Tympanoplasty Outcomes In Dry and Wet Ears

Gamra, O. Ben; Nacef, Inès; Romdhane, N. Ben; Kaabi, Abdullah Mohammed; Abid, W.; Hriga, I.; Mbarek, CH

doi:10.17140/otloj-2-113

Cited by 6 publications

(9 citation statements)

References 23 publications

(13 reference statements)

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“…As far as literature goes, controversies still surround the subject of performing tympanoplasty in wet ear. While performing dry and wet tympanoplasty, some authors are of the opinion that results of dry tympanoplasty are better while others believe that the results of wet tympanoplasty are better [3][4][5][6][7][8][9][10][11][12][13]. The success rate of graft take up in our study was 100% in dry ears and 94% in wet ears at follow-up of 3 months.…”

Section: Discussionmentioning

confidence: 67%

Comparative Study of Outcome of Type I Tympanoplasty in Chronic Otitis Media Active Mucosal Disease (Wet Ear) Versus Chronic Otitis Media Inactive Mucosal Disease (Dry Ear)

Sharma

Mishra

Patel

2017

Indian J Otolaryngol Head Neck Surg

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To compare the outcome of type I tympanoplasty with cortical mastoidectomy in chronic otitis media active mucosal disease (wet ear) versus chronic otitis media inactive mucosal disease (dry ear). An observational analytic study was conducted and data collection was done from August 2014 to August 2016. All patients of chronic otitis media with mucosal disease were divided into two groups, one with active disease (group A) and another with inactive disease (group B). The outcome was studied in the form of graft take up rate. Total 103 patients were studied, group A (wet ear) had 67 and group B (dry ear) had 36 patients. Graft take up rate was 94% in wet ear and 100% in dry ear and value was 0.2. There was no statistically significant difference found between the two groups.

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Section: Discussionmentioning

confidence: 67%

Comparative Study of Outcome of Type I Tympanoplasty in Chronic Otitis Media Active Mucosal Disease (Wet Ear) Versus Chronic Otitis Media Inactive Mucosal Disease (Dry Ear)

Sharma

Mishra

Patel

2017

Indian J Otolaryngol Head Neck Surg

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“…In our series, palpation of the tonsils was sensitive in 10 out of 15 patients. Several other authors found the same symptoms with almost constant dysphagia and foreign body sensation in the throat [3,[10][11][12][13][14][15][16][17][18]. According to Haluk Y and al [19], the anterior angulation and the length of the styloid apophysis are responsible for symptoms in Eagle syndrome.…”

Section: Diagnostic Aspectsmentioning

confidence: 96%

“…It also allows good control of the large vessels of the neck and the facial nerve. O. Ben Gamra et al reported a case of surgically treated Eagle syndrome by approaching the styloid process by the external route [3]. Note that the use of endoscopy associated with the transoral way allows almost as clear visibility of the operating field [5].…”

Section: Therapeutic Aspectsmentioning

confidence: 99%

“…It can be complicated by ischemic stroke [1,2]. Elongation of the styloid process is quite frequent with a prevalence of 19.4 to 52.1%; of which only 6% are symptomatic [3]. Although approximately 4% of the population is thought to have an elongated styloid process, only between 4% and 10.3% of this group is symptomatic [4][5][6].…”

Section: Introductionmentioning

confidence: 99%

“…Although approximately 4% of the population is thought to have an elongated styloid process, only between 4% and 10.3% of this group is symptomatic [4][5][6]. Therefore, the actual incidence of Eagle's syndrome is 0.16% [3]. The diagnosis is essentially confirmed through a CT scan.…”

Section: Introductionmentioning

confidence: 99%

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Intra Oral Versus External Approach in the Surgical Management of Eagle’s Syndrome

