Practice patterns in myringoplasty surgery among Australian surgeons

Chidlow, Caitlin; Prunty, Sarah; Hinton-Bayre, Anton; Shubhraj, Soumya; Renton, J. Crawford; Kuthubutheen, Jafri

doi:10.21037/ajo-19-5

Cited by 2 publications

(3 citation statements)

References 17 publications

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“…9 Chidlow conducted a study onpractice patterns in myringoplasty surgery among Australian surgeons and found that overall success rate varied from 70-90%. 12 The success rate in the Sharma study for permeatal, endaural and postaural approaches was 73.33%, 83.33%, and 86.66%, respe-ctively. However, statistical analysis showed no significant difference in the success rate between the three approaches (p>0.10).…”

Section: Discussionmentioning

confidence: 83%

Tympanoplasty Type-1: Different Approaches and Their Surgical Outcomes

Wahid

Manan

Saleem³

et al. 2021

PAFMJ

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Objective: To calculate the surgical outcomes of different approaches of tympanoplasty type 1 in terms of air bone gap closure, wound healing, and postoperative pain. Study Design: Prospective cross-sectional study. Place and Duration of Study: Department of ENT, Head and Neck Surgery, Medical Teaching Institute (MTI), Lady Reading Hospital (LRH), Peshawar, Pakistan from Jun 2018 to May 2020. Methodology: Size of sample was 75 patients divided into three groups. Consent was obtained from all the patients included in study. After proper evaluation and relevant investigation pre- and post-operative PTA was performed. Tympanoplasty type-1 was performed by the same surgeon by the three approaches following established otological surgical protocol. Collected data was entered in SPSS-25 for analysis. Results: All 75 patients were divided into three equal groups. Male were 55 (73.3%), females were 20 (26.7%). Male: female ratio was 2.7:1. Majority of patients presented in 2nd and 3rd decades of life 31 (41.33%) and 28 (37.33%) respectively. Preoperative mean ± SD, ABG in groups A, B and C were 37.60 ± 11.28 dB, 37 ± 9.68 dB and 31.80 ± 12.40 dB, respectively. No significant difference was found amongst the three groups regarding pre-operative and post-operative ABG (p=0.85 and p=0.4), respectively. Mean ± SD, wound healing time in Groups A, B and C were 1.00 ± 0.00, 1.80 ± 0.40 and 1.76 ± 0.43 respectively with p=0.0001 and similarly postoperative pain with p=0.001. The wound healing time and post-operative was statistically better (p<0.05) in group A (Transmeatal approach) than other groups........

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Section: Discussionmentioning

confidence: 83%

Tympanoplasty Type-1: Different Approaches and Their Surgical Outcomes

Wahid

Manan

Saleem³

et al. 2021

PAFMJ

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“…Myringoplasty is a common procedure within otolaryngo- logical practice, but outcomes differ and there is much variation in surgical technique and practice [3]. Even within the UK national audit, this variation in practice is not explored [1].…”

Section: Discussionmentioning

confidence: 99%

“…It is noted in the literature that multiple factors influence the success of myringoplasty in achieving tympanic membrane closure with patient age, site and size of the perforation, type of graft, surgical technique, the surgeon's experience, and the condition of the ear all playing a role [4]. At present there is no clear consensus on the optimal tympanoplasty technique [3]. The operation can be done microscopically or endoscopically.…”

Section: Discussionmentioning

confidence: 99%

Myringoplasty Outcomes From a 5-Year Single Surgeon’s Experience and Important Surgical Technical Aspects

Karunaratne

Violaris

2021

J Audiol Otol

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Background and Objectives: The United Kingdom (UK) national standard for the closure rate for myringoplasty is 89.5% (90.6% and 84.2% for primary and revision surgeries, respectively). The average hearing gains for primary and revision myringoplasty are 9.14 dB and 7.86 dB, respectively. This study compared the myringoplasty outcomes for a single surgeon over 5 years.Subjects and Methods: Data for 68 cases were analyzed retrospectively. The outcome measures were achievement of the tympanic membrane closure and the average hearing gain or loss.Results: The overall and primary closure rates were 97% and 98%, respectively and significantly higher than the UK national standard (p=0.0210 and p=0.0287, respectively). The revision closure rate was 93%; however, it was not significantly higher than the national standard (p=0.1872). The average hearing gain was 5.18 dB. The gains for primary and revision surgeries were 5.15 dB and 5.25 dB, respectively.Conclusions: We propose that these outcomes are a result of our surgical technique, including the simultaneous use of cortical mastoidectomy in ears with discharge.

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Practice patterns in myringoplasty surgery among Australian surgeons

Cited by 2 publications

References 17 publications

Tympanoplasty Type-1: Different Approaches and Their Surgical Outcomes

Tympanoplasty Type-1: Different Approaches and Their Surgical Outcomes

Myringoplasty Outcomes From a 5-Year Single Surgeon’s Experience and Important Surgical Technical Aspects

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