Tympanoplasty: Surgical results and a comparison of the factors that may interfere in their success

Fukuchi, Ilana; Cerchiari, Dafne Patrícia; García, Eduardo; Rezende, Carlos Eduardo Borges; Rapoport, Priscila Bogar

doi:10.1016/s1808-8694(15)30067-7

Cited by 42 publications

(27 citation statements)

References 3 publications

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“…Three patients each underwent type II with CM, type III with MRM and type IV with MRM. 9 The improvement gained in the patients by measurement of the post op ABG using pure tone audiometry done after 3 months of ear surgery revealed that in our study 20 patients showed a good hearing improvement with a maximum gain of 30 dB. 16 patients showed no improvement (<5 dB); while a hearing improvement between 5 db to 15 db was seen in 14 patients.…”

Section: Discussionsupporting

confidence: 48%

“…Patients having no improvement were seen in all types of tympanoplasty, signifying that many factors are responsible for the success of the surgical procedure. 9 In our study, graft material was not a significant factor as TMF was used for all the cases. Multiple surgeons (including residents) performed the various procedures which could have led to differing results based on their surgical skills.…”

Section: Discussionmentioning

confidence: 63%

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A study of hearing improvement gained after tympanoplasty using various methods in cases of CSOM

Muqtadir

Rahul

2017

Int J Otorhinolaryngol Head Neck Surg

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Background: Chronic otitis media (COM), is a common ailment with which patients present to the ENT OPD. In patients with COM, the active infection needs to be controlled following which the definitive line of management is surgery. Tympanoplasty is the surgery performed with the goals of establishing an intact tympanic membrane, eradicating middle ear disease, creating an air-containing middle ear space and restoring the hearing by building a secure connection between the ear drum and the cochlea. Methods: 50 patients presenting with CSOM in ENT OPD at Medical College. Preoperative audiometry was done before tympanoplasty, followed by post-operative audiometry after 3 months. Results: The mean air-bone gap closure was 12.06 dB; with type I tympanoplasty with cortical mastoidectomy giving a maximum mean improvement of 16db. Minimum mean improvement of 1db was seen in type IV with modified radical mastoidectomy. Conclusions: Type I tympanoplasty with cortical mastoidectomy is a far superior method of surgical treatment of CSOM than all other methods.

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Section: Discussionsupporting

confidence: 48%

Section: Discussionmentioning

confidence: 63%

A study of hearing improvement gained after tympanoplasty using various methods in cases of CSOM

Muqtadir

Rahul

2017

Int J Otorhinolaryngol Head Neck Surg

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“…Most of the reports pertain to unilateral operations with average success rates of about 60-100 % [3,7]. Recently, however, there is growing interest in single stage, bilateral myringoplasty all over the world [8,9].…”

Section: Discussionmentioning

confidence: 99%

“…NCCOM management involves three equally important and complementary stages: preoperative clinical control (thorough cleansing and drying of the middle and outer ear under antibiotic coverage), surgical treatment (tympanoplasty with middle ear and ossicular chain exploration, and tympanic membrane reconstruction) and post-operative follow up [3].…”

Section: Introductionmentioning

confidence: 99%

Outcome of Single-Sitting Bilateral Type 1 Tympanoplasty in Indian Patients

Raghuwanshi¹,

Asati

2013

Indian J Otolaryngol Head Neck Surg

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Tympanoplasty is the standard and well established procedure for closure of tympanic membrane perforations. Traditionally each ear drum is taken up for grafting sequentially in two different sittings, which leads to huge increase in operation cost, time and discomfort to the patient. Since, simultaneous bilateral tympanic membrane grafting could be quite safe and helpful to the patients, we performed the same in 32 patients with bilateral (64) ear drum perforations due to chronic suppurative otitis media. All patients had a conductive hearing loss corresponding to the size and site of the perforation, without evidence of ossicular chain defect or any other middle or inner ear pathology. The post-aural route was approached for the grafting in 27 ears, endaural in 22 perforations and the remaining 15 small perforations were done via endomeatal approach. All the ears were operated using the Underlay technique. The majority of the grafts were harvested from temporalis fascia (59 grafts), remaining five were obtained from tragal perichondrium. All the patients were subjected to regular follow-up evaluation and audiometry for up to 1 year after the surgery. Six ears showed incomplete recovery with residual perforation, although in two of them the tissue regeneration over next few weeks led to entire shutting down of the defect. Thus, the graft take rate was 93.75 % without any retraction pockets or displaced grafts. We did not encounter any iatrogenic sensorineural hearing loss. Thus the results from our study reinforce the safety of the single-step procedure and question the traditional apprehension regarding theoretical risk of iatrogenic sensorineural hearing loss making the ENT surgeon reluctant to perform this readily acceptable minor surgery in one sitting.

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“…Many studies on Tympanoplasty have found place in the literature with varying success rates [7][8][9][10][11][12]. It is difficult to compare these studies because of different age groups and sub groups, the definition of success; as many studies did not look at hearing outcome, the technique used and the experience level of the surgeon.…”

Section: Discussionmentioning

confidence: 99%

Pre-Operative and Post-Operative Assessment of Hearing following Tympanoplasty

Shetty

2011

Indian J Otolaryngol Head Neck Surg

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Tympanoplasty is one of the ever evolving surgical procedures mainly aimed at restoring the hearing loss and eradication of middle ear disease. We have made an attempt to assess the hearing improvement of various types and techniques of tympanoplasty. A prospective observational study was done on 50 cases of CSOM, of which 45 cases were tubotympanic type, and 5 cases were attico-antral. Patients of only pure conductive component with good cochlear reserve and good Eustachian tube function were considered for the study. This study aims at assessing the hearing improvement with various types of tympanoplasty.

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Tympanoplasty: Surgical results and a comparison of the factors that may interfere in their success

Abstract: The timpanoplasty must be considerate in the treatment of the COMNC.

Cited by 42 publications

References 3 publications

A study of hearing improvement gained after tympanoplasty using various methods in cases of CSOM

A study of hearing improvement gained after tympanoplasty using various methods in cases of CSOM

Outcome of Single-Sitting Bilateral Type 1 Tympanoplasty in Indian Patients

Pre-Operative and Post-Operative Assessment of Hearing following Tympanoplasty

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