Exploratory tympanotomy revisited.

Paparella, Michael M.; Koutroupas, Steven

doi:10.1288/00005537-198205000-00013

Cited by 27 publications

(18 citation statements)

References 7 publications

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“…Paparella and Koutroupas [11] found the most common diagnosis to be otosclerosis in 79.7%, followed by congenital fixation of the stapes in 10.6%, and he also found 20% of case had sensory neural hearing loss, 29.7 % of case had normal tympanic membrane. He could not find the reason for sensorineural hearing loss in three cases.…”

Section: Discussionmentioning

confidence: 94%

“…[12] Shin et al [13] found that while CT scanning diagnosed 91.3% of cases of otosclerosis, the accuracy was 57% for other minor malformations. Techniques such as laser Doppler vibrometry [11] and wideband energy ref lectance [14] may be of use but their accuracy has yet to be proven in large clinical studies. Decreased anti-measles serum immunoglobulin G may be diagnostic for otosclerosis but does not exclude stapes fixation of other causes.…”

Section: Discussionmentioning

confidence: 99%

“…Hearing results were reported in accordance with the 1995 guidelines of the Committee on Hearing and Equilibrium for both preoperative and postoperative results. [11] All patients had hearing loss and were investigated and treated by exploratory tympanotomy. All operations were conducted under general anesthesia with additional anesthesia using a standard fourquadrant canal injection with 1% lidocaine with 1:100,000 epinephrine.…”

Section: Methodsmentioning

confidence: 99%

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Middle ear pathologic findings in exploratory tympanotomy and their audiologic effects

Paksoy¹

2015

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Bu çalışmada ossiküler fiksasyon veya devamsızlığın sıklığı, uygulanan cerrahi işlemler ve protez boyutları ile bunların odyolojik etkileri araştırıldı. Hastalar ve Yöntemler: Bu retrospektif çalışmaya kondüktif işitme kaybı olan ve etyolojinin keşfi için Haziran 2001-Mayıs 2015 tarihleri arasında ameliyat edilen 95 hasta (21 erkek, 74 kadın; ort. yaş 37 yıl; dağılım 11-67 yıl) dahil edildi. Hastalar ameliyat öncesinde ossiküllerin ve timpanik membran mobilitesinin tespit edilmesi için mikroskop ve pnömatik otoskop ile incelendi; işitme kayıplarının derecesi odyometri ile tanımlandı. Hastalar ameliyat sırasında ossiküler fiksasyon, dislokasyon, malformasyon ve diğer patolojik süreçler açısından değerlendirildi. Bulgular: Orta kulak patolojileri bakımından hastaların %63.1'inde normal ossiküler zincir, %29.4'ünde ossiküler devamsızlık, %55.7'sinde otosklerotik stapes fiksasyonu, %35.7'sinde skleroz ve hiyalin, %27.3'ünde mukozal köprü, %4.2'sinde anterior malleolar ligament kalsifikasyonları, %4.2'sinde fasiyal sinir dislokasyonu, %4.2'sinde ossiküloplasti geçmişi, %2.1'inde perilenf fistülü, %1.05'inde kolesteatom ve orta kulak hemanjiomu vardı. Ameliyat sırası komplikasyonların oranı %29.4 idi ve bunların %16.8'i timpanik membran yırtılmasını, %11.5'i korda timpani kopmasını ve %1.05'i ilaç alerjisini içeriyordu. Ameliyat öncesi saf ton ortalaması 59 dB hava kondüksiyonu, 23 dB kemik kondüksiyonu ve 36 dB havakemik aralığı gösterdi. Sonuç: Çalışmamızın bulgularında işitme kaybı düzeyleri, timpanogram tipleri ve orta kulak patolojisi tipleri arasında ilişki görülmedi. İşitme kaybının nedenleri otoskleroz ve ossiküler devamsızlık idi. Çoğu hastada fiksasyon veya devamsızlık gibi ossiküler disfonksiyon nedenleri ancak ameliyat sırasında tespit edilebilir. Anahtar sözcükler: İşitme kaybı; orta kulak; otoskleroz; timpanotomi. ABSTR ACT Objectives: This study aims to investigate the frequency of ossicular fixation or discontinuity, applied surgical procedures and prosthesis sizes, and their audiologic effects. Patients and Methods: This retrospective study included 95 patients (21 males, 74 females; mean age 37 years; range 11 to 67 years) with conductive hearing loss operated for exploration of etiology between June 2001 and May 2015. Patients were examined preoperatively with microscope and pneumootoscopy to determine ossicles and tympanic membrane mobility, and degree of their hearing loss was identified by audiometry. Patients were evaluated for ossicular fixation, dislocation, malformation, and other pathologic processes intraoperatively. Results: In terms of middle ear pathologies, 63.1% of patients had normal ossicular chain, 29.4% had ossicular discontinuity, 55.7% had otosclerotic stapes fixation 35.7% had sclerosis and hyaline, 27.3% had mucosal bridge, 4.2% had anterior malleolar ligament calcifications, 4.2% had facial nerve dislocation, 4.2% had previous ossiculoplasty, 2.1% had perilymph fistula, 1.05% had cholesteatoma and middle ear hemangioma. Rate of intraoperative complications was 29.4% including 1...

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Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Middle ear pathologic findings in exploratory tympanotomy and their audiologic effects

Paksoy¹

2015

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“…Such pathological obstruction (e.g., cholesteatoma, granulation tissue, tympanosclerosis, and so forth) or anatomical physiological obstruction can lead to generalized or localized pathological conditions. 1,6,9 An understanding of the inter‐relationship between disease and location dictates the need for a wide surgical exploration.…”

Section: Discussionmentioning

confidence: 99%

“…It is also important to distinguish the membrane itself from mucosal folds in the niche (the so‐called false membranes). 8–10 Any loculated collection of fluid should be suctioned; granulation tissue strategically located within the niche should be meticulously addressed and, if possible, removed. The integrity of the round window membrane (as well as the footplate) should never be jeopardized during a first‐stage tympanoplasty or tympanomastoidectomy.…”

Section: Introductionmentioning

confidence: 99%