Volume : 6, Issue : 7, July - 2017

Endoscopic surgery in atelectatic middle ear.

Dr Shruti Dhingra, Dr Anjana Tigga

Abstract :

<p>&nbsp;<span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 12pt;">Objective: To study the role of ventilation tubes in tympanoplastic reconstruction of atelectatic middle ear.</span></p> <p class="MsoNormal" style="line-height:200%"><span lang="EN-IN" style="font-size:&#10;12.0pt;line-height:200%;font-family:&quot;Times New Roman&quot;,serif;mso-ansi-language:&#10;EN-IN">Design: Prospective study<o:p></o:p></span></p> <p class="MsoNormal" style="line-height:200%"><span lang="EN-IN" style="font-size:&#10;12.0pt;line-height:200%;font-family:&quot;Times New Roman&quot;,serif;mso-ansi-language:&#10;EN-IN">Setting: A tertiary care hospital.<o:p></o:p></span></p> <p class="MsoNormal" style="line-height:200%"><span lang="EN-IN" style="font-size:&#10;12.0pt;line-height:200%;font-family:&quot;Times New Roman&quot;,serif;mso-ansi-language:&#10;EN-IN">Materials and Methods: The study was carried out in the department of ENT at ESIC Medical College and Hospital, Faridabad. 25 patients of atelectatic middle ear were included in the study. A grommet was placed in the residual tympanic memane or within the new temporalis fascia graft. Patients were followed up for 1 year.<o:p></o:p></span></p> <p class="MsoNormal" style="line-height:200%"><span lang="EN-IN" style="font-size:&#10;12.0pt;line-height:200%;font-family:&quot;Times New Roman&quot;,serif;mso-ansi-language:&#10;EN-IN">Results: Middle ear space could be achieved in 21 cases ( 84%). In 6 cases, Eustachian tube function improved and air could be seen coming through the grommet while in rest of 19 cases, eustachian tube still remained non-functioning. 15 of the 19 cases where ossiculoplasty was done showed hearing improvement.<o:p></o:p></span></p> <p class="MsoNormal" style="line-height:200%"><span lang="EN-IN" style="font-size:&#10;12.0pt;line-height:200%;font-family:&quot;Times New Roman&quot;,serif;mso-ansi-language:&#10;EN-IN">Conclusion: The use of ventilation tubes in cases of atelectetic ears during tympanoplasty &nbsp;is feasible and helps to reconstruct the middle ear space, thus preventing the collapse of the drum as well as retraction pocket formation.<o:p></o:p></span></p>