Tympanoplasty with and without mastoidectomy for non-cholesteatomatous chronic otitis media.
OBJECTIVE
Cases of non-cholesteatomatous chronic otits media (COM) were reviewed to determine whether mastoidectomy is helpful when combined with tympanoplasty for these conditions.


METHODS
A retrospective analysis of 251 ears with non-cholesteatomatous COM operated on by one surgeon (Y.M.) in an 11-year period was conducted.


METHODS
Patients in group A (n = 147) were treated by tympanoplasty with mastoidectomy. Patients in group B (n = 104) were operated on without mastoidectomy.


RESULTS
Graft success rates were 90.5% in group A and 93.3% in group B. There was no statistically significant difference. Graft success rates of discharging ears were 90.0% in group A and 85.7% in group B. Graft success rates of dry ears were 90.7% in group A and 94.4% in group B. There was no statistically significant difference between discharging ears and dry ears. The rates of the postoperative air-bone gap within 20dB were 81.6% in group A and 90.4% in group B, without a statistically significant difference.


CONCLUSIONS
Mastoidectomy is not helpful in tympanoplasty for non-cholesteatomatous COM, even if the ear is discharging.
Mishiro
Y
Y
Department of Otolaryngology and Sensory Organ Surgery, Osaka University Graduate School of Medicine, Suita City, Japan. misiro@ent.med.osaka-u.ac.jp
Sakagami
M
M
Takahashi
Y
Y
Kitahara
T
T
Kajikawa
H
H
Kubo
T
T
D001844:Bone Conduction / Q000502:physiology; D018424:Cholesteatoma, Middle Ear / Q000175:diagnosis*; D004432:Ear, Middle / Q000000981:diagnostic imaging; D005500:Follow-Up Studies; D006801:Humans; D008416:Mastoid / Q000601:surgery*; D010034:Otitis Media with Effusion / Q000175:diagnosis / Q000601:surgery*; D013506:Otologic Surgical Procedures / Q000379:methods; D011182:Postoperative Care; D011300:Preoperative Care; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed; D014433:Tympanoplasty / Q000379:methods*