DOI: 10.36347/sjams.2020.v08i02.042

Pages: 566-604

Chronic suppurative otitis media is a common condition seen in patients attending the otolaryngology clinic. The discharging ear presents to the otologist with the dilemma of operating on it or not. This is due to wide spread belief that the success rate while doing tympanoplasty on wet ear varies. Whether mastoidectomy is useful in tympanoplasty for perforated chronic otitis media (COM) remain controversial. Despite the high success rate and the nature of the procedure, the effect of many influencing factors remains unresolved. These include the age of the patient, site and size of perforation, length of time the ear has been dry prior to surgery, the presence of infection at the time of surgery and the status of the opposite ear. The purpose of this study is to ascertain whether the mastoidectomy should be combined as a standard operating procedure for closing central perforations in safe type of chronic suppurative otitis media or not so as to achieve acceptable functional status postoperatively and hence minimize graft failure. A total of 132 patients were included in the study and divided into two group (66 in each group A and B). The age group was between 15-60 years. Most of them were in the age group of 31-40 years. In this male: female ratio was 1.06. All the patients presented with ear discharge and decreased hearing. The conclusion drawn were: Hearing improvement following tympanoplasty alone and tympanoplasty with mastoidectomy were comparable. No statistical difference was found in either of the two groups. Combining Mastoidectomy with tympanoplasty will not give additional significant benefit in terms of hearing improvement or disease clearance. Mastoidectomy procedure will result in additional surgical time without added benefit. Mastoidectomy may be considered in following situation: 1) If ear continue to discharge after adequate medical treatment. 2) In presence of polyp/polypoidal middle ear mucosa or granulation tissue in the middle ear. .........