A Study of Surgical Outcomes of Tympanoplasties with and Without Cortical Mastoidectomy.

ABSTRACT

Background: In treatment of mucosal type of Chronic, suppurative otitis media, even well experienced otologists, remain divided in terms of combining mastoidectomy with tympanoplasty. Here we evaluate the surgical outcomes of tympanoplasties with and without cortical mastoidectomy and discuss the various pre-operative factors and post-operative subjective functional benefit of the patient. Aim: To evaluate the surgical outcomes of tympanoplasties with and without mastoidectomies in terms of graft uptake and hearing improvement. Study design: Prospective study. Methods: A total of 67 patients undergoing tympanoplasties with and without mastoidectomy were included and followed up for a period of one year. Statistical Analysis: Chi square test. Results: There was no significant difference in the surgical outcomes of both the surgeries in terms of graft uptake and hearing improvement. In unilateral cases Belfast rule of thumb application enables the actual hearing benefit of the patient. Conclusion: The addition of cortical mastoidectomy to tympanoplasty did not improve the outcome of surgeries done for mucosal type of chronic suppurative otitis media.