OUTCOMES OF CIRCUMFERENTIAL V/S ANTERIOR TUCKING TYMPANOPLASTY TECHNIQUE IN INACTIVE MUCOSAL CHRONIC OTITIS MEDIA WITH SUBTOTAL PERFORATIONS: A PROSPECTIVE OBSERVATIONAL STUDY

Sultan Singh  Rulania; Sushma Mahich; Rekha Harshvardhan

doi:10.22159/ajpcr.2021.v14i10.42707

Authors

Sultan Singh Rulania Junior Surgeon, Department of Otorhinolaryngology CHC, Achrol, Jaipur, Rajasthan
Sushma Mahich Medical Officer, Department of Otorhinolaryngology, CHC, Pushkar, Ajmer, Rajasthan
Rekha Harshvardhan Senior Professor, Department of Otorhinolaryngology SMS Medical College, Jaipur, Rajasthan

DOI:

https://doi.org/10.22159/ajpcr.2021.v14i10.42707

Keywords:

Subtotal perforation, Tympanoplasty, Anterior tucking, Circumferential tympanomeatal flap

Abstract

Objective: The objective of the study is to compare circumferential versus anterior tucking underlay tympanoplasty technique.

Methods: In this prospective observational study, 100 patients with chronic otitis media (Inactive mucosal type) were included, who were randomly allocated in two groups; Group I which comprised of 50 patients in which tympanoplasty with anterior tucking was done, and Group II comprised of 50 patients in which circumferential flap tympanoplasty was done. Improvement in the hearing gain and graft uptake success rate was compared.

Results: The mean air-bone gap (ABG) changed from 28.74 dB to 11.52 dB after anterior tucking with a mean change of 17.22 dB and this change was found to be statistically significant (p<0.001). Similarly, the mean ABG changed from 28.92 dB to 11.86 dB after a circumferential flap with a mean change of 17.06 dB and this change was also found to be statistically significant (p<0.001). There was a slightly better improvement (17.22 dB) in the anterior tucking group as compared to the circumferential flap (17.06 dB). This difference was, however, not found to be statistically significant (p=0.830). Three-month graft uptake rate in the anterior tucking group was found 92% and in the circumferential group was 94%. (p>0.05).

Conclusions: Our study concluded that both techniques have almost the same results with good graft uptake. Results of hearing improvements in both techniques were also comparable.

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