Ahmed Shakeel Ahsan Rizvi, Waseem Ahmad, Syed Maisam Ali, assistant Professor Of Ent 2assistant Professor Of Ent Fatima Jinnah Medical University Sir Ganga Ram Hospital Lahore 3ent Specialist Ayub Medical Complex Abbottabad.
Treatment of subtotal and anterior tympanic membrane perforation with two different methods : Bucket handle tympanoplasty and Cartilage tympanoplasty.
Pak J Med Health Sci Jan ;13(4):1001-4.

Aim: To compare the outcomes of bucket handle procedure and cartilage tympanoplasty method in treatment of tympanic membrane perforation. Study Design: Cross sectional/ observational. Place of Study and Duration: This study was conducted at Department of ENT, Shalamar Medical & Dental College from 1st January 2017 to 30th September 2018. Methods: Total 80 patients of both genders whom had suffered with chronic otitis media with anterior tympanic membrane perforation were included in this study. Patient’s ages were ranging from 10 to 50years. Patients detailed medical history including age, sex, socio-economic status and education were noted after taking informed consent from all the patients. All patients were undergone surgical treatment with two different techniques bucket handle and cartilage tympanoplasty. All patients were equally divided into two group, Group A (Bucket handle) and Group B (Cartilage). Results: Out of all 80 patients, 46 (57.50%) were male while rest 42.50% were females. 22(27.50%) patients were ages between 10 to 20 years, 35(43.75%) patients were ages between 21 to 30 years, 15(18.75%) patients had ages 31 to 40 years and 8(10%) patients were ages more than 40 years. 50(62.50%) patients had rural residency while 30(37.50%) patients had urban residency. 32( 40% ) patients were literate. 40 patients were treated with bucket handle tympanoplasty in which 23 57.50%) were male and 17(42.50%) patients were female and 40 patients with cartilage tympanoplasty with same ratio as bucket handle. Mean PTA was lower in bucket handle as compared to cartilage (P-value 0.025), there is no significant difference found in time identified in term of PTA outcome (p -value 0.458) and SRT (P -value 0.357) in bucket handle and cartilage tympanoplasty. Total postoperative tympanic membrane perforation was found in 11(13.75%) patients in cartilage typanoplasty group and 13(16.25%) patients in bucket handle group. Conclusion: The reconstruction of subtotal or anterior tympanic membrane perforation with bucket handle and cartilage tympanoplasty methods had similar outcomes. There is no major difference was found in hearing improvements in both methods.

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