Timanoplastia tipo 1 e miringoplastia na residência: resultados cirúrgicos e audiométricos

Abstract

Introduction:The tympanoplasty aims to reconstruct the tympanic membrane, restoring protection to the middle ear and improve hearing. In this study we evaluated the surgical results and audiometric this surgery, performed in the service of Otorhinolaryngology, HC / UFPR by residents of the second year in the year 2008 and factors that may influence the results. Method:A retrospective study through review of medical records. Results:Among the 31 patients evaluated, there was closure of the perforation in 24 (80%) and hearing improvement with reduction or closure of the conductive gap by 60% and 26.7% respectively. Discussion:The success rate of surgery was satisfactory and similar to that found in the literature, and factors such as age, presence of unilateral or bilateral pathology and size of perforation were not determinants of surgical success. Conclusion:Tympanoplasty performed by residents of the second year of residence showed satisfactory results regarding both surgical audiometric.Timanoplastia myringoplasty type 1 and in residency surgical results and audiometric. Sirena et al.

Success rates and predictors of outcomes of type I tympanoplasty performed by residents in a teaching tertiary hospital

“…As for the audiometric data, we observed a significant improvement in air-conduction mean thresholds among patients with good primary outcomes, as also reported previously in the literature ( Sirena et al., 2010 ; Salvador et al., 2021 ). Even among those with residual perforation, postoperative investigation could show some audiological benefit.…”

“…Studies carried out in university teaching hospitals tend to present poorer results ( Fermi et al., 2021 ). In line with current evidence, the overall results in this study mirror the learning environment and complexity of a tertiary teaching hospital ( Sirena et al., 2010 ; Salvador et al., 2021 ). In this perspective, the surgical outcomes described were satisfactory.…”

Endoscopic tympanoplasty with inlay cartilage graft in an university hospital

“… 17 Liu observed a success rate of 81.82 % among 44 tympanoplasty procedures performed by residents, compared with 96.43 % of the 56 surgeries performed by qualified preceptors, with surgeries performed by residents being longer and more costly. 18 In tympanoplasty performed by residents, Fukuchi describes a success rate of 65 %, 8 Sirena, of 80 % (24/30), 1 and Lima, of 95 % (37/39). 19 In this study and in the aforementioned ones, there were no major complications in residents’ surgeries, but the success rate would justify a more careful supervision, with preceptor intervention whenever necessary.…”

“…Tympanoplasty is a procedure aimed at reconstructing the tympanic membrane, restoring round-window protection and the conductive sound mechanism, improving hearing and controlling otorrhea. 1 Since its introduction in the 1950′s, the surgery has been improved with the addition of several techniques, with retroauricular or transcanal access, grafts such as temporal fascia, fascia lata, veins, perichondrium or cartilage, position of the underlay, overlay or inlay graft in relation to the tympanic membrane, while using a microscope and/or endoscope. 2 , 3 , 4 …”