Myringoplasty and Myringoplasty with Cortical Mastoidectomy in Dry Ear: 60 Comparison of Surgical Outcome

Authors

  • Debbroto Gungguly Junior Consultant ENT, 250 Bedded General Hospital, Khulna
  • Shaikh Nurul Fattah Rumi Professor, Dept. of ENT & Head-Neck Surgery, DMCH, Dhaka
  • Debesh Chandra Talukder Professor, Dept of ENT & Head-Neck Surgery, DMCH, Dhaka
  • S M Rasel Parvez Junior Consultant (ENT),Upazila Health Complex, Nawabganj, Dhaka.
  • Monirul Islam Medical Officer, Pabna Sadar Upazila Health Complex, Pabna
  • Rasel Chakma Assistant Registrar (ENT), Chattogram Medical College Hospital

DOI:

https://doi.org/10.3329/bjo.v30i2.80466

Keywords:

CSOM, Myringoplasty, cortical mastoidectomy, dry ear

Abstract

Background: Chronic suppurative otitis media (CSOM) is one of the most common diseases of younger age in middle class population of the developing countries which causes significant impact in speech, cognitive, educational and psychological development in children and hearing impairment and recurrent ear discharge in adult.

Aim: To identify the difference of graft take rate and hearing gain in the treatment of CSOM by myringoplasty and myringoplasty with cortical mastoidectomy in dry ear.

Methods: Randomized controlled trial was conducted in the Department of Otolaryngology – Head & Neck Surgery, Dhaka Medical College Hospital, Dhaka from July 2018 to December 2019 with 54 patients having inactive mucosal COM. Total 54 patients age ranging from 15 to 55 years were taken. Group A: 27 of the patient were done myringoplasty and Group-B: 27 patient were done myringoplasty with cortical mastoidectomy. Postoperative follow up was given on 7th day, 2 weeks, 6 weeks and 3 months postoperatively. PTA was done to every patient 3 months postoperatively and hearing gain was compared between two groups.

Results: Graft take rate was 22(81.48%) and hearing gain was 8.48(±6.83) dB in 27 patients of group-A and 24(88.89%) and 10.61 (±12.25) dB respectively in 27 patients of group-B. No statistically significant difference was found between two groups.

Conclusion: Cortical mastoidectomy performed in inactive mucosal COM in this study gives no statistically significant benefit over myringoplasty alone as regards graft take rate and hearing improvement.

Bangladesh J Otorhinolaryngology 2024; 30 (2): 58-67

Downloads

Abstract
56
PDF
23

Downloads

Published

2025-04-09

How to Cite

Gungguly, D., Rumi, S. N. F., Talukder, D. C., Parvez, S. M. R., Islam, M., & Chakma, R. (2025). Myringoplasty and Myringoplasty with Cortical Mastoidectomy in Dry Ear: 60 Comparison of Surgical Outcome. Bangladesh Journal of Otorhinolaryngology, 30(2), 58–67. https://doi.org/10.3329/bjo.v30i2.80466

Issue

Vol. 30 No. 2 (2024)

Section

Original Articles

License

Manuscripts submitted for publication in the Bangladesh Journal of Otorhinolaryngology must not have been previously submitted or published. Accepted papers become the permanent property of the Bangladesh Journal of Otorhinolaryngology. By submitting a manuscript, the authors(s) agree that copyrights for their articles are automatically transferred to Bangladesh Journal of Otorhinolaryngology, if and when the articles are accepted for publication.

The use, in this journal, of registered trade names, trade marks, etc. without special acknowledgement does not imply that such names, as defined by the relevant protection laws, be regarded as unprotected, and, thus, free for general use.

Authors who publish with this journal agree to the following terms:

 

Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.

Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.

Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).