TYMPANOPLASTY: BLOOD-SOAKED GELFOAM VERSES ANTIBIOTIC-SOAKED GELFOAM AS EAR CANAL PACKING
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2016, Vol 5, Issue 53
Abstract
OBJECTIVE The objective of our study is to compare the result of blood-soaked gelfoam with antibiotic-soaked gelfoam on graft stickiness in tympanoplasty. STUDY DESIGN A prospective randomized case control study was performed to compare the outcome of our patient who underwent surgery by using blood-soaked gelfoam and gelfoam soaked in antibiotic ear drops. METHOD Patients having central perforation were divided into two groups using random tables. After complete investigations, they underwent tympanoplasty. Temporalis fascia graft was used and placed by underlay technique. Middle ear was not packed with gelfoam. After placing the graft, gelfoam was placed around the freshened perforation margins to hold the graft. These gelfoam pieces were either antibiotic soaked or fresh blood soaked. RESULT A total of 55 patients were enrolled in the study. Graft stickiness at 4 week was 93.10% for blood-soaked group, whereas it was 84.81% for antibiotic-soaked group. Total success rate at 6 months was 94.5%. CONCLUSION Blood-soaked gelfoam packing of external meatus around the perforation margins gives good results in tympanoplasty.
Authors and Affiliations
Gaurav
Keywords
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- EP ID EP107225
- DOI 10.14260/jemds/2016/820
- Views 77
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