EFFICACY OF SEPTOPLASTY FOLLOWED BY MYRINGOPLASTY IN PATIENTS PRESENTING WITH RECURRENT TUBOTYMPANIC CHRONIC SUPPURATIVE OTITIS MEDIA WITH SEPTAL DEVIATION

Abstract

Objectives

To determine the efficacy of septoplasty followed by myringoplasty in patients presenting with recurrent tubotympanic chronic suppurative otitis media (CSOM) associated with nasal septal deviation, in terms of graft uptake, hearing improvement, and postoperative ear discharge.

Methodology

This descriptive study was conducted in the Department of ENT, Nishtar Hospital Multan, over six months. A total of 186 patients aged 18–60 years, of both genders, diagnosed with tubotympanic CSOM with septal deviation were included using non-probability consecutive sampling. All selected ears were dry for at least four weeks preoperatively. Patients with uncontrolled hypertension, anaemia, immune-compromised states, traumatic or acute perforations were excluded. All patients underwent septoplasty followed by myringoplasty after six weeks. Postoperative assessment at 12 weeks included graft uptake, hearing improvement measured by air–bone gap on pure-tone audiometry, and presence or absence of ear discharge. Data were analyzed using SPSS version 27.0, and chi-square tests were applied where appropriate.

Results

The mean age of patients was 35.2 ± 10.1 years. Successful graft uptake was achieved in 163 patients (87.6%), while hearing improvement was observed in 158 patients (84.9%). The mean air–bone gap improved from 33.1 ± 6.5 dB preoperatively to 18.9 ± 5.2 dB postoperatively. Overall surgical efficacy was noted in 155 patients (83.3%). Surgical efficacy showed a significant association with the site and size of perforation and duration of disease (p < 0.05), while no association was found with gender.

Conclusion

Septoplasty followed by myringoplasty is an effective surgical approach for tubotympanic CSOM with septal deviation, resulting in high graft success and significant hearing improvement. Correcting nasal septal deviation prior to myringoplasty enhances surgical outcomes and should be considered in appropriate patients.