Myringoplasty Outcomes From the <scp>S</scp>wedish <scp>N</scp>ational <scp>Q</scp>uality <scp>R</scp>egistry

Berglund, Malin; Florentzson, Rut; Fransson, Mattias; Hultcrantz, Malou; Eriksson, Per; Englund, Erling; Westman, Eva

doi:10.1002/lary.26523

Cited by 19 publications

(27 citation statements)

References 15 publications

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“…1,2 There is evidence that myringoplasty is a procedure with few complications and good patient satisfaction. [3][4][5] Myringoplasty shows a graft take rate of approximately 64%-95%, 3,4,[6][7][8] and there is a good chance of hearing improvement; studies show improvement rates from 52% to 91.5%. 1,6,7,9 However, there is a risk that hearing could deteriorate even if the TM is healed.…”

Section: Introductionmentioning

confidence: 99%

Hearing outcome after myringoplasty in Sweden: A nationwide registry‐based cohort study

Berglund

Olaison

Bonnard

et al. 2020

Clinical Otolaryngology

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Objectives: To present hearing results after successful primary myringoplasty surgeries registered in the Swedish Quality Registry for Myringoplasty and to evaluate the chance of hearing improvement and the risk of hearing loss. Design: A retrospective nationwide cohort study based on prospectively collected registry data between 2002 and 2012. Settings: Registry data from secondary and tertiary hospitals performing myringoplasty. Participants: Patients with healed tympanic membrane after primary myringoplasty surgery performed from 2002 to 2012 in Sweden. Main outcome measures: Postoperative hearing results, hearing gain and air-bone gap (ABG). Results:In 2226 myringoplasties, air conduction audiograms were recorded, and the average preoperative pure tone average (PTA 4 ) of the group was 28.5 dB, which improved postoperatively to 19.6 dB with an average of 8.8 dB improvement. Bone conduction was measured for 1476 procedures. Closure of the ABG to 10 dB or less was achieved in 51% of the ears and to less than 20 dB in 89% of the ears. Sixty-one percent of patients with preoperatively deteriorated hearing experienced improved hearing, but 3% of all patients experienced deteriorated hearing. After the surgery, 93% of the patients were satisfied. Conclusions:Hearing results after successful myringoplasty surgery are often favourable, but although the tympanic membrane is healed, hearing improvement is not guaranteed, and hearing deterioration can also occur.

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Section: Introductionmentioning

confidence: 99%

Hearing outcome after myringoplasty in Sweden: A nationwide registry‐based cohort study

Berglund

Olaison

Bonnard

et al. 2020

Clinical Otolaryngology

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“…The major exclusion criteria were patients who had no follow‐up visit, patients who did not have a follow‐up within a 3‐ to 24‐month time period, and patients who had procedures registered twice. A total of 3,775 (60%) patients with a mean follow‐up time of 10.3 months (standard deviation [SD] 4.32) after surgery remained for evaluations …”

Section: Methodsmentioning

confidence: 99%

“…A total of 3,775 (60%) patients with a mean follow-up time of 10.3 months (standard deviation [SD] 4.32) after surgery remained for evaluations. 7 DbB contains data collected preoperatively and postoperatively from the physician (follow-up visit recommended 6-12 months after surgery) and data from a PROMq (which is recommended 12 months after surgery) ( Fig. 1).…”

Section: Methodsmentioning

confidence: 99%

“…The healing rate in myringoplasty is generally good, approximately 90% . A recently published study with results from the Swedish National Quality Registry for Myringoplasty (QRMO) from 2002 to 2012 confirmed a high healing rate (88.5%) …”

Section: Introductionmentioning

confidence: 99%

“…5,6 A recently published study with results from the Swedish National Quality Registry for Myringoplasty (QRMO) from 2002 to 2012 confirmed a high healing rate (88.5%). 7 The Swedish National Quality Registers in Otorhinolaryngology began in 1997 and include nine registries with common otorhinolaryngological diseases or procedures. One of these is the QRMO, modified, with additional questions in 2002 and 2013, in detail described earlier.…”

