IP Indian Journal of Anatomy and Surgery of Head, Neck and Brain
Official Publication of Khyati Education And Research Foundation
Official Publication of Khyati Education And Research Foundation
Print ISSN: 2581-5210
Online ISSN: 2581-5229
CODEN : IIJAAL
IP Indian Journal of Anatomy and Surgery of Head, Neck and Brain (IJASHNB) open access, peer-reviewed quarterly journal publishing since 2015 and is published under the Khyati Education and Research Foundation (KERF), is registered as a non-profit society (under the society registration act, 1860), Government of India with the vision of various accredited vocational courses in healthcare, education, paramedical, yoga, publication, teaching and research activity, with the aim of faster and better dissemination of knowledge, we will be publishing more...Original Article
Author Details :
Volume : 4, Issue : 3, Year : 2018
Article Page : 79-81
https://doi.org/10.18231/2581-5229.2018.0021
Abstract
The role of antrotomy in cases of tympanoplasty has always been controversial since the beginning. Our present study was undertaken to ascertain the role of antrotomy in patients undergoing tympanoplasty. In this present study 100 patients were reviewed out of which in 50 cases tympanoplasty with antrotomy was done and in 50 cases only tympanoplasty was done. All cases were of CSOM with tubotympamic disease, irrespective of hearing loss, site and size of perforation with intact ossicular assembly. Results were concluded on the bases of hearing improvement and graft uptake. Pure tone audiometry was done before and three months after the surgery.
At the end ofantrotomy and 88% in patient without antrotomy. Hearing improvement was also nearly equal in both groups. But the additional benefit of opening antrum was that in 2% of cases, cholesteatoma sac was found accidently in the attic region which would have been missed if antrotomy was not performed.study the success rate of graft uptake was 90% in patient with antrotomy and 88% in patient without antrotomy. Hearing improvement was also nearly equal in both groups. But the additional benefit of opening antrum was that in 2% of cases, cholesteatoma sac was found accidently in the attic region which would have been missed if antrotomy was not performed.
So it was concluded that thoughantrotomy plays no significant role in success of graft uptake and hearing improvement, but still it should be done in all the cases of discharging mucosal type CSOM not responding to medical treatment so that any hidden cholesteatoma sac in attic region is not missed.
Keywords: Cholesteatoma, Tubotympanic disease, Antrum, Perforation, Tympanic memberane.
How to cite : Doshad A S , Bisht R S , Arya A , Role of antrotomy in tympanoplasty. IP Indian J Anat Surg Head Neck Brain 2018;4(3):79-81
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