Journal of AdvancedMedical and Dental Sciences Research

Aim: To compare the outcomes of type 1 tympanoplasty with and without anterior tucking. Methods: The Department of ENT conducted this prospective comparative analysis. Only patients with tympanic membrane perforation owing to COM were included in the study. Patients with cholesteatoma with atticoantral disease, hearing impairment more than 50 dB indicating ossicular chain discontinuity, previous tympanoplasty or other otologic surgery, and sensorineural hearing loss were excluded. Age, gender, existence of contralateral perforation or otitis media with effusion, type and site of perforation, and preoperative and postoperative hearing levels were all documented for all patients. 100 Patients were separated into two groups: those who had type 1 tympanoplasty with anterior tucking and those who had type 1 tympanoplasty without anterior tucking. Results: In this research, 100 patients were enrolled, 50 of whom had type 1 tympanoplasty with tucking and 50 of whom did not. This study's participants varied in age from 12 to 52 years; more patients were found in the 20 to 30 year age group (46%), followed by the 30 to 40 year age group (31%).Out of 100 patients, 55% were men and 45% were women. When we compared pre and post-operative audiometry in type-1 tympanoplasty with and without anterior tucking in our research, the p-value was 0.61 in both groups, which was not statistically significant. Hearing improvement was almost same in both groups. Graft uptake was higher in type 1 tympanoplasty with tucking (96%) than in type 1 tympanoplasty without tucking (92%). Complications such as residual perforation occurred in both groups equally, and anterior marginal blunting (12%) was seen in type 1 tympanoplasty with tucking. Conclusion: Both doing an anterior tuck and not performing an anterior tuck during a type-1 tympanoplasty resulted in hearing improvements that were equivalent to one another. There was determined to be no statistically significant difference between either of the groups. Graft acceptability is improved with type-1 tympanoplasty procedures that include anterior tucking. The sole drawback of a type-1 tympanoplasty with anterior tucking is a blunting of the anterior border of the tympanic membrane.