Comparison between tympanoplasty with mastoidectomy and without mastoidectomy in CSOM for maintaining dry ear
Dr Saad Khizer, Prof Dr Tallat Najeeb
PAF Hospital Islamabad
Vol: 16/02. Pp. 120-129
Received: March 25, 2026 Accepted: May 02, 2026 Published: June 20, 2026
ABSTRACT:
Background: Chronic Suppurative Otitis Media (CSOM) remained a common otologic condition associated with persistent ear discharge and hearing impairment. Surgical management, particularly tympanoplasty with or without mastoidectomy, had been widely practiced by Otorhinolaryngologists..
Aim: This study aimed to compare the outcomes of tympanoplasty with mastoidectomy versus tympanoplasty without mastoidectomy in patients with CSOM in terms of maintaining dry ear after surgery.
Methods: This comparative study had been conducted at PAF Hospital, Islamabad, from February 2025 to March 2026. A total of 90 patients diagnosed with CSOM were included in the study. Patients were divided into two groups: Group A (n=45) underwent tympanoplasty (Type 1) with mastoidectomy, while Group B (n=45) underwent tympanoplasty (Type 1) without mastoidectomy. Patients were selected using non-probability consecutive sampling. All patients were followed postoperatively for a period of three months to assess the primary outcome, which was achievement of graft uptake and improving hearing. Data were analyzed using appropriate statistical methods, and comparison between the two groups was performed.
Results: Out of 90 patients, successful dry ear was achieved in 40 patients (88.9%) in Group A (tympanoplasty with mastoidectomy) and in 36 patients (80.0%) in Group B (tympanoplasty without mastoidectomy). Although the success rate was slightly higher in the mastoidectomy group, the difference between the two groups was not statistically significant (p > 0.05). Postoperative complications were minimal and comparable in both groups.
Conclusion: Tympanoplasty with mastoidectomy had shown a slightly higher rate of achieving a dry ear compared to tympanoplasty alone; however, the difference was not statistically significant. Therefore, routine addition of mastoidectomy in all CSOM cases may not be necessary and should be considered on a case-by-case basis.
Keywords: Chronic Suppurative Otitis Media, Tympanoplasty, Mastoidectomy, Dry Ear, Otologic Surgery, Hearing Outcomes.