Cartilage Tympanoplasty in Atelectatic and Adhesive Otitis Media: Our Experience in a Tertiary Care Hospital

ABSTRACT

Introduction: Adhesive otitis media is a type of chronic otitismedia, the development of which is essentially influenced bydisturbed ventilation of the middle ear. Anatomic and someother predisposing factors may play a part in the origin ofthis disease. Study aimed to find the efficacy and outcome ofcartilage tympanoplasty in patients with grade 3 and 4 parastensa retraction. (atelectatic and adhesive otitis media).Material and Methods: This study was conducted in thedepartment of ENT and HNS Govt Medical College Srinagar.A total of 25 patients with grade3 and 4 retraction wereincluded in this study. In all patients otoscopic examination,Pure Tone audiometry (PTA), impedance audiometry andoto-endoscopic examination / EUM (Examination underMicroscope) was done. Proper consent was taken from allpatients included in this study.Results: Cartilage Tympanoplasty is an effective method oftreating grade3 and 4 parastensa retraction in adhesive otitismedia patients. In our study we found less recurrence ofadhesion at 9 months followup with better compliance andimprovement in hearing. Out of 25 patients, 23 (92%) patientshad intact tympanic membrane, better hearing outcome at9 months follow-up. However in 2(8%) patients, amongthem one had displaced cartilage, another had no hearingimprovement at 9 months follow up.Conclusion: Cartilage tympanoplasty is a better surgicaloption for treating atelectatic and adhesive otitis media,with better outcome of hearing, patient compliance and lessfailure rate in terms of recurrence of disease7. Cartilage usedas reconstruction gives good tensile strength and preventsrecurrence of disease in terms of retraction