K. L. Shivakumar1, Suryanarayan Joshym2, Mary3
ABSTRACT: Chronic Otitis Media still remains a major health problem in our country. The management of Chronic Otitis Media with or without cholesteatoma, is probably the most common reason why the simple mastoid operation is performed today and Cortical mastoidectomy,1 with tympanic membrane perforation repair and/or ossicular chain repair is considered the treatment of choice for tubotympanic type of Chronic Otitis Media. In the advent of management aspects very limited study has been document in India. In this context present study to aim to compare the outcomes for cortical mastoidectomy with tympanoplasty and for tympanoplasty alone in cases of inactive, mucosal, chronic, suppurative otitis media. 100 cases were randomly allocated into two groups. In Group I - 50 cases were considered for Tymanoplasty along with cortical mastoidectomy. In Group II - 50 cases considered for the Tympanoplasty alone. Perforation closure, graft uptake and hearings out comes were documented. Collected data were analyzed by using MINI tab - 10.50 version, Binary logistic regression and chi-square test of independence were used to draw the significant inference. As per the study results, hearing improvement (p>0.05), tympanic perforation closure (p>0.05), graft uptake or disease eradication (p>0.05) is not statistically significant with pre and post-operative period. Comparing the two groups at three and six months post-operatively. Cortical mastoidectomy with tympanoplasty was found to have no advantage over tympanoplasty alone in terms of graft uptake rates and hearing improvement. Hence, it may not be necessary to undertake routine mastoid exploration in all cases of inactive, mucosal type of chronic otitis Media.
