FREQUENCY OF COMMON FACTORS INFLUENCING THE GRAFT UPTAKE IN MYRINGOPLASTY AMONG THE TERTIARY CARE HOSPITAL KPK

Authors

  • Azam Khan
  • Khalil Ahmed Orakzai
  • Allah Noor
  • Usman Khan
  • Sohail Khan
  • Mubassir Ullah
  • Ubaid Ullah
  • Tanveer

DOI:

https://doi.org/10.47672/ajhmn.904

Keywords:

frequency, common factors, influencing graft, myringoplasty, tertiary care hospital

Abstract

Introduction: Tympanoplasty refers to any operation involving reconstruction of the tympanic membrane and /or the ossicular chain. Myringoplasty is a tympanoplasty without ossicular reconstruction. Over the years many methods have been used for closing perforations. Myringoplasty was introduced by Berthold in 1878 but the modern era began only in 1950s with the work of Wullstein and Zoellner. The study aims to analyse the common factors which are predictive of success of myringoplasty in adult patients and to construct and validate a prognostic index that could be used as tool to predict the success of myringoplasty in adults.

Objectives: To determine the frequency of common factors influencing the graft uptake in myringoplasty.

Materials and Method: In this study, a total sample size was 376, using 4.08% proportion of fourth degree perineal tear, 95% confidence level and 2% margin of error under WHO software for sample size determination. Moreover, consecutive non probability sampling technique was used.

Results: The mean age was 40 years with standard deviation of ± 2.63.  Sixty two percent of the patients were male while thirty eight percent patients were female. The success rate of myringoplasty was 90% while the failure rate was 15(10%) patients in which 4(25%) patients had medium perforation, 5(33%) patients had large perforation while 6(42%) patients had subtotal perforation. Regarding the causes of perforation among 15(10%) patients, 13(85%) patients had infection while only 2 patients had trauma.

Conclusion: The study concludes that infection (85%) was the most common cause of perforation followed by trauma (15%) in the graft uptake in myringoplasty.

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Author Biographies

Azam Khan

Assistant professor North West General Hospital Peshawar, Pakistan

Khalil Ahmed Orakzai

Assistant professor ENT Lady reading Hospital Peshawar, Pakistan

Allah Noor

Specialist Registrar Department of ENT, HMC Hospital Peshawar, Pakistan

Usman Khan

ENT Consultant at DHQ hospital Mishti Mela Orakzai District, Pakistan

Sohail Khan

Assistant Professor, ENT Department Saidu Medical College, Swat, Pakistan

Mubassir Ullah

Consultant ENT, DHQ Hospital Nowshera, Pakistan

Ubaid Ullah

Consultant, ENT Department Saidu Medical College, Swat, Pakistan

Tanveer

Consultant, ENT Department DHQ Hospital Dargi, Pakistan

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Published

2022-01-14

How to Cite

Khan, A., Orakzai, K. A., Noor, A. ., Khan, U., Khan , S. ., Ullah , M., … Tanveer, T. (2022). FREQUENCY OF COMMON FACTORS INFLUENCING THE GRAFT UPTAKE IN MYRINGOPLASTY AMONG THE TERTIARY CARE HOSPITAL KPK. American Journal of Health, Medicine and Nursing Practice, 7(1), 1–10. https://doi.org/10.47672/ajhmn.904