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Comparative study of efficacy of graft placement with and without anterior tagging in type one tympanoplasty for mucosal-type chronic otitis media

Published online by Cambridge University Press:  18 October 2011

P Hosamani ,
L Ananth  and
S B Medikeri
P Hosamani*
Affiliation:
Department of Otorhinolaryngology, Sri Siddhartha Medical College Hospital and Research Center, Siddhartha University, Tumkur, India
L Ananth
Affiliation:
Department of Otorhinolaryngology, Sri Siddhartha Medical College Hospital and Research Center, Siddhartha University, Tumkur, India
S B Medikeri
Affiliation:
Medikeri's ENT Specialty Hospital, Bangalore, India
*
Address for correspondence: Dr Pradeep Hosamani, C-5, 292, B D A Houses, 2nd Stage, 3rd Phase, Domlur, Bangalore 560071, Karnataka, India Fax: +91 8028374117 E-mail: pradeephosamani@yahoo.com
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Abstract

Objectives:

To assess the efficacy of anterior tagging of graft material with respect to graft uptake and hearing results, in type I tympanoplasty.

Study design:

Prospective, randomised, cohort study.

Methods:

Sixty patients with chronic otitis media of the mucosal type, with pars tensa perforations, were included in the study. Patients were randomly allocated to two groups: group one underwent type one tympanoplasty with anterior tagging, while group two underwent type one tympanoplasty without anterior tagging. Follow up included evaluation of graft uptake and hearing improvement.

Results:

There were 33 patients in group one and 27 patients in group two. The overall incidence of successful graft uptake was 96.96 per cent in group one and 81.5 per cent in group two. Closure of central and posterior perforations was successful in 100 per cent of both groups. Closure of anterior and subtotal perforations was successful in 95.45 per cent of group one and 54.54 per cent of group two.

Conclusion:

Type one tympanoplasty with anterior tagging of graft material is a suitable technique for anterior and subtotal perforations.

Keywords

Otitis MediaTympanic Membrane PerforationTympanoplasty
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 126 , Issue 2 , February 2012 , pp. 125 - 130
Copyright
Copyright © JLO (1984) Limited 2011

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