TY - JOUR AU - Akhtar, Sunarays AU - Gul, Uzma AU - Jawaid, Arfat AU - Azam, Khalid AU - Niazi, Muhammad Sohail Babur AU - Najam, Atif PY - 2021/12/28 Y2 - 2024/03/29 TI - MYRINGOTOMY FOR THE TREATMENT OF OTITIS MEDIA WITH EFFUSION; A COMPARISON IN THE OUTCOME WITH AND WITHOUT GROMMET INSERTION JF - Pakistan Armed Forces Medical Journal JA - PAFMJ VL - 71 IS - Suppl-3 SE - Original Articles DO - 10.51253/pafmj.v71iSuppl-3.7920 UR - https://pafmj.org/PAFMJ/article/view/7920 SP - S521-25 AB - <p><strong>Objective:</strong> To compare the outcome of myringotomy with and without grommet insertion in the patients of otitis media with effusion in terms of improvement of hearing in a one-month follow-up.</p><p><strong>Study Design:</strong> Quasi experimental study.</p><p><strong>Place and Duration of Study:</strong> Pakistan Airforce Hospital Jacobabad and Combined Military Hospital Lahore Pakistan, from Jan to Dec 2020.</p><p><strong>Methodology:</strong> A total of 28 patients aged 4-12 years diagnosed to have conductive hearing loss due to otitis media with effusion not responding to medical treatment were included. Non probability convenience sampling was done. Children aged less than 4 years and above 12 years were not included in the study. They were randomly divided into two groups of 14 patients each using lottery method. Group A underwent myringotomy alone whereas group B underwent myringotomy with grommet insertion. Patients in both groups also underwent adenoidectomy on case-to-case basis. Both groups were compared in terms of improvement in hearing post operatively in a one-month follow-up.</p><p><strong>Results:</strong> There was statistically significant reduction in air bone gap at the end of follow up period as compared to preoperative air bone gap in group B (p=0.007). In group A there was statistically significant reduction in air bone gap at one week (p=0.002) however this improvement was not maintained at 4 weeks (p=0.386).</p><p><strong>Conclusion:</strong> Myringotomy with grommet insertion had significantly more patients with improved hearing as compared to myringotomy alone after one month.</p> ER -