A Study of Surgical Outcomes of Tympanoplasties with and Without Cortical Mastoidectomy

Background: Tympanoplasty, or eardrum repair, is a surgical procedure used to fix a ruptured tympanic membrane (eardrum) or the small bones of the middle ear. An eardrum perforation may result from chronic infections or, less commonly, eardrum trauma. Objective: The study’s goal is to compare the surgical results of mastoidectomies and tympanoplasties in terms of improved hearing and graft uptake. Methods: This Prospective study conducted at tertiary care hospital of Middle Gujarat, India and a total of 60 patients undergoing tympanoplasties with and without mastoidectomy were included and followed up for a period of one year. Results: The surgical results of the two procedures did not differ significantly in terms of improved hearing or graft uptake. When applied unilaterally, the Belfast rule of thumb allows the patient to truly benefit from their hearing. Conclusion: CSOM seems to be more prevalent among females. The enhancement in hearing after undergoing either tympanoplasty alone or combined tympanoplasty with mastoidectomy demonstrated similar outcomes in both cohorts. It was observed that incorporating mastoidectomy into tympanoplasty did not yield additional advantages in terms of improvement in hearing.