scholarly journals Does Eustachian tube function affect the outcome of tympanoplasty?

2021 ◽  
Vol 37 (1) ◽  
Author(s):  
Adel El-Antably ◽  
Khaled Ateya ◽  
Mo’men A. Hamela ◽  
Sameh Ibrahim ◽  
Mona Hamdy
Keyword(s):  
Otitis Media ◽  
Eustachian Tube ◽  
Chronic Suppurative Otitis Media ◽  
Eustachian Tube Dysfunction ◽  
Successful Outcome ◽  
Type I ◽  
Eustachian Tube Function ◽  
Suppurative Otitis Media ◽  
Tube Dysfunction ◽  
Tube Function

Abstract Background Eustachian tube function has been regarded as a significant factor in the successful outcome of tympanoplasty. Eustachian tube dysfunction has been attributed to many diseases of middle ear cleft ranging from otitis media with effusion to unsafe chronic otitis media. The aim of this study is to evaluate the effect of Eustachian tube function on outcome of tympanoplasty in safe chronic suppurative otitis media patients and detect the correlation between the type of the used graft and the outcome of tympanoplasty. This study included 60 randomly selected patients diagnosed with safe chronic suppurative otitis media. Eustachian tube function was tested with tympanometry and Toynbee’s test. All patients underwent tympanoplasty type I. Results Successful statistically significant outcome was observed in 83.3 % of patients with normal eustachian tube function, while in 60 % of patients with eustachian tube dysfunction (p < 0.05). Conclusion Eustachian tube function significantly affects the outcome of tympanoplasty surgery. No significant correlation was noted between the type of the used graft and the outcome of tympanoplasty.

scholarly journals Evaluation of eustachian tube function in chronic suppurative otitis media with reference to its treatment outcome

2020 ◽  
Vol 6 (2) ◽  
pp. 297
Author(s):  
Sucheta Gupta ◽  
Mohit Goel ◽  
Padam Singh Jamwal
Keyword(s):  
Otitis Media ◽  
Eustachian Tube ◽  
Pure Tone Audiometry ◽  
Neck Surgery ◽  
Chronic Suppurative Otitis Media ◽  
Eustachian Tube Function ◽  
Suppurative Otitis Media ◽  
Mean Values ◽  
Tube Function ◽  
Eustachian Tube Function Test

<p class="abstract"><strong>Background:</strong> The study was undertaken to find out Eustachian tube function in safe type of chronic suppurative otitis media and to study the comparison of graft uptake in normal, partially impaired and grossly impaired Eustachian tube function in safe type of chronic suppurative otitis media.</p><p class="abstract"><strong>Methods:</strong> The present prospective study was conducted in the Department of Otorhinolaryngology and Head and Neck surgery, Sri Maharaja Gulab Singh Hospital, Jammu during the period from November 2016 to October 2017. Patients were diagnosed clinically and also audiometrically by pure tone audiometry and impedance audiometry. Eustachian tube function test- Toynbee test was done in all the patients.  </p><p class="abstract"><strong>Results:</strong> Out of 20 patients with normal Eustachian tube function, 19(95%) showed graft uptake. Out of 20 patients with partially impaired Eustachian tube function, 18 (90%) showed graft uptake. Out of 20 patients with grossly impaired Eustachian tube functions 13 (65%) showed graft uptake. Comparison of mean values of pre and post- operative air-bone (AB) gap with respect to normal, partially impaired and grossly impaired Eustachian tube functions is highly significant statistically with (p&lt;0.001).</p><p class="abstract"><strong>Conclusions:</strong> As seen in our study, functioning Eustachian tube is an important requirement for optimum outcome of myringoplasty. Testing the functions of Eustachian tube before surgery provides a possibility of predicting the possible outcome of myringoplasty or tymapanoplasty. This is also concluded that a partially functioning Eustachian tube should not be considered to be a contraindication to these surgeries as in many of these cases graft uptake and AB gap closure was good (90%).</p>

scholarly journals Eustachian tube functional assessment among patients with CSOM undergoing tympanoplasty surgery

2019 ◽  
Vol 5 (4) ◽  
pp. 906
Author(s):  
Hemalatha P. ◽  
Vikram V. J.
Keyword(s):  
Methylene Blue ◽  
Success Rate ◽  
Otitis Media ◽  
Eustachian Tube ◽  
Chronic Suppurative Otitis Media ◽  
Eustachian Tube Function ◽  
Suppurative Otitis Media ◽  
Tube Function ◽  
Methylene Blue Test ◽  
Mucociliary Function

<p class="abstract"><strong>Background:</strong> Pre-operative test of eustachian tube (ET) function is important for achieving a satisfactory result of tympanoplasty for CSOM patients. The saccharin test and methylene blue test seems to provide adequate information of the mucociliary function and patency of the ET. The aim was to study the ventilatory and mucociliary function of Eustachian tube in patients with chronic suppurative otitis media planned for tympanoplasty surgery and to assess the success rate of tympanoplasty in relation to the Eustachian tube function</p><p class="abstract"><strong>Methods:</strong> A prospective longitudinal study was conducted for a period of one year. Patients aged more than 15 years with features of chronic suppurative otitis media of either tubotympanic type or atticoantral type were included in the study. The total number of study subjects included in our study was 82 patients with CSOM. The ventilatory and the mucociliary functions of the auditory tube were assessed preoperatively using saccharin test and methylene blue test. All patients with CSOM underwent tympanoplasty surgery and the outcome of the surgery was assessed.  </p><p class="abstract"><strong>Results:</strong> The overall success rate of tympanoplasty surgery was 76.8%. It was observed in our study that the success rate of tympanoplasty was higher among patients with normal eustachian tube function.</p><p class="abstract"><strong>Conclusions:</strong> Preoperative evaluation of eustachian tube function is mandatory for all the patients planned for tympanoplasty. Preoperative and intraoperative corrective measures should be taken in patients with partial and absent tubal function to improve the success rate of tympanoplasty surgeries.</p><p> </p>

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