DOI: 10.36347/sjams.2019.v07i11.068

Pages: 3814-3824

Background: The role of mastoidectomy performed with tympanoplasty for tympanic membrane perforations in the absence of cholesteatoma remains controversial. Many otolaryngologists continue to routinely perform mastoidectomy with tympanoplasty, others argue that performing mastoidectomy in these patients is unnecessary, does not improve surgical outcomes, and subjects patients to increased surgical risks. Objective: To assess the role of improving outcome Comparative Treatment between Myringoplasty and Cortical Mastoidectomy on Chronic Supportive Otitis Media. Materials and Methods: The Prospective study Department of ENT, Mymensingh Medical College Hospital during October 2014 to July 2019 and 50 patients Sample size. For all patients outcome Diagnostic nasal endoscopy was done and CT scan paranasal sinuses were taken for patients with sinusitis. If septic foci found patients were taken up for endoscopic sinus surgery and disease cleared. Patients were given medical treatment for 3-4 weeks, and once the evidence of response obtained patients were randomly selected by an unrelated personnel and put into either group I i.e. cortical mastoidectomy with myringoplasty or group II i.e. Myringoplasty alone. The selected cases were made to undergo appropriate investigations. Routine blood investigations like Hemoglobin, total and differential count, bleeding and clotting time, chest x-ray, ECG and urine investigations were done for all patients. Observations: In our study role of outcome total number of patients was fifty. Out of which 25 patients were in cortical mastoidectomy with tympanoplasty group (Group I), of which 13 were males and 12 were females. Most of the literature consisted of retrospective cohort studies and case series with only a few small prospective randomized trials. Retrospective studies were commonly biased by performing mastoidectomy in ears with worse disease, and methodological differences made comparisons between studies difficult to interpret.