Factors affecting surgical outcome of myringoplasty

Sarker, Zakaria; Ahmed, Mansoor; Patwary, Khabiruddin; Islam, Rabiul; Joarder, Ariful Islam

doi:10.3329/bjo.v17i2.8846

Cited by 11 publications

(13 citation statements)

References 5 publications

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“…There was a decrease in the total number of hearing loss post operatively. These findings are consistent with those reported in previous studies [24, 20, 28, 35, 36, 40]. Furthermore, current findings revealed a significant decrease in the total number of conductive hearing loss post-operatively.…”

Section: Discussionsupporting

confidence: 93%

“…Similar waiting lists exist for audiology services, therefore the often lack of pre and/or post-operative audiologic assessments, which are important for treatment efficacy evaluation. Literature suggests that up to 80% of the size of the eardrum perforation undergoes spontaneous closure, excluding need for surgery [19, 20]. Where spontaneous closure has not occurred, three principal indications for surgical intervention in the form of myringoplasty have been documented: (1) recurrent otorrhea, (2) desire to swim without wearing water proof in the ear, and (3) need to improve the conductive hearing loss resulting from a non-healing perforation [20].…”

Section: Introductionmentioning

confidence: 99%

“…Myringoplasty can improve hearing in many cases. Although a 90% success rate of surgery is frequently quoted for myringoplasty, the routine nature of the procedure, as well as the effect of many influencing factors on the success or failure of this procedure remains unresolved [20]. It has been suggested that factors such as the age of the patient; site of the perforation, size of the perforation, length of time that the ear has been dry for prior to surgery, the presence of infection at the time of surgery, as well as the status of the opposite ear may all be influencing factors affecting outcomes of myringoplasty [20, 21].…”

Section: Introductionmentioning

confidence: 99%

“…Although a 90% success rate of surgery is frequently quoted for myringoplasty, the routine nature of the procedure, as well as the effect of many influencing factors on the success or failure of this procedure remains unresolved [20]. It has been suggested that factors such as the age of the patient; site of the perforation, size of the perforation, length of time that the ear has been dry for prior to surgery, the presence of infection at the time of surgery, as well as the status of the opposite ear may all be influencing factors affecting outcomes of myringoplasty [20, 21]. Several studies have reported that the most popular techniques for closure of a tympanic membrane perforation include either the temporalis fascia underlay approach or the butterfly cartilage inlay approach [21-26]; and these are the techniques investigated in this study as they were found to be the most common types of techniques performed at tertiary hospitals in Gauteng.…”

Section: Introductionmentioning

confidence: 99%

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Audiological function in a group of adults following myringoplasty: an exploratory study in South Africa

Khoza-Shangase¹,

Ramdin²

2019

Pan Afr Med J

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IntroductionChronic suppurative otitis media is a global middle ear disease with quality of life as economic implications, which are worse felt in low and middle income (LAMI) countries; thus the need for myringoplasty. This study aimed to explore audiological function in a group of adults following myringoplasty in South Africa, with an exploration of the possible influence of factors such as HIV/AIDS and type of surgical technique on hearing outcomes.MethodsWithin a retrospective chart review research design, 41 participant files for a six-year period from two academic hospitals in Johannesburg, South Africa, were reviewed. Data were analysed using both descriptive and inferential statistics.ResultsParticipant files comprised of 16 males and 25 females between 18-63 years. Findings revealed that clinically, overall hearing improved post-operatively, as indicated by improved tympanometry findings, pure tone air-conduction and speech reception thresholds. Descriptively, the predictors of improved hearing outcomes post-operatively appeared to be HIV negative status and butterfly cartilage inlay surgery as a surgical technique adopted. Although clinically, hearing outcomes improved post-operatively at all air-conduction frequencies tested; these clinical improvements were only statistically significant at specific frequencies.ConclusionCurrent findings provide useful initial evidence on the benefits of myringoplasty from the South African context; particularly because of the HIV/AIDS prevalence and its potential influence on middle ear disease and its management. Prospective efficacy studies with bigger sample sizes are recommended, with early identification strategies for middle ear disease to reduce the need for myringoplasty seriously considered bearing in mind the resource constraints.

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Section: Discussionsupporting

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Audiological function in a group of adults following myringoplasty: an exploratory study in South Africa

Khoza-Shangase¹,

Ramdin²

2019

Pan Afr Med J

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“…The tympanic membrane perforations mainly result from middle ear infections, trauma or iatrogenic causes ( Sarker et al., 2011 ), and hearing loss from tympanic membrane perforation is usually less than 45 dB and of conductive type. More severe hearing loss more is usually associated with ossicular abnormalities ( Browning, 2008 ).…”

Section: Introductionmentioning

confidence: 99%

Hearing evaluation after successful myringoplasty

Dawood

2017

Journal of Otology

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ObjectivesTo assess postoperative hearing level, and factors that may have influence hearing improvement after myringoplasty.MethodsTwenty six cases of successful myringoplasty were included in this prospective study. Patient parameters including age, gender, size and site of the perforation, mastoid status, and etiology were evaluated. Hearing levels were assessed as the mean air conduction (AC), and air-bone gap (ABG) at 500, 1000, and 2000 Hz, and their relation with aforementioned parameters were analyzed.ResultsThe mean AC hearing gain was 22.373 dB and mean ABG reduction was 20.733 dB. The maximum AC hearing gain was 25.93 dB for subtotal perforation and 26.24 dB for big central perforation, and the maximum ABG reduction was 25.63 dB for subtotal perforation and 24.20 for big central perforation. Mean AC hearing gain was 23.01 dB, 22.72 dB, and 21.39 dB for 500, 1000, and 2000 Hz, respectively, and mean ABG reduction was 21.52 dB, 20.79 dB, and 19.86 dB for 500, 1000, and 2000 Hz, respectively. Patient age, gender, mastoid status and etiology did not seem to have any bearing on postoperative hearing improvement.ConclusionWhile patient parameters do not seem to correlate with hearing improvement following myringoplasty, the size and location of perforation appear to have an impact on postoperative hearing outcomes. Most hearing improvement appears to occur at 500 Hz.

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