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Year : 2015  |  Volume : 21  |  Issue : 4  |  Page : 266-269

Has mastoid pneumatization any bearing on tympanoplasty?

Department of ENT, Rohilkhand Medical College and Hospital, Bareilly, Uttar Pradesh, India

Correspondence Address:
Abhinav Srivastava
Department of ENT, Rohilkhand Medical College and Hospital, Pilibhit Bypass Road, Bareilly - 243 006, Uttar Pradesh
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0971-7749.165758

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Aims: The importance of the mastoid in determining the success or failure of tympanic membrane reconstruction has been a topic of debate since long. A decrease in the mastoid air cell volume has been shown to be related to atelectatic ear diseases, cholesteatoma, and chronic otitis media with effusion. The aim of this study was to see the surgical outcome in cases of type I tympanoplasty in well-pneumatized and sclerotic mastoids. Materials and Methods: Eighty patients undergoing type I tympanoplasty were randomly selected. X-ray of the mastoid (Schullers' view) was advised in all the patients. The patients were divided into two groups. Group I having fully pneumatized mastoid and group II having sclerotic mastoid. These cases were followed up for a period of 1-year for the graft uptake. Results: It was seen that the graft uptake rate was better in well-pneumatized mastoid as compared to sclerotic mastoid. The results were analyzed and were found to be statistically significant with Chi-square value 3.94 and P = 0.047. Conclusion: As per the study, it can be concluded that graft uptake rate in cases of tubo tympanic chronic suppurative otitis media was better in well-pneumatized mastoids as compared to sclerotic mastoid.

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