Do patients with sclerotic mastoids require aeration to improve success of tympanoplasty?

Abstract

Tympanic membrane perforation closure was successful in 76.1% (n = 35) of the 46 patients undergoing myringoplasty and in 78.3% (n = 36) of the 46 patients undergoing myringoplasty with mastoidectomy. The difference between the closure rates of the two groups was not statistically significant (p > 0.05). The difference between the two groups for hearing gain was also not statistically significant (p > 0.05).

Long-Term Outcomes after Performing Tympanoplasty without Mastoidectomy for Active and Inactive Noncholesteatomatous Chronic Otitis Media

“…Studies have shown that the infection condition of the middle ear, the morphology of the tympanic mucosa and blockage of the middle ear cleft could all affect tympanic membrane transplantation and tympanoplasty [14]. Toros et al [9] conducted a retrospective comparison of the reconstruction of the tympanic membrane with or without mastoidectomy in 92 patients with sclerotic mastoids. The results showed that there was no difference in hearing improvement or tympanic membrane reconstruction.…”

Comparative evaluation of surgical and audiological outcomes in patients of chronic suppurative otitis media with dry ear treated by myringoplasty with or without simple mastoidectomy

“…The difference between the two groups for hearing gain was also not statistically significant (p>0.05). 11 Mishiro et al also supported the use of tympanoplasty without mastoidectomy in chronic non-cholesteatomatous otitis media with an equivalent rate of grafting success and hearing results regardless of the state of the ear at repair (draining vs. nondraining) or the addition of a mastoidectomy. This was supported by Ryner Jose C stating that although mastoidectomy may be done on simple TM perforations there was no clear advantage for its routine practice in CSOM in absence of active infection or disease.…”

Tympanoplasty type 1 in the treatment of patients with sclerotic mastoid: anatomical and functional results

“…However, they also asserted that especially in cases scheduled for only myringoplasty, its added benefits, potential risks and cost-effectiveness should be meticulously evaluated. [13] In our clinics, we routinely obtain temporal bone CTs for all patients with detected COM for the last 20 months. We perform tympanomastoidectomy through an postauricular approach in cases with available computed tomographic evidence favouring cholesteatoma in the middle ear or mastoid bone.…”