Type I Tympanoplasty Meta-analysis: A Single Variable Analysis of More Than 26 Thousand Adults and Children From 214 Studies

Abstract

Learning Objectives: Introduction: Early congenital cholesteatoma is often undiagnosed and usually presents only when the tympanic membrane is breached and the ear chronically discharges. Early detection and intervention of congenital cholesteatoma should intuitively allow better surgical outcomes. Otitis media with effusion could be an early indicator of underlying cholesteatoma and children presenting with persistent unilateral effusion should be investigated. Method: Over a 5-year period from 1st March 2009 to 1st March 2014 every child with a persistent unilateral conductive loss, flat tympanometry for 6 months and normal tympanic membrane was listed for insertion of a ventilation tube. At follow up audiological evaluation, any child with persistent hearing loss underwent CT scanning to investigate for cholesteatoma and exploratory mastoid surgery where CT findings were suggestive.

Comparison of cartilage with temporalis fascia tympanoplasty: A meta‐analysis of comparative studies

“…Third, there is heterogeneity between the studies regarding the duration of follow‐up. Recently, Tan et al conducted a meta‐analysis and demonstrated that there is no correlation between the follow‐up period and success rate. Fourth, the size and location of the perforation differed between the studies, and some studies did not describe either of these perforation characteristics.…”