ASSESSMENT OF EUSTACHIAN TUBE FUNCTION IN CHRONIC SUPPURATIVE OTITIS MEDIA, TUBOTYMPANIC TYPE
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 24
Abstract
BACKGROUND Eustachian tube function is necessary for the graft uptake in patients with chronic suppurative otitis media, tubotympanic type. The objective of this study was to assess surgical outcome in CSOM patients, tubotympanic type based on the Eustachian tube function. MATERIALS AND METHODS A descriptive study was done on 100 patients with chronic suppurative otitis media, tubotympanic type. Eustachian tube function (ETF) in patients with perforated drum is assessed by impedance audiometer- Toynbee test. Patients with normal ETF were taken up for tympanoplasty. Patients with partial ETF, inactive type were taken up for tympanoplasty and active type were taken up for cortical mastoidectomy with tympanoplasty. Patients with totally impaired ETF were taken up for cortical mastoidectomy with tympanoplasty. RESULTS The graft uptake was analysed with respect to ETF status. CONCLUSION Eustachian tube function is essential for the graft uptake in chronic suppurative otitis media, tubotympanic type. In patients with inactive CSOM, normal and partially impaired ETF require tympanoplasty. In patients with partially impaired ETF, active CSOM and grossly impaired ETF, active or inactive CSOM require cortical mastoidectomy, which increases middle ear space and widens aditus. Mastoid air cells act as surgitank of air.
Authors and Affiliations
Sunitha M, Asokan L. , Sambandan A. P.
Keywords
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- EP ID EP450587
- DOI 10.14260/jemds/2018/653
- Views 98
- Downloads 0
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