Acta Scientific Otolaryngology (ASOL)

Research Article Volume 2 Issue 4

Study on Efficacy of Septoplasty in Tubotympanic Type of Chronic Suppurative Otitis Media

Renuka S Melkundi1* and Farha Naaz2

1Associate Professor, Department of ENT, Gulbarga Institute of Medical Sciences, Kalaburgi, Karnataka, India
2Senior Resident, Department of ENT, Gulbarga Institute of Medical Sciences, Kalaburgi, Karnataka, India

*Corresponding Author: Renuka S Melkundi, Associate Professor, Department of ENT, Gulbarga Institute of Medical Sciences, Kalaburgi, Karnataka, India.

Received: February 17, 2020; Published: March 20, 2020

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Abstract

Introduction: Chronic suppurative otitis media is classified as tubotympanic type and atticoantral type, in this tubotympanic disease is characterised by the central peroration.

  Eustachian tube is the prime focus in the middle ear pathology which in turn is directly related to the nose and nasopharyngeal pathology.

Objectives: To evaluate the efficacy of septoplasty followed by tympanoplasty and tympanoplasty alone in cases of chronic suppurative otitis media patients in terms of a) graft uptake rate, b) audiological outcome, c) closure of air-bone gap and d) residual or recurrent perforation.

Materials and Methodology: The study was conducted from Feb 2016 to Jan 2019 in the ENT department at GIMS government hospital, Kalaburagi. A total number of 64 patients of chronic suppurative otitis media, tubotympanic type with deviated nasal septum have been selected randomly and divided into two groups A and B of 32 patients each, in which group A has undergone septoplasty followed by tympanoplasty after 8 weeks and in group B tympanoplasty alone.

Results: The graft uptake rate in group with septoplasty followed by tympanoplasty is 87.5%, 50% had >15dB gain and 12.5% of the cases had residual perforation. In tympanoplasty alone the graft uptake rate is 75%, 31.25% cases had gain of >15dB and 25% cases had residual perforation.

Keywords: Chronic Suppurative Otitis Media; Tympanoplasty; Septoplasty; Audiological Outcome

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Citation

Citation: Renuka S Melkundi and Farha Naaz. “Study on Efficacy of Septoplasty in Tubotympanic Type of Chronic Suppurative Otitis Media". Acta Scientific Otolaryngology 2.4 (2020): 27-29.




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