A NOVEL TECHNIQUE TO SALVAGE FAILING TYMPANOPLASTY- A PROSPECTIVE INTERVENTIONAL TRIAL
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2019, Vol 8, Issue 21
Abstract
BACKGROUND This article describes a procedure to salvage graft failures in cases of Tympanoplasty done using Temporalis Fascia by early intervention, Post operatively. METHODS It was an Observational study using 30 patients with residual perforations on 3rd-6th post-operative week out of 131 patients who underwent Type 1 Tympanoplasty with Cortical Mastoidectomy using Temporalis fascia as graft material. Study was conducted over a period of 18 months. Patients having residual perforation underwent the procedure after proper informed consent. 4 Quadrant blocks were given in External Auditory canal. The Epithelialized margin was freshened using a Micropick and medialised graft was repositioned after placing of a piece of Gelfoam in middle ear. The perforation was reinforced with a Gelfoam laterally in External Auditory Canal. Patient was then followed up with a course of Antibiotic and antihistaminic. RESULTS Out of 131 patients of cortical mastoidectomy with tympanoplasty 30 had residual perforation on follow up i.e., 77% success rate while 23% failure rate in our hand. These 23% patients, who were found to be failing, underwent this intervention. 24 out of these 30 patients (80%) i.e., 18% of overall cases showed healed drum after intervention on further follow up. Thus, a good number of failing Tympanoplasty could be salvaged and overall success achieved is almost 95% as compared to 77% previously. CONCLUSIONS With this procedure 80% of the failing Tympanoplasties could be salvaged increasing success rate from 77% to 95% thus increasing reliability of Temporalis Fascia Graft which was being replaced increasingly by cartilage graft for risk of Failures by Otologists these days
Authors and Affiliations
Subhradev Biswas, Ankit Choudhary, Sayan Hazra, Kaustuv Das Biswas, Bijan Basak
Keywords
Related Articles
- EP ID EP619154
- DOI 10.14260/jemds/2019/374
- Views 86
- Downloads 0
EPIDERMOID CYSTS OF HEAD AND NECK
[b]BACKGROUND[/b]: Epidermoid cysts are ectoderm lined inclusion cysts which can be present anywhere in the body, but are rare in head and neck. Objectives: Although only 7% of the epidermoid cysts occur in head and...
AN OBSERVATIONAL STUDY REGARDING PREVALENCE OF SUPERSTITIOUS BELIEFS AMONG PATIENTS ADMITTED AT A TERTIARY HOSPITAL IN INDORE
[b] INTRODUCTION:[/b] Superstitions have always been deep rooted in the Indian culture, and an integral part of everyday lives. Moreover, the people are tightly locked up in religious taboos thus taking useless P...
EVALUATION OF THE EFFICACY OF THE THREE REGIMENS OF VAGINAL MISOPROSTOL IN THE TERMINATION OF FIRST TRIMESTER PREGNANCY- A RANDOMISED CONTROLLED STUDY
BACKGROUND An abortion is the removal or expulsion of an embryo or foetus from the uterus, resulting in or caused by its death. Abortion in the first trimester is safe compared to the second trimester and medical methods...
EXPERIENCE OF MANAGEMENT OF PHYLLODES TUMOR OF BREAST AT A TERTIARY CARE HOSPITAL: A PROSPECTIVE STUDY
BACKGROUND Phyllodes tumors of the breast are a rare fibroepithelial lesions, which is locally aggressive neoplasm. The aim of the study was to report our experience at ESIC MC PGIMSR Hospital (Rajajinagar, Ben...
CLINICAL AND DEMOGRAPHIC PROFILE OF PERSON WITH EPILEPSY IN TERTIARY CARE HOSPITAL OF BUNDELKHAND REGION, CENTRAL INDIA
BACKROUND Epilepsy is one of the most common neurological disorders in the world. It is seen that relative frequency of various clinically important characteristics are different in persons with epilepsy (PWE) living in...