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Study aim
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Evaluating the results of two post-auricular incision methods by scalpel or electrocautery to perform tympanoplasty.
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Design
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This study will be performed as a prospective, double-blind and randomized clinical trial. A total of 100 patients will undergo tympanoplasty by scalpel or electrocautery incision according to the randomization table and will be placed in 2 groups.
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Settings and conduct
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This study will be performed at the ENT, Head and Neck Surgery department of Taleghani Hospital, Tehran, Iran. Retrauricular skin and subcutaneous incision approach will be performed by electrocautery (group A) or scalpel (group B). Information is recorded and collected before, during or after surgery for all patients. Criteria related to site incision include: site of incision (post-auricular sulcus or along the posterior root line to sulcus), time of incision, wound characteristics (wound length), blood loss rate, incision site infection, ecchymosis, seroma Hematoma, Wound Detachment, Objective Scar Measurement (VSS), and Subjective Scar Score and Visual Analysis Scale (VAS). Patients and data analysts will be blinded to the study groups.
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Participants/Inclusion and exclusion criteria
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Inclusion criteria: All patients with chronic otitis media (COM) indicated for tympanoplasty with retro auricular approach
Exclusion criteria: history of complication in other ear surgery
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Intervention groups
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Tympanoplasty will be performed with a scalpel or electrocautery incision
of Retro-auricular skin and subcutaneous incision approach
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Main outcome variables
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frequency of infection, ecchymosis, hematoma, seroma, wound detachment and bleeding of surgical site incision, postoperative pain using VAS, amount of scar left by surgery