Studies on Different Techniques of Tympanoplasty: A Historical Review of Indian Perspectives

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Studies on Different Techniques of Tympanoplasty: A Historical Review of Indian Perspectives

July 6, 2021 Medicine and Medical 0

Tympanoplasty surgery, which involves the reconstruction of the middle ear hearing apparatus, evolved from the basic eardrum repair methods known as myringoplasty. Tympanoplasty is the collective term for reconstructive surgery of the conductive hearing mechanism, which has gradually evolved over time with contributions from all over the world. The purpose of this historical review is to summarize Indian contributions to the development of the tympanoplasty technique. A review of the literature was conducted using only the “Medline” search engine with the keywords “tympanoplasty” and On June 15, 2016, “ossiculoplasty” was performed in “India.” A total of 195 articles and abstracts dating from 1998 to the present were discovered. Articles describing technique work were included, while those describing only graft material experimentation were excluded. All of the articles were thoroughly read and analyzed. It was discovered that there had been experiments regarding the selection of anaesthesia and the use of different chemical agents for this purpose. There were suggestions in favor of monitored anaesthesia care for select patients undergoing surgery. Surgeons shared their thoughts on the timing and conditions of surgery, laterality of surgery, different types of incisions, and the use of anesthesia. Endoscopes, graft placement techniques, ossicular replacements with autologous or allogenic grafts, and the timing of prophylactic antibiotic therapy administered after or during surgery are all discussed. The scope of the work is broad and covers the majority of surgical aspects; however, the incorporation of a consistent methodology and standards for reporting results was lacking in the articles reviewed. It is suggested that common guidelines for reporting tympanoplasty results be developed for the entire Indian subcontinent. Such an effort will promote uniform reporting standards, serving as a solid foundation for future analysis and research in middle ear reconstruction.

Author (S) Details

Dr. Manu Malhotra
Department of Otolaryngology, All India Institute of Medical Sciences, Veerbhadra Marg, Rishikesh, Uttarakhand, Pin 249201, India.

Saurabh Varshney
Department of Otolaryngology, All India Institute of Medical Sciences, Veerbhadra Marg, Rishikesh, Uttarakhand, Pin 249201, India.

Madhu Priya
Department of Otolaryngology, All India Institute of Medical Sciences, Veerbhadra Marg, Rishikesh, Uttarakhand, Pin 249201, India.

Abhishek Bhardwaj
Department of Otolaryngology, All India Institute of Medical Sciences, Veerbhadra Marg, Rishikesh, Uttarakhand, Pin 249201, India.

Shubhankur Gupta
Department of Otolaryngology, All India Institute of Medical Sciences, Veerbhadra Marg, Rishikesh, Uttarakhand, Pin 249201, India

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