A multivariate analysis of otological, surgical and patient‐related factors in determining success in myringoplasty

Önal, Kazım; Uguz, M. Zafer; Kazıkdaş, Kadir Çağdaş; Gürsoy, Şafak Taner; Gökçe, Haşan

doi:10.1111/j.1365-2273.2004.00947.x

Cited by 175 publications

(160 citation statements)

References 20 publications

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“…They recommended that ears with initial discharge should be medically treated and that tympanoplasty should be performed after a 3-month period without any ear discharge. Although some authors have reported that preoperative otorrhea did not affect tympanoplasty success, tympanoplasty was performed following a non-discharge period of at least 3 months, particularly in children [23,24,28] . If there is a hypertrophic adenoid tissue that requires surgery, first, adenoidectomy is performed, and then, tympanoplasty is performed in the following months.…”

Section: Discussionmentioning

confidence: 99%

Pediatric Type 1 Cartilage Tympanoplasty: Comparison between Graft Success Rates and Hearing Results in Adults

Övet¹,

Alataş²,

Şentürk³

et al. 2016

Int Adv Otol

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OBJECTIVE:It is an ongoing debate whether tympanoplasty should be performed in the pediatric age group. The purpose of this study was to analyze and compare the anatomical and functional outcomes of type I cartilage tympanoplasty in children and adults. MATERIALS and METHODS:The file records of patients who underwent type 1 cartilage tympanoplasty were retrospectively reviewed. In total, 133 patients who underwent type 1 tympanoplasty for chronic otitis media were included. Tragal cartilage grafts were used in all patients. The patients were divided into two groups: pediatric (age≤16 years, n=54) and adult (age>18 years, n=79) groups. The graft success rates and hearing results between the two groups were compared. RESULTS:The graft success rate was 90.2% (120/133) in the study group. At the end of the 24-month follow-up, the graft was intact in 48 of the 54 (88.9%) patients in the pediatric group and 72 of the 79 patients in the adult group (91.1%) (p=0.769). The functional success rate (postoperative air-bone gap<20 dB) obtained in the study group was 90.2% (120/133). The functional success rate was 88.9% (48/54) in the pediatric group and 91.1% (72/79) in the adult group (p=0.255). CONCLUSION:The graft success rates and hearing results obtained with cartilage grafts are similar in children and adults. Therefore, cartilage grafts may be safely used in pediatric patients, similar to their use in adults.

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Section: Discussionmentioning

confidence: 99%

Pediatric Type 1 Cartilage Tympanoplasty: Comparison between Graft Success Rates and Hearing Results in Adults

Övet¹,

Alataş²,

Şentürk³

et al. 2016

Int Adv Otol

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“…By the 1980s, most otologists were convinced that a graft of mesodermal origin, such as perichondrium, fascia, vein, or fat tissue, was advantageous in myringoplasty [9] . Several factors may affect the outcome of myringoplasty, such as the site and size of the perforation, technique (underlay versus overlay), approach (endaural versus postaural), experience of the surgeon, condition of the other ear, type of used graft, age of the patient, and condition of the operated ear (dry versus wet) [5,[10][11][12][13][14] .…”

Section: Introductionmentioning

confidence: 99%

Outcomes of Myringoplasty in Wet and Dry Ears

Hosny¹,

El‐Anwar²,

Abdelhady³

et al. 2015

Int Adv Otol

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OBJECTIVE:To determine if the wet ear at time of surgery adversely affects the success rate of myringoplasty operations. MATERIALS and METHODS:A total of 46 wet ears (with mucoid discharge) and 52 dry ears (at least 1 month before surgery) with mucosal chronic suppurative otitis media were operated on by myringoplasty. Graft take and hearing gain rates 6 months after surgery were calculated for both groups and compared. RESULTS:The graft take rate was 87% for the wet ear group and 90.4% for the dry ear group. The hearing gain rate was 91.3% for the wet ear group and 92.3% for the dry ear group. Differences were found to be statistically nonsignificant for both graft intake (p=0.665) and hearing gain (p=1.00). CONCLUSION:The success of myringoplasty is not adversely affected by the presence of mucoid ear discharge at time of surgery, and outcomes are comparable to those of the operation done for dry ear.

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“…A healthy mucosa lining the middle ear cleft can be achieved after a successful tympanoplasty. [3] Graft success is an important component after tympanoplasty because it prevents recurrent middle ear infections and may…”

Section: Discussionmentioning

confidence: 99%

“…Tobacco smoking, pathology in the opposite ear, the size of the tympanic membrane perforation, experience of the surgeon, and duration of the dry period have been reported as prognostic factors for success after tympanoplasty. [3] Other factors suggested to be associated with the surgical outcome of tympanoplasty are age, sex, perforation size and site, ear status at the time of surgery, and surgeon experience; however, the actual roles of these factors remain controversial. [4,5] Graft success is an important occurrence after tympanoplasty.…”

mentioning

confidence: 99%

Impact of odor exposure time on olfactory parameters

Günbey¹,

Karli²,

Ünal³

2015

ENT Updates

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A multivariate analysis of otological, surgical and patient‐related factors in determining success in myringoplasty

Abstract: A non-smoking patient, a longer dry ear, a healthy opposite ear, a relatively smaller perforation and a senior surgeon were found to be significant prognostic factors positively influencing the success rate of myringoplasty.

Cited by 175 publications

References 20 publications

Pediatric Type 1 Cartilage Tympanoplasty: Comparison between Graft Success Rates and Hearing Results in Adults

Pediatric Type 1 Cartilage Tympanoplasty: Comparison between Graft Success Rates and Hearing Results in Adults

Outcomes of Myringoplasty in Wet and Dry Ears

Impact of odor exposure time on olfactory parameters

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