Abstract
Background and objectives: Chronic Otitis Media (COM) is an inflammatory process in middle ear cleft, which correlate with irreversible pathology. Application of various surgical procedure dependent to intensity of disease.
Tympanoplasty is the procedure of choice for patients with central tympanic membrane perforation without cholesteatima. The aim of this study was evaluation of tympanoplasty results, that recently otolarynoglogists apply frequently this procedure, but there are few reports about the results of this procedure.
Materials and Methods: This was a randomized retrospective study of tymponoplesty results from 1998 to 2003 in Imam Khomeini Hospital . For this purpose, 300 cases were selected. 192 patient accepted to be examined. All patients underwent microsocpic otologic examination and oudiotympanometry and results collected.
Results: In our study 13% perforation, 5.1% retraction, 0.5% tympanic membrane lateralization, 1.5% tympanicmembrane cholesteatome, 2% granulation, 1% tympanic membrane seleros of TM were detected. ABG after operation of patients had a 19.3 (0-10db). 30% were within (11-20 db), 43% (21-40db )and 7.4% more than 40 db. 33.7% otalgia, 33.5% tinnitus, 24.7% headache, 20% disturbed taste and 6.8% discharges of ear after operation. 59.3% of all examined tympanic membranes were normal.
Conclusion: There were no significant relation between the operation age and tymparoplasty sequels We detected a significant relation between pathology and operation sequels, our success rate in grafts were comparable to others quoted in literature.