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Formerly Journal of Turgut Ozal Medical Center - ISSN 1300-1744

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Clinical trial to evaluate the outcome of canal wall up and canal wall down tympanomastoidectomy (p.466-70)

Clinical trial to evaluate the outcome of canal wall up and canal wall down tympanomastoidectomy (p.466-70)

Isil Cakmak Karaer1, Nuray Ensari2
1Malatya Training and Research Hospital, Clinic of Otorhinolaryngology, Malatya, Turkey
2Antalya Training and Research Hospital, Clinic of Otorhinolaryngology, Antalya, Turkey
Copyright © 2020 by authors and Annals of Medical Research Publishing Inc.

Abstract

Aim: The aim of this study was to evaluate the hearing outcomes of chronic suppurative otitis media surgery. Chronic suppurative otitis media (CSOM) surgery composed of two procedure; canal wall up mastoidectomy (CWU) and canal wall down mastoidectomy (CWD).
Material and Methods:The study included 29 patients with CSOM diagnosis and patients a mean age of 37.02 ± 2.4 years (y). The demographic features (age, gender), clinical features and intraoperative findings of the patients were recorded. Patients’ hearing was evaluated with pure tone audiometry (PTA) at 0.5, 1, 2, 4 and 8 kHz and pre-postoperative air bone gap (ABG) difference. Pre- and post-operative air-bone gap (ABG) at 12 months after ossiculoplasty. There were 8 patients who underwent CWD and 21 patients who underwent CWU.
Results: TWhen preoperative and postoperative ABG for the patients are compared, there were statistically significant differences identified at 0.5, 1, 2 and 8 kHz. However, there was no statistically significant difference identified at 4 kHz.
Conclusion: Regardless to the surgical technique, statistically significant levels of hearing gain were provided at 0.5, 1, 2 and 8 kHz; however, there was no hearing gain at 4 kHz after the surgical procedure.

Keywords: Chronic suppurative otitis media; canal wall up mastoidectomy; canal wall down mastoidectomy; hearing thresholds

 

 

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doi: 10.5455/annalsmedres.2020.01.024

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Annals of Medical Research is the scientific official journal of the Inonu University Faculty of Medicine. It is published monthly. The essential aim of the Annals of Medical Research is to publish scientifically high quality clinical and experimental research articles on fields of medicine which can contribute to the literature data. In addition, review articles, case reports, editorials, letters to the editors and manuscripts on publication ethics and medical history, which can contribute to the education and practices of physicians and health sector professionals within the scope of the journal’s target audience and which can increase the level of scientific communication between the authors and readers, are included in the scope of the journal.

 

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