Evidence map›Paper›PMID 42228106›Full record

Trial reportEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2026

A randomized controlled trial comparing the outcomes of endoscopic total annular excision tympanoplasty and conventional tympanoplasty.

Anwer Shah, Saurav Sarkar, Swathi Chenniappan, Dillip Kumar Samal, Mathan Kumar Ramasubbu, Pradipta Kumar Parida, Pradeep Pradhan, Chappity Preetam, Vinusree K, Aswathi K V and 14 more

Abstract readRandomized Controlled TrialComparative Study
PubMed Publisher
In one paragraph

Trial report in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

24 authors.

Anwer ShahDepartment of ENT and Head and Neck Surgery, All India Institute of Medical Sciences, Bhubaneswar, India.
Saurav SarkarDepartment of ENT and Head and Neck Surgery, All India Institute of Medical Sciences, Bhubaneswar, India. doc.sauravsarkar@gmail.com.
Swathi ChenniappanDepartment of ENT and Head and Neck Surgery, All India Institute of Medical Sciences, Bhubaneswar, India.
Dillip Kumar SamalDepartment of ENT and Head and Neck Surgery, All India Institute of Medical Sciences, Bhubaneswar, India.
Mathan Kumar RamasubbuDepartment of Pharmacology, All India Institute of Medical Sciences, Bhubaneswar, India.
Pradipta Kumar ParidaDepartment of ENT and Head and Neck Surgery, All India Institute of Medical Sciences, Bhubaneswar, India.
Pradeep PradhanDepartment of ENT and Head and Neck Surgery, All India Institute of Medical Sciences, Bhubaneswar, India.
Chappity PreetamDepartment of ENT and Head and Neck Surgery, All India Institute of Medical Sciences, Bhubaneswar, India.
Vinusree KDepartment of ENT and Head and Neck Surgery, All India Institute of Medical Sciences, Bhubaneswar, India.
Aswathi K VDepartment of ENT and Head and Neck Surgery, All India Institute of Medical Sciences, Bhubaneswar, India.
Anupama GDepartment of ENT and Head and Neck Surgery, All India Institute of Medical Sciences, Bhubaneswar, India.
Prity SharmaDepartment of ENT and Head and Neck Surgery, All India Institute of Medical Sciences, Bhubaneswar, India.
Swagata ChakrabortyDepartment of ENT and Head and Neck Surgery, All India Institute of Medical Sciences, Bhubaneswar, India.
Abhijeet MishraDepartment of ENT and Head and Neck Surgery, All India Institute of Medical Sciences, Bhubaneswar, India.
Yash MittalDepartment of ENT and Head and Neck Surgery, All India Institute of Medical Sciences, Bhubaneswar, India.
Adarsh KumarDepartment of ENT and Head and Neck Surgery, All India Institute of Medical Sciences, Bhubaneswar, India.
Anurita SwarupDepartment of ENT and Head and Neck Surgery, All India Institute of Medical Sciences, Bhubaneswar, India.
Kalyan ChidambaramDepartment of ENT and Head and Neck Surgery, All India Institute of Medical Sciences, Bhubaneswar, India.
Asutosh AdhikariDepartment of ENT and Head and Neck Surgery, All India Institute of Medical Sciences, Bhubaneswar, India.
Zaid ShaikhDepartment of ENT and Head and Neck Surgery, All India Institute of Medical Sciences, Bhubaneswar, India.
Rahul PuniaDepartment of ENT and Head and Neck Surgery, All India Institute of Medical Sciences, Bhubaneswar, India.
Mebarimon KharwanlangDepartment of ENT and Head and Neck Surgery, All India Institute of Medical Sciences, Bhubaneswar, India.
Safia SaleemDepartment of ENT and Head and Neck Surgery, All India Institute of Medical Sciences, Bhubaneswar, India.
Anjana KDepartment of ENT and Head and Neck Surgery, All India Institute of Medical Sciences, Bhubaneswar, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo compare the outcomes of conventional tympanoplasty and endoscopic total annular excision tympanoplasty in chronic otitis media (COM) mucosal type with large and subtotal perforations; in terms of graft uptake and hearing improvement.

methodsStudy design: Single blinded RCT.

settingDepartment of ENT at AIIMS Bhubaneswar, India. The study was a single-blinded RCT done in patients of COM mucosal type, attending the Department of ENT at our Institute, during the period of January,2022 to March,2023. Patients with subtotal perforation with an Air Bone gap (AB gap) of > / = 20 deciBel (dB) were included in the study. They were divided into 2 arms of 30 patients each, one group underwent a conventional tympanoplasty while the other group had an endoscopic total annular excision (TAE) tympanoplasty. Graft uptake was measured by otoendoscopy at 6 months and 34 months postoperatively, hearing gain by Pure Tone Audiometry (PTA) and patient satisfaction by Chronic Ear Survey to asses quality of life.

resultsThere was no significant difference among the groups in terms of age, gender, occupation, or socioeconomic status. The median preoperative Air conduction (AC), Bone conduction (BC), AB gap or Speech reception threshold were also not significantly different among the groups. 25 patients (83.3%) of TAE had an intact neotympanum, compared to 24(80%) in the control group(p-value = 0.565). The patients who underwent TAE tympanoplasty had a median reduction in Air-Bone gap of 12.50 dB, while those in the conventional tympanoplasty group had a median reduction of 8.0 dB (p value = 0.011). The median postoperative Speech Reception Threshold (SRT) in the TAE tympanoplasty group was 35.00, whereas in the control group it was 40.00 (p value = 0.009).

conclusionTAE tympanoplasty is a safe and effective surgery for mucosal type of chronic otitis media with subtotal perforation, and correlates clinically. TAE tympanoplasty showed better improvement in AB gap and postop SRT.

Indexed as

EndoscopyOtitis MediaTympanic Membrane PerforationTympanoplastyAdolescentAdultAudiometry, Pure-ToneAuditory AcuityChronic DiseaseFemaleHumansMaleMiddle AgedPatient SatisfactionQuality of LifeSingle-Blind MethodChronic Otitis mediaEndoscopic Ear SurgeryTotal annular excisionTympanoplasty

Identifiers

PMID42228106

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