Evaluation of Middle Ear Cleft Status in Patients of Tubotympanic Safe Type of Csom Undergoing Tympanoplasty With Cortical Mastoidectomy

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Discussion

Observational study found 54% of patients with chronic otitis media had hidden disease, indicating the need for thorough examination.

The prevalence of hidden disease in the middle ear cleft was found to be 54% in patients undergoing surgery.
Granulation tissue, mucosal hypertrophy, and tympanosclerosis were observed in 26.1%, 15.9%, and 13% of participants, respectively.
Surgical findings highlighted common complications like aditus blockage in 40% and necrosis of the long process of incus in 24% of cases.
Optimal surgical outcomes require addressing disease in mastoid air cells and attic regions, the most affected sites.

Annamica et al. (2025) studied this question.

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