TYMPANOPLASTY WITH MASTOIDECTOMY – THE INITIAL CAPE COAST EXPERIENCE
Peter Appiah-Thompson*, Sesi Collins Akotey, Cyril Mawuli Honu-Mensah, Ryan Bjorn Meier, Nicholas Van Buren and Jeremy D. Meier
ABSTRACT
Objectives: A high prevalence of untreated surgical disease for hearing loss exists in West Africa. The purpose of this pilot study was to review hearing outcomes after initial implementation of a surgical otology program in a teaching hospital in Ghana. Methods: A retrospective case series of patients who had surgical intervention for chronic suppurative otitis media (CSOM) in February 2016 at the Cape Coast Teaching Hospital (CCTH) was done. Pre-operative and post-operative audiometric air-bone gap (ABG) testing at frequencies of 500 Hz, 1000 Hz, 2000 Hz, and 4000 Hz were compared. Results: The average pure tone audiometry air-bone gap (PTA-ABG) in our study pre-operatively was 27.75 dB and 14.00 dB post-operatively, with a net gain of 13.75 dB. The difference between the pre-operative and post-operative PTA-ABG results was statistically significant (p
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