Assessment of Hearing Improvement after Myringoplasty in Csom Patients

Abstract

Myringoplasty is one of the various surgical techniques for the management of chronic supurative otitis media. The present study is mainly focused to assess the extent of improvement of hearing post operatively in patients who underwent myringoplasty for CSOM. The study was conducted in patients with CSOM of tubo tympanic type who underwent myringoplasty in the Department of ENT, GITAM Institute of Medical Sciences and Research, Tertiary care Teaching Hospital, Visakhapatnam between February 2019 and September 2020. In this study the maximum number of patients were seen in the age group of 15-25 years (46%).In our study, the results were more encouraging in the younger age group with 11.7 dB in (15-25) age group,11.43 dB in (26-35) years age group and 11.8 dB in (36-45) years age group. While 4 myringoplasty were performed in patients aged over 45 years, the audiological benefit in speech frequency was found to be lesser at 8.74 dB. It has been established by this study that myringoplasty provides good results in terms of improvement of hearing post operatively. Myringoplasty has given immense relief to patients with CSOM, both in terms of discharge free ear and improvement of hearing. However, to ensure maximum success rate the operating surgeons should exercise caution to select patients only with conductive deafness and without any other ENT complications for successful myringoplasty. The study had concluded that, myringoplasty is a needful procedure to prevent recurrent infection of the middle ear and improves hearing. It is a simple, easy otologic surgery with good overall outcome.