Section: Introductionmentioning

confidence: 99%

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Tinnitus and taste disturbances reported after myringoplasty: Data from a national quality registry

Berglund

Suneson²,

Florentzson

et al. 2018

The Laryngoscope

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Objectives/Hypothesis Postoperative tinnitus and taste disturbances after myringoplasty are more common than previously reported. Study Design This study was a retrospective analysis of prospectively collected data from the Swedish National Quality Registry for Myringoplasty. Methods The analysis was performed on extracted data from all counties in Sweden collected from database A from 2002 to 2012 and database B from 2013 to 2016. Tinnitus and taste disturbance complications 1 year after myringoplasty were analyzed in relation to gender, age, procedure, and success rate. In database A, physicians reported tinnitus and taste disturbances. In database B, patients reported the complications. Results A major difference was found when the complications were reported by physicians compared to when the complications were reported by patients. In database A, tinnitus was reported in 1.2% of the patients and taste disturbances in 0.5%. In database B, the frequencies were 12.3% and 11.2%, respectively. Tinnitus and taste disturbances were more frequent after conventional myringoplasty compared to those after fat grafting and were more frequent after primary compared to those after revision surgery when reported by physicians. Patients, however, reported the same frequency of tinnitus after fat graft myringoplasty compared to that after conventional myringoplasty (12.0% vs. 12.6%) and fewer taste disturbances after revision surgery. In follow‐up assessments, complications persisted after surgery over a long time period. Conclusion Tinnitus and taste disturbances are more common after myringoplasty when patients report their symptoms than when physicians report the symptoms. Level of Evidence 2b Laryngoscope, 129:209–215, 2019

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Does intraoperative ciprofloxacin‐soaked gelfoam have adverse effects on graft success rate? A randomized, double‐blind controlled trial

Faramarzi

Kazemi

Shishegar

et al. 2021

Laryngoscope Investig Oto

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Objectives: The aim of this study was to evaluate whether intraoperative ciprofloxacin-soaked gelfoam is safe in tympanoplasty or not.Method: In this randomized, double-blind controlled clinical study, we included 100 patients between 18 and 60 years old, having perforation ≥50% of the tympanic membrane and dry ear for at least 2 months who were a candidate for underlay tympanoplasty via postauricular approach. We used ciprofloxacin soaked gelfoam in the case group and betamethasone soaked gelfoam in the control group for packing the middle ear cavity and external auditory canal during their operation. The graft success rate and tympanogram after 6 months follow-up period was considered as the primary outcome. Also, we evaluated the postoperative hearing results 6 months after the surgery as the secondary outcomes.Results: Postoperative microscopic otoscopy showed a graft success rate of 100% (44/44) and 97.7% (42/43) in the case and control groups, respectively. The level of improvement between the two groups was not significant for air-bone gap (ciprofloxacin: 9.01 ± 7.89 dB, betamethasone 5.31 ± 10.53 dB, P = .160), and speech reception thresholds (SRT; ciprofloxacin: 10.23 ± 8.62 dB, betamethasone 7.33 ± 12.60 dB, P = .260). 93.2% of all the ears in the case group and 81.4% of those in the control group achieved postoperative air-bone gap within 20 dB, but the difference between them was not significant (P = .118). Conclusions:We found that the application of ciprofloxacin impregnated gelfoam in the middle ear, and the external auditory canal had no adverse effect on the graft success rate in tympanoplasty. Levels of evidence: 1b.

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Myringoplasty Outcomes From the Swedish National Quality Registry

Abstract: 2b Laryngoscope, 127:2389-2395, 2017.

Cited by 19 publications

References 15 publications

Hearing outcome after myringoplasty in Sweden: A nationwide registry‐based cohort study

Hearing outcome after myringoplasty in Sweden: A nationwide registry‐based cohort study

Tinnitus and taste disturbances reported after myringoplasty: Data from a national quality registry

Does intraoperative ciprofloxacin‐soaked gelfoam have adverse effects on graft success rate? A randomized, double‐blind controlled trial

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