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A Radiological and Functional Outcome Analysis of Nail Dynamization in Tibial Diaphyseal Fracture Union treated with Intramedullary Interlocking Nailing
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A Prospective study on Utilisation of the Falciform Ligament Pedicle Flap as an Alternative Approach for the Repair of Gastric Duodenal Perforation
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Efficacy of Myofascial Trigger Point Release with Cervicocephalic Training in Reduction of Disability and Improvement of Neck Position Sense in subjects with Chronic Neck Pain
No full textEffectiveness of Dynamic Taping Technique with Strength Training Program in Patello Femoral Syndrome among Football Players
No full textA Prospective study on Ossicular Pathology in Chronic Otitis Media and Its Reconstruction with Reshaped Ossicle and Cartilage
No full textINTRODUCTION:
Chronic otitis media (COM) is most prevalent middle ear disease, in developing countries especially in India [1,2]. It is defined as the chronic inflammation of the mucoperiosteal lining of the middle ear cleft more than 3 months. It is characterized by a persistent otorrhea, with permanent perforated tympanic membrane and presents with conductive hearing loss.
Broadly classified into 2 types –
1. Tubotympanic disease (mucosal) -most common
2. Atticoantral disease (squamosal).
Erosion of ossicles is common in COM, which is corrected by ossiculoplasty. Ossiculoplasty may be defined as a surgical technique, restoring the hearing mechanism between the tympanic membrane and the oval window by re-establishing a functioning ossicular chain. Type of ossicular destruction varies in each patient depending on the pathology of the disease and its management with ossicular reconstruction. Ossiculoplasty is done with various materials such as reshaped ossicles, conchal cartilage, septal cartilage, tragal cartilage, bone, prosthesis etc., In previous studies, ossicular reconstruction was tried with various types of autografts and prosthesis.
AIMS AND OBJECTIVES:
1. To find the incidence of ossicular erosion in mucosal and squamous types of COM.
2. To study audiological outcomes of ossicular reconstruction with reshaped ossicles and cartilage.
3. To analyze surgical outcomes by MERI scoring.
MATERIALS AND METHODS:
Study Setting:
This was a prospective study, conducted in Department of
Otorhinolaryngology, Thanjavur Medical College, Thanjavur.
Study Duration:
This study was carried out during November 2019 to November 2021.
Study Design:
Prospective study conducted for 2years of duration
Study Population: Patients prepared for surgical management
for chronic suppurative otitis media in the Department of
Otorhinolaryngology, Thanjavur Medical College and
Hospital, Thanjavur.
50 such patients are included in my study.
Method of Data Collection: The proforma was designed based on objective of the study. According to the proforma, detailed history was taken, thorough ENT and systemic examination was done. The ears were examined by otoscopy initially and otoendoscope to establish a preoperative diagnosis of mucosal or squamosal disease.
Inclusion Criteria:
1. AGE: 16 to 45 years.
2. SEX: Both sexes selected.
3. All cases of CSOM- mucosal and squamous type, active and inactive stages planned for surgery.
Exclusion Criteria:
1. Patients with history of intracranial and extracranial complications.
2. Patient with congenital deafness and ear anomalies.
3. Previous history of ear surgeries.
4. Malignancy of ear.
5. Patients with sensory neural hearing loss.
6. Patients with systemic illness.
CONCLUSION:
Cartilage ossiculoplasty have an advantage of easy availability and carving compared to reshaping ossicles, minimise the recurrence of disease and provides acceptable hearing improvement. Autologous ossicles holds good
result in ossiculoplasty which provides hearing improvement upto normal limits. Experience and patience of the surgeon is very important in ossiculoplasty for achieving excellent results
