Study of hearing outcome after type 1 tympanoplasty using temporalis fascia as graft and factors influencing it like Age, Socioeconomic status, Size of the perforation, Duration of dry ear, Presence of tympanosclerotic patch over tympanic membrane and comparing our pre and post operative audiological results with that of previous studies. A total of 80 patients with CSOM who underwent type I tympanoplasty in the department of E.N.T, at Sree Mookambika Institute of Medical Sciences were studied during the period of 18 months (December 2022 to May 2024). A detailed preform was taken for each patient regard to personal details, clinical history and examination, investigations, surgical procedures, pre and post operative follow up visits. Audiological evaluation using pure tone audiometry done pre operatively, 3 and 6 months post operatively. Results are tabulated. Statistical analysis done. In our study of 80 cases the mean graft take up is 91.25% and mean hearing gain is 12.16dB. Incidence of cases is more in the age group of 20‐29 years (47.5%) and graft take up and hearing gain in younger age group (94.11% and 12.23dB), Female patients (91.06% and 13.02dB), Middle class people ( 95% and 12.64dB), patients with normal opposite ear ( 96.5% and 13.06dB), dry ear for more than 6months (95.45% and 13.5dB), perforation size ( 93.54% and 12.03dB in <50% size: 83.33% and 14.81dB in >50% size), absent tympanosclerotic patch over tympanic membrane (93.93% and 12.75dB), pneumatic mastoid (92.85% and 13.5dB). Status of the opposite ear, size of the perforation, duration of dry ear, presence or absence of TSP over Tympanic membrane, presence of pneumatic mastoid has a significant role in the outcome of type I Tympanoplasty.
G. Sankaranaarayanan, V. Deepak Rajadurai, Lyra Joy, Dayana Babu and B.K. Noorjihan. Hearing Outcome After Type I Tympanoplasty Using Temporalis Fascia as Graft: A Prospective Study.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.7.199.203
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.7.199.203