ENDOSCOPIC TYMPANOMASTOIDECTOMY IN ATTICO-ANTRAL CHRONIC SUPPURATIVE OTITIS MEDIA - AN OBSERVATIONAL STUDY
Creators
- 1. Professor, Department Of ENT, Adesh Institute Of Medical Sciences And Research, BATHINDA, PUNJAB.
- 2. Resident, Department Of ENT, Adesh Institute Of Medical Sciences And Research, BATHINDA, PUNJAB.
- 3. Asisstant Professor, Department Of ENT, Adesh Institute Of Medical Sciences And Research, BATHINDA, PUNJAB.
Description
An Observational Study was undertaken at Department of Otorhinolaryngology
and Head and Neck Surgery, AIMSR from Jan 2019 - August 2020. The aim of
this study was to observe the outcome of endoscopic tympanomastoidectomy for
attico-antral type of CSOM. All the patients attending ENT OPD at AIMSR within
the age group of 11-60 yrs, irrespective of sex with Attico-Antral CSOM either
unilateral or bilateral were included in this study. However, revision
mastoidectomies, patients with intracranial complications of CSOM or actively
discharging ear, or patients with external and middle ear abnormalities either
congenital or acquired, medically and surgically unfit patients and Patients
unwilling to take part in study were not included. In our study of 50 patients, 40
patients had graft uptake after disease clearance and 8 had failure of graft uptake
without chronic otorrhoea and 2 had failure with chronic otorrhoea. Through this
study we concluded that Endoscopic Tympano-mastoidectomy for attico-antral
type of CSOM is an excellent technique for complete removal of cholesteatoma
especially from inaccessible areas of middle ear cleft.
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