Evaluation of the organic and functional results of tympanoplasties through a retro-auricular approach at a medical residency unit

Abstract

Tympanoplasty aims at rebuilding the tympanic membrane with or without middle ear functional recovery. Aim To evaluate the surgical results of tympanoplasties with a retro-auricular surgical approach at a medical residency unit. Materials and Methods Thirty-nine patients with diagnosis of simple chronic otitis media were evaluated; these patients underwent tymplanoplasty by a retro-auricular approach (underlay technique) at a medical residency unit. Patients were included in a prospective medical and audiologic investigation protocol that consisted of a clinical, otomicroscopic and audiometric evaluation. All procedures were supervised by training specialists otorrinolaringology. Results The rate of surgical success - full integration of the graft - was 95% of cases. Improvement of hearing, as demonstrated in audiometry, occurred in 72% of cases. Improvement in tinnitus was demonstrated subjectively on a visual analog scale in 69% of cases. Conclusion Tympanoplasty through a retro-auricular approach is easy to perform. Full graft integration occurred in 95% of cases and was independent of factors deemed by many authors as relevant. The results - improvement of the quality of hearing and tinnitus - were significant.

A retrospective study on middle ear risk indices in analysing the postoperative outcome following tympanoplasty

“…The male to female ratio was 1:1.2. These results were in accordance with Lima et al 13 Sharma et al claimed that the mean age group was 22.66 years which is very low compared to our study but the same study had similar gender distribution. 14 Another contrasting result was noted in Ahmed et al where the male to female ratio was 1.3:1 which is also almost similar to our study.…”

“…In the study done by Lima et al majority had moderate conductive hearing loss (46%) which maybe be due the late presentation of the patients due to low awareness compared to our state. 13 hearing improvements in 92.5% similar to our study. 13,16 The mean pre op and post op AB gap in both studies were also comparable to the current study.…”

“…13 hearing improvements in 92.5% similar to our study. 13,16 The mean pre op and post op AB gap in both studies were also comparable to the current study.…”

Outcome of Interlay Grafting in Type 1 Tympanoplasty for Large Central Perforation

“…Lima et al [11] reported the mean ABG closure to be 10.3 dB. 56 % achieved complete ABG closure, 26 % had ABG from 10-20 dB, 13 % had ABG within 21-30 dB and 5 % had ABG [ 30 dB (Table 7).…”

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

“…Recently, however, there is growing interest in single stage, bilateral myringoplasty all over the world [8,9]. The old dogma relating adverse outcome of tympanoplasty to the presence of bilateral perforation has been refuted by good surgical success rates observed by many authors [10][11][12][13]. We noticed the scarcity of Indian studies related to bilateral tympanoplasty [13].…”