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Efficacy of middle-ear packing in success of type 1 tympanoplasty: a prospective randomised study

Published online by Cambridge University Press:  26 July 2021

S R Sahoo ,
J Tripathi ,
S Kumari  and
S Rastogi
S R Sahoo
Affiliation:
Department of ENT, Tata Motors Hospital Jamshedpur, Jharkhand, India
J Tripathi
Affiliation:
Department of ENT, Tata Motors Hospital Jamshedpur, Jharkhand, India
S Kumari
Affiliation:
Department of ENT, Tata Motors Hospital Jamshedpur, Jharkhand, India
S Rastogi*
Affiliation:
Department of ENT, Tata Motors Hospital Jamshedpur, Jharkhand, India
*
Author for correspondence: Dr Shalabh Rastogi, Department of ENT, Tata Motors Hospital, Telco Colony, Jamshedpur, Jharkhand831004, India E-mail: shalabh.rastogi@tatamotors.com
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Abstract

Objective

A prospective randomised study was undertaken to compare the results of type 1 tympanoplasty with and without middle-ear packing with gelfoam.

Method

Eighty patients undergoing type 1 tympanoplasty were randomised into two groups according to packing in the middle ear: with gelfoam and without gelfoam. The data in terms of graft uptake rate, hearing gain and subjective improvement were analysed at one and three months.

Results

The graft uptake rate between both groups did not show a statistically significant difference. There was conductive hearing loss in the gelfoam group in the early post-operative period. Subjectively, patients were more comfortable with respect to heaviness and hearing gain than in the non-gelfoam group.

Conclusion

Gelfoam use in middle-ear packing is not an essential step and causes more discomfort in patients during the early post-operative period. It should be a surgeon's choice to use it when and where it is necessary.

Keywords

Type-1 TympanoplastyGelfoamMiddle Ear Packing
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 135 , Issue 10 , October 2021 , pp. 864 - 868
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

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Footnotes

Dr S Rastogi takes responsibility for the integrity of the content of the paper

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