Type 1 tympanoplasty: does the status of contralateral ear affect the outcome?

Arindam Das, Sandipta Mitra, Debasish Ghosh, Arunabha Sengupta
2019 International Journal of Otorhinolaryngology and Head and Neck Surgery  
<p class="abstract"><strong>Background:</strong> The objective of the study was to investigate the effect of contralateral ear status on the success rate (anatomical closure) of type 1 tympanoplasty.</p><p class="abstract"><strong>Methods:</strong> The study is a prospective observational study comprising of 60 patients diagnosed with chronic otitis media, who underwent type 1 tympanoplasty during 2016-2018 in a tertiary care hospital. </p><p class="abstract"><strong>Results:</strong> In our
more » ... </strong> In our study, contralateral ear was normal in 40 (66.7%) cases &amp; diseased in 20 (33.3%) cases. Success rate of type 1 tympanoplasty in patients with normal contralateral ear was 90% (n=36) but success rate was only 60% (n=12) in diseased contralateral ear. This was statistically significant (p=0.006).</p><p class="abstract"><strong>Conclusions:</strong> Our study revealed that the status of the opposite ear is an individual prognostic factor for type 1 tympanoplasty. In other words, graft-healing rates are poorer in individuals whose opposite ears are atelectatic or perforated because of chronic otitis media.</p>
doi:10.18203/issn.2454-5929.ijohns20191738 fatcat:hkph4e3tpzcuzfgwroxgueqtmy