Comparative Study of Hearing Status After Modified Radical Mastoidectomy with And Without Reconstruction

Hearing Status After Modified Radical Mastoidectomy with and Without Reconstruction

Abstract

Chronic suppurative otitis media (CSOM) is a communal ailment of the middle ear Objective: To compare hearing status with and without reconstruction after a modified radical mastoidectomy. Methods: 40 total patients with Chronic suppurative otitis media (the Atico-antral variety) who endured a modified radical mastoidectomy (MRM) with reconstruction or without reconstruction were enrolled in the study. The subjects were alienated into 2 groups depending on the surgical procedure. Patients done with modified radical mastoidectomy but reconstruction was not accomplished were added in the group I (n = 20), and patients done with reconstruction after MRM (n = 20) added to the group II. The patients were thoroughly examined one week before the operation, and their hearing levels were assessed using pure tone audiometry. The general anesthesia was given to the patients of both groups and operated under a microscope with post auricular approach. Temporal fascia and cartilage were collected as a material for grafting after modified radical mastoidectomy in group II. After surgery, patients were monitored at regular intervals. After 8 weeks, pure tone audiometry was performed and the closure of the air-bone gap was compared with the hearing assessment. Results: Many of the patients in this analysis were amongst 11 and 20 years of age and the majority of patients were male. Bone-air gap closure was more common in patients undergoing reconstructive MRM. Conclusion: Reconstruction after MRM results in improved hearing amplification and similarly results in greater improvement of life quality.