A Comperative Study Between Tympanoplasty With Cortical Mastoidectomy Versus Tympanoplasty In The Management Of Mucosal Variety Of Chronic Otitis Media

Introduction:Chronic suppurative otitis media (COM), mucosal variety is defined as a chronic inflammation of the middle ear and mastoid cavity, which presents with recurrent ear discharges or otorrhoea through a tympanic perforation. Aims:To find out the incidence of chronic otitis media with respect to age and sex in the study population and to compare the graft up-take rate, the graft failure rate, the rate of residual perforation and the degree of hearing improvement between the two modalities of treatment of type 1 tympanoplasty with cortical mastoidectomy and type 1 tympanoplasty aloone. Methods:The 80 patients were randomly divided into two equal groups with 40 patients undergoing type 1 tympanoplasty with cortical mastoidectomy (group A) and 40 patients undergoing type 1 tympanoplasty (Group B). Post operatively all the patients were followed up for a total of 6 months with weakly intervals on 1st month; bi weekly on 2nd month; monthly on 3rd and 6th month. Post operatively all the study patients were assessed for the status of the graft; mobility, rejection or residual perforation of the graft and the hearing improvement.ConclusionIn successful graft take up, results of hearing improvement is better in Tympanoplasty with cortical mastoidectomy than with Tympanoplasty alone. Possibility of finding mastoid antral pathology is more in patients having Chronic otitis media (mucosal) with sub total perforation as observed in this study

A comparative study of common ear morbidity pattern among the primary school children of an urban slum of Kolkata and rural area of Hooghly.

A cross-sectional, clinical and epidemiological study was undertaken among 627 primary school children (rural 145, urban 482) to compare the common ear morbidity pattern between an urban slum of kolkata and a rural area of Hooghly. Middle ear pathology was found to be present in 20% and 12.6% among rural and urban students respectively. Cerumen in the external auditory canal was the commonest clinical finding in both the areas and was found to be present in 35.86% of rural and 30.70% of urban population respectively. Smoke nuisance, bathing in open ponds and overcrowding were some of the predisposing factors causing ear diseases, like chronic suppurative otitis media and serous otitis media.