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Scholars Journal of Applied Medical Sciences | Volume-5 | Issue-06
Myringo sclerosis: A Preoperative Predictor of Aditus Blockage (Study of 100 Cases)
Anuj Shah, Rupa P. Parikh, Akshay Suratwala, Dhaval Patel
Published: June 30, 2017 | 158 144
DOI: 10.36347/sjams.2017.v05i06.008
Pages: 2070-2073
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Abstract
Tympanosclerosis is an abnormal healing process. Aeration of mastoid air cell system is most required criteria for this success of cortical mastoidectomy with tympanoplasty especially in tubotympanic type of otitis media. Tympanoplasty has been the mainstay of treatment in chronic otitis media. Aerating mastoidectomy in cases of blocked aditus and antrum helps in reducing the recurrence. But the aditus status cannot be known preoperatively unless mastoidectomy is done. Our study aims to predict or have an idea about aditus status preoperatively by looking at tympanic membrane. Our study involved 100 cases of cortical mastoidectomy. Tabulations and calculations done for aditus patency and blockage and its association with myringo sclerosis. We found in our study that myringo sclerosis was significantly associated with blocked aditus and so presence of myringo sclerosis preoperatively indicates blocked aditus and antrum. So performing cortical mastoidectomy in such cases may help in creating aerated mastoid and further reducing chances of recurrence rate.