Role of Mastoid Pneumatization on the Success of Tympanoplasty Type 1 Operation | ||||
| International Journal of Medical Arts | ||||
| Article 3, Volume 7, Issue 1, January 2025, Page 5260-5265 PDF (1.7 MB) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ijma.2024.291065.1975 | ||||
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| Authors | ||||
Ahmed Mohamed Shawki  1; Mahmoud Ahmed shawky 1; Ahmed Mohamed Ahmed Seleim2
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| 1Department of Otorhinolaryngology, Damietta Faculty of Medicine, Al-Azhar University, Damietta, Egypt | ||||
| 2Department of Otorhinolaryngology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt | ||||
| Abstract | ||||
| Background: Mastoid pneumatization is an anatomical feature that can impact surgical outcomes in tympanoplasty Type 1 operations. The relationship between mastoid pneumatization and the success of tympanoplasty procedures is a topic of growing interest within the field of otolaryngology. Aim: This study aimed to detect the role of mastoid pneumatization in predicting tympanoplasty type 1 operation success. Subjects and Methods: Between February 2023 and February 2024, 40 patients attended in the otorhinolaryngology head and neck surgery department at Al-Azhar University Hospital [Damietta] participated in this prospective trial. Cases diagnosed with COM, medium-sized central tympanic membrane perforations, underwent CT scan for mastoid information, including pneumatization, and underwent endoscopic type I tympanoplasty with tragal cartilage graft. Results: All patients diagnosed as mild conductive hearing loss with air-bone gap 20.0±5.58 dB underwent endoscopic tympanoplasty with tragal cartilage graft, resulting in a 90% success rate for graft taking and 10% failure graft taking. Utilizing a CT scan, we were able to determine that out of the 36 successful cases of tympanoplasty that we studied, 4 cases had failed following tympanoplasty. The success group showed a significant increase in longitudinal, transverse, surface area and total volume dimensions while the failure group did not. Conclusion: Significant increases were observed in longitudinal, transverse, total volume, and surface area for the success group compared to the failure group. | ||||
| Keywords | ||||
| Mastoid; Mastoid Pneumatization, Tympanoplasty | ||||
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