and 29.8 dB respectively and these differences were statistically significant. The postoperative PTA-ABG ranged from 15-61.2 dB. Hearing results after type III tympanoplasty varied widely showing statistically significant improvement in mean post-operative PTA-ABG but there was a great variation.
Subject(s)
Adolescent , Adult , Audiometry, Pure-Tone , Child , Child, Preschool , Female , Follow-Up Studies , Hearing/physiology , Hearing Loss, Mixed Conductive-Sensorineural/etiology , Humans , Male , Mastoid/surgery , Otitis Media/complications , Postoperative Period , Prospective Studies , Treatment Outcome , Tympanoplasty/methods , Young AdultABSTRACT
This is a case report of myiasis in modified radical mastoidectomy cavity in a 48 years old male presented in the Department of ENT and Head and Neck Surgery, T.U.Teaching Hospital, Katmandu, Nepal. Around 50 maggots were removed from his mastoid cavity. Patient was managed with turpentine oil and antibiotics which was given to prevent secondary infection. Literature search revealed only one case report of Myiasis infestation in a postoperative mastoid cavity.