Case Study on Tympanoplasty for Chronic Otorrhea

Abstract

Exiting of ear by discharge or drainage of fluids like material with or without foul smell is medically termed as otorrhea. The reason behind occurrence of otorrhea is spinal fluid leak through the temporal bone. Temporal bone is the violation of bony and meningeal barriers that separate the subarachnoid space from the middle ear and mastoid. A 21 years old female patient was admitted in the female surgical ward with chief complaints of left ear discharge for many months. No smelling discharge observed on examination. Patient was not a known case of diabetes and hypertension. Patient was operated with tympanoplasty on the fourth day of admission. Tympanolasty is operated through the ear canal (transcanal approach), through an incision in the ear (endaural approach) or through an incision behind the ear (postauricular approach). Tympanoplasty is the very common surgical procedure operated for cases with chronic otorrhea with no history of head injury. American Association of Otolaryngology- Head and Neck Surgery (AAO - NHS) guidelines suggests tympanoplasty for chronic otorrhea