Skip to main content

Evaluating the Eustachian Tube Function in Chronic Suppurative Otitis Media in Reference to its Treatment Outcome | Chapter 9 | Highlights on Medicine and Medical Science Vol. 18

The most essential determinant in the development and persistence of otitis media is tubal dysfunction. Because the beginning pathogenetic variables of Eustachian tube function and middle ear ventilation are still intact, even the most meticulously done surgery will fail if the Eustachian tube failure remains. The medical and surgical evaluation of middle ear disorders must consequently include a measurement of Eustachian tube function.

The goal of this study was to determine Eustachian tube function in a safe kind of chronic suppurative otitis media and compare graft uptake in normal, slightly impaired, and severely impaired Eustachian tube function in a safe type of chronic suppurative otitis media.

Methods: From November 2016 to October 2017, the current prospective study was conducted in the department of otorhinolaryngology and head & neck surgery, SMGS Hospital, Jammu. After receiving approval from the institution's Ethics Committee, the study was carried out. The study included patients who visited the ENT outpatient department. Pure Tone Audiometry and impedance audiometry were used to diagnose patients both clinically and audiometrically. All of the patients had a TOYNBEE test to determine the function of their eustachian tubes. Surgery was considered for an equal proportion of patients with normal, slightly impaired, and severely impaired Eustachian tube function.

Results: Graft uptake was seen in 19 (95%) of 20 individuals with normal Eustachian tube function. 18 (90 percent) of the 20 patients with somewhat reduced Eustachian tube function demonstrated transplant uptake. 13 (65%) of 20 patients with severely reduced Eustachian tube function showed transplant uptake. Pre- and post-operative AB gap mean values compared to normal, partly affected, and severely impaired Eustachian tube functioning. The statistical significance of the comparison is (p 0.001).

Conclusion: Impedance audiometry testing of the ETF is a straightforward, non-invasive method of determining the ETF. As shown in our study, a functional Eustachian tube is a crucial condition for a successful myringoplasty procedure. The ability to anticipate the success of myringoplasty / tymapanoplasty by testing the functions of the Eustachian tube prior to surgery is feasible. It was also decided that a partially functioning Eustachian tube should not be deemed a contraindication to these procedures, as graft absorption and AB-gap closure were good in majority of these cases (90 percent ).

 

Author (S) Details

Sucheta Gupta
Department of Health and Medical education, Government of Jammu and Kashmir, Jammu and Kashmir, India.

Mohit Goel
Department of ENT, Head and Neck surgery, Dr. Rajendra Prasad Government Medical College, Tanda, Kangra, Himachal Pradesh, India.

Padam Singh Jamwal
Department of ENT, Head and Neck Surgery, SMGS Hospital, Government Medical College, Jammu, Jammu and Kashmir, India.


View Book :- https://stm.bookpi.org/HMMS-V18/article/view/3256
Labels:

Comments

Post a Comment

Popular posts from this blog

Greening Regional Airports: A Vision for Carbon Neutral Infrastructure | Chapter 12 | Contemporary Perspective on Science, Technology and Research Vol. 3

 This study provides an overview of the energy demand of a regional airport, divided into individual time horizons. The electrification of aircraft systems raises the question of whether airports will be among the largest electricity consumers in our infrastructure in the future. Sustainability and especially emission reductions are significant challenges for airports that are currently being addressed. The Clean Sky 2 project GENESIS addresses the environmental sustainability of hybrid-electric 50-passenger aircraft systems in a life cycle perspective to support the development of a technology roadmap for the transition to sustainable and competitive electric aircraft systems. This article originates from the GENESIS research and describes various options for ground power supply at a regional airport. Potential solutions for airport infrastructure with a short (2030), medium (2040), and long (2050) time horizon are proposed. In addition to the environmental and conservation benefi...
Post a Comment
Read more

Alkali Element Modification of Glucose Molecules as a Method to Dissolve Cancer Cells | Chapter 12 | New Visions in Medicine and Medical Science Vol. 4

  The present study highlights about alkali element modification of glucose molecules as a method to dissolve cancer cells. The central regulation of the mechanisms governing cell proliferation has little effect on cancer cells. Cancer cells are entirely independent of the central command and divide and proliferate on their own, making it challenging to activate their response mechanism. Precisely, this is the reason why they are at risk to the health of humans and/or any biological entities. Instead of trying to reconnect the central command of the growth control mechanism to cancer cells that are already out of the range, we present a method of using the cancer cell’s own irresponsive and uncontrolled growth mechanism to their disadvantage and destroy the cancer cells. We found that this is achievable in an atomic/molecular level study of the glucose molecule, which is the primary food source used for growth and energy generation by all cells in the body, including the cancer cel...
Post a Comment
Read more

Empowerment and Leader Member Exchange towards Organizational Citizenship Behavior Readiness among Government Workforce in Malaysia | Book Publisher International

  State agencies are among the most significant entities that represent the public's needs, and their programmes are essential to a state's and the nation's economic growth and development. State agencies have been rife by public concerns for years, as demonstrated by the Public Complaints Bureau, as problems of inefficiency in service quality and delivery have yet to meet the public's standards. With the support of 15 employees from state agencies on Malaysia's east coast, this study aims to achieve three targets. The first and second objectives are to investigate the ties between leader-member exchange (LMX) and OCB empowerment. The final aim is to define the most significant factors that affect OCB willingness. A total of 288 people took part in the survey, which was conducted using a cluster sampling process. The survey items had achieved the necessary reliability, according to the pilot test results, and some sub-dimensions were renamed after factor analysis. ...
1 comment
Read more