Djibril¹

2019

IJO

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Eagle syndrome is defined as an elongation of the styloid process. It is a radioclinic entity characterized by heterogeneous polymorphic symptomatology. Its management is essentially through intra oral or external surgery. The objective of our work is to highlight the various diagnostic means and to propose a surgical therapeutic attitude on the clinical and radiological basis. This is a retrospective study performed at the ENT department of the Heinrich Lübké Hospital in Diourbel between March 2015 and March 2017. The study involved 15 patients with confirmed Eagle's syndrome based clinical and computed tomography evidence. Epidemiological, diagnostic and therapeutic data were collected from patient records and the Operative Record register. The choice of the surgical approach was based on Langlais' classification, the measurement of the styloid process and the complications. The study included 15 patients, counting 14 women and one man with a sex ratio (male / female) of 0.071. The age of the patients varied between 23 years and 55 years with an average of 31.33 years. The chief complaints were foreign body sensation in the throat (15 patients, 100%), headache (15 patients, 100%), dysphagia (11 patients, 66.6%), neck pain (6 patients; 40%), periorbital and temporal pain (5 patients, 33.33%), otalgia with tinnitus (4 patients, 26.66%). The average size of the styloid process was 4.085 cm (1.608 inches). Only one patient received exclusively medical treatment. The others received surgical treatment by external approach (9 patients, 64.3%) or intra-oral approach after prior tonsillectomy (5 patients, 35.7%). The styloidectomy was bilateral in 10 patients (71.14%) and unilateral in 4 patients (28.57%). Eagle syndrome is a condition considered rare. Its curative treatment is essentially surgical with an intraoral or external approach. We recommend the external approach because it offers a better exposure of the operative field, and control of the cervical neurovascular elements. The external approach generates little postoperative pain thereby shortening the period of hospitalization.

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Predictors of anatomical and functional outcomes following tympanoplasty: A retrospective study of 413 procedures

Zhu

Yong-li

Xue

et al. 2021

Laryngoscope Investig Oto

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Objectives: To identify the predictors of anatomical and functional outcomes following tympanoplasty.Study Design: A retrospective cohort study.Methods: Patients with chronic suppurative otitis media (CSOM) who underwent a tympanoplasty at Peking Union Medical College Hospital from January 1, 2015 to December 31, 2019 were retrospectively included. Outcome measures included graft success and postoperative pure tone audiometry air-bone gap (PTA-ABG) at last follow-up (≥6 months). PTA-ABG and MERI were calculated. Descriptive, univariable, and multivariable logistic regression analyses were conducted to evaluate the predictors of the graft and hearing outcomes.Results: During the study, 385 patients (167 male, 218 female, median age 44 years) undergoing 413 procedures were studied. Out of this, 219 ears underwent tympanoplasty, 45 ears had tympanoplasty with canal wall up mastoidectomy, and 149 ears had tympanoplasty with canal wall down mastoidectomy. At the last followup, the overall graft success rate was 91.3% (377/413) and the overall hearing success rate was 40% (165/413). Multivariable analysis results showed that the obstructed aditus ad antrum (OR 2.67, 95%CI 1.13-6.30; P = .025) was an independent prognostic factor for graft failures. Moreover, the obstructed aditus ad antrum (OR 2.18, 95%CI 1.16-4.08; P = .015) and MERI >3 (OR 6.53, 95%CI 3.55-12.02; P < .001) were independent predictors of hearing failures (PTA-ABG > 20 dB).Conclusions: Aditus ad antrum patency was an independent predictor of both graft and hearing success among patients following tympanoplasty. MERI score greater than three was found to be a significant predictor of postoperative hearing and could serve as a useful tool for assisting clinicians in perioperative risk assessment.

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Tympanoplasty Outcomes In Dry and Wet Ears

Cited by 6 publications

References 23 publications

Comparative Study of Outcome of Type I Tympanoplasty in Chronic Otitis Media Active Mucosal Disease (Wet Ear) Versus Chronic Otitis Media Inactive Mucosal Disease (Dry Ear)

Comparative Study of Outcome of Type I Tympanoplasty in Chronic Otitis Media Active Mucosal Disease (Wet Ear) Versus Chronic Otitis Media Inactive Mucosal Disease (Dry Ear)

Intra Oral Versus External Approach in the Surgical Management of Eagle’s Syndrome

Predictors of anatomical and functional outcomes following tympanoplasty: A retrospective study of 413 procedures

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