Abstract
Background: Chronic suppurative otitis media is one of the most common otological problems in developing countries. It affects all age groups. Type-1 tympanolpasty is simple repair of tympanic membrane. The objectives of this study were to describe the outcome of type-1 tympanoplasty in terms of graft take rate, hearing improvement and complications.
Material & Methods: This quasi-experimental study was carried out in Department of ENT, Al-Noor Specialist Hospital, Makkah, Saudi Arabia from February 2005 to July 2005. Patients with dry central perforations were included in the study. Pre-operative audiogram and x-ray mastoid were performed for all the cases.
Results: Out of 40 patients, 21(52.5%) were males and 19(47.5%) females. The mean age was 29 (15-45) years. Out of 40 cases, 22(55%) tympanoplasties were performed on right ear and 18(45%) on left ear. Twelve (30%) patients had large size, 24(60%) medium size, one (2.5%) pin hole size and 3(7.5%) had subtotal tympanic membrane perforation. Fourteen (35%) patients had anterio-inferior perforation, 22(55%) had central, and 4(10%) had posterior-inferior perforation of tympanic membrane. The graft was intact in 35(87.5%) patients while it failed in 4(10%) cases. One (2.5%) case had small residual pinhole perforation. Hearing improvement was documented in 26(65%) patients. There were no complications.
Conclusion: Type-1 tympanoplasty has a good outcome in the management of chronic suppurative otitis media, using temporalis fascia as graft material by underlay technique.
Ali Khan, kamran iqbal, Muhammad ismail khan, Muhammad Marwat, Muhammad Naseem Khan. (2016) OUTCOME OF TYPE-1 TYMPANOPLASTY: A SURGICAL MANAGEMENT OF CHRONIC SUPPURATIVE OTITIS MEDIA, Gomal Journal of Medical Sciences , Volume 14, Issue 1.
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