title: Evaluation of simultaneous bilateral same day tympanoplasty type I in chronic suppurative otitis media.
abstract: OBJECTIVE
  To evaluate the concept of bilateral same day tympanoplasty type I (BSDT) in accordance with the principle of evidence based medicine.
  
  
  METHODS
  A study with control was carried out in a tertiary care setting in a sample size of 60 patients suffering from chronic suppurative otitis media (CSOM). The patients were divided into two groups of 30 patients each, group-A comprised of unilateral CSOM cases and group-B comprised of bilateral CSOM cases. All the patients underwent tympanoplasty type I by post auricular inlay technique using temporalis fascia graft. BSDT was done in group-B. Graft and audiological success rates were tabulated and put to statistical examination using Student's 't' test. In addition, post-operative pain was measured by visual analogue scale and statistically analyzed.
  
  
  RESULTS
  A graft uptake of 90% and 93% was recorded in group-A and B, respectively. 27 (90%) patients reported an air-bone gap of less than 20 dB post-operatively in group-A and 94% (56 of the operated 60 ears) had an air bone gap less than 20 dB post-operatively in group-B. No case of iatrogenic sensorinueral hearing loss was recorded in this study. Further, pain was not found to be a statistically significant factor detrimental to BSDT.
  
  
  CONCLUSIONS
  Bilateral same day tympanoplasty type I is a feasible treatment option in modern otology for a specific group of patients suffering from CSOM.
authors.affiliation: Department of Otorhinolaryngology & Head-Neck Surgery, Vardhman Mahavir Medical College & Safdarjung Hospital, New Delhi 110029, India.
authors.forename: Anil K
authors.initials: AK
authors.lastname: Rai
authors.affiliation: Department of Otorhinolaryngology & Head-Neck Surgery, Vardhman Mahavir Medical College & Safdarjung Hospital, New Delhi 110029, India; Department of Otorhinolaryngology & Head-Neck Surgery, Lady Hardinge Medical College & Associated Hospitals, New Delhi 110001, India. Electronic address: gbsnit@yahoo.co.in.
authors.forename: Gautam Bir
authors.initials: GB
authors.lastname: Singh
authors.affiliation: Department of Otorhinolaryngology & Head-Neck Surgery, Vardhman Mahavir Medical College & Safdarjung Hospital, New Delhi 110029, India.
authors.forename: Radhamadhab
authors.initials: R
authors.lastname: Sahu
authors.affiliation: Department of Otorhinolaryngology & Head-Neck Surgery, Vardhman Mahavir Medical College & Safdarjung Hospital, New Delhi 110029, India.
authors.forename: Sarvejeet
authors.initials: S
authors.lastname: Singh
authors.affiliation: Department of Otorhinolaryngology & Head-Neck Surgery, Lady Hardinge Medical College & Associated Hospitals, New Delhi 110001, India.
authors.forename: Rubeena
authors.initials: R
authors.lastname: Arora
mesh_terms: D000293:Adolescent; D000328:Adult; D002908:Chronic Disease; D005205:Fascia / Q000637:transplantation*; D005260:Female; D006314:Hearing Loss, Conductive / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009225:Myringoplasty / Q000379:methods*; D010035:Otitis Media, Suppurative / Q000150:complications / Q000601:surgery*; D016896:Treatment Outcome; D014433:Tympanoplasty / Q000379:methods; D055815:Young Adult
keywords: Bilateral same day tympanoplasty; Iatrogenic sensorinueral hearing loss