Graft Success and Hearing Results between Cartilage Island Graft and Temporal Muscle Fascia Graft Myringoplasty

Dinç, Ayşe Seçil Kayalı; Çayönü, Melih; Boynueğri, Süleyman; Şahin, Muammer Melih; Paksoy, Betul; Eryılmaz, Adil

doi:10.29271/jcpsp.2020.01.33

Cited by 9 publications

(9 citation statements)

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“…The calculated average gain was 11.48 dB. This result is close to those found in other series [18][19][20][21][22]. The average residual Rinne found in our study was 14.72 dB.…”

Section: Discussionsupporting

confidence: 92%

Cartilage Graft in Myringoplasty: What Are the Factors Influencing Hearing Gain?

et al. 2022

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Background and Objectives:We present the anatomical and functional results on the use of cartilage in myringoplasty and use the data to analyze the factors influencing hearing gain. Subjects and Methods: This retrospective study included 161 cases of cartilage myringoplasties collected over an 11-year period (2010-2020). Of the 161 cases, the etiology of the tympanic perforations was simple chronic otitis media in 154 (95.65%) ears and traumatic in 7 (4.35%) ears. The mean preoperative Rinne was 26.20±7.05 dB. The most commonly used approach was retroauricular, and the common graft material was tragal or conqual cartilage. Results: After the follow-up period (mean:15 months), the anatomical success rate was 93.2%; there were nine cases of reperforation, of which three were reoperated with a good final result. The hearing success rate (residual Rinne ≤20 dB) was 91.9% with an average gain of 11.48 ± 8.62 dB. The only factor significantly influencing the anatomical outcome was the history of chronic rhinosinusitis. In univariate studies, several factors influencing the functional result were revealed; the only one retained after elimination of bias was the anatomical result. Conclusions: We recommend cartilage as the material of choice for myringoplasties as it has been shown to be resistant to predictive factors of failure after tympanic repair surgery. We recommend the adequate management of all chronic rhinosinusitis before performing myringoplasty.

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“…The calculated average gain was 11.48 dB. This result is close to those found in other series [18][19][20][21][22]. The average residual Rinne found in our study was 14.72 dB.…”

Section: Discussionsupporting

confidence: 92%

Cartilage Graft in Myringoplasty: What Are the Factors Influencing Hearing Gain?

et al. 2022

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“…In this study males predominates with male: female ratio of 2.5:1, that simulates to most of the studies but contradicts to some studies. 1 , 2 In our study majority of patients were in 2 nd decade of life (46.5%, 53) with mean ± SD age of 26.41 ± 9.7 years (Age ranged 6-55 Years), which coincides that of Ahluwalia from India with mean age of 27.9 years and maximum patients (45.0%) in second decade of life. 7 The mean age and commonest age of presentation of this study is also comparable with results of Al-Juboori from Iraq and Gao and colleagues from china and some other studies.…”

Section: Discussionsupporting

confidence: 73%

“…TTMP is a common clinical condition experienced by an otolaryngologist with an estimated incidence of 6.8/ 1000 persons. 2 …”

Section: Introductionmentioning

confidence: 99%

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Aftermath of traumatic tympanic membrane perforation: Our findings at a tertiary care hospital in Pakistan

Wahid¹,

Saleem²,

Muhammad³

et al. 2021

Pak J Med Sci

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Objectives: To determine the outcome of traumatic tympanic membrane perforation in a teaching hospital at Peshawar, Pakistan. Methods: This prospective observational study was performed in the Department of ENT and Head and Neck Surgery, MTI/LRH, Peshawar, Pakistan from January 2016 to December 2019 after approved from Institutional Research and Ethical Board. All consented patients fulfilling inclusion criteria were enrolled. Sample size was calculated 114 using online sample size calculator (OpenEpi). Every patient was evaluated properly, subsequently otoscopy and PTA was performed. Required information was recorded and analyzed using SPSS (version 25). Results: Out of 114 patients 81 (71.1%) were males and 33(28.9%) were female with male: female ratio of 2.5:1. Patient’s age ranged from 6- 55 years with mean ± SD age of 26.41 ± 9.7 years. Majority of Patients, 46.5%( 53) were in 2nd decade. Amongst the causes slap outnumbered (80, 70.2%), and left ear was involved predominately (67, 58.7%) affecting mainly anterio-inferior quadrant (50, 43.9%). Small size perforation was most common finding (64, 56.1%). Majority of patients (72, 63.2%) presented in a week time and single perforation was the commonest (107, 93.%). Most of traumatic TM perforation got healed spontaneously (97, 85.1%). Conclusion: It is concluded that spontaneous healing of traumatic membrane perforation occurs in more than 90% cases provided the ear is kept dry and not accompanied by unfavorable conditions. doi: https://doi.org/10.12669/pjms.37.3.3923 How to cite this:Wahid FI, Saleem M, Muhammad R, Khan MR. Aftermath of traumatic tympanic membrane perforation: Our findings at a tertiary care hospital in Pakistan. Pak J Med Sci. 2021;37(3):---------. doi: https://doi.org/10.12669/pjms.37.3.3923 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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“…The clinically practical approach is mostly conservative and indicates that the ear should be protected from infection and that the external auditory canal should be kept clean and dry. A follow-up duration of three to four weeks following perforation is sufficient for spontaneous closure in cases of small perforations; however, various surgical procedures such as myringoplasty might be necessary in some of the cases in which perforation closure does not occur at the end of this period [4]. Signs of spontaneous closure should therefore be carefully monitored at the perforation site during follow-up.…”

Section: Introductionmentioning

confidence: 99%

Traumatic Tympanic Membrane Perforation in Children in the Emergency Department: Comparison of Spontaneous Closure and Paper Patch

Cayir

Mutlu

2020

Cureus

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Graft Success and Hearing Results between Cartilage Island Graft and Temporal Muscle Fascia Graft Myringoplasty

Cited by 9 publications

References 0 publications

Cartilage Graft in Myringoplasty: What Are the Factors Influencing Hearing Gain?

Cartilage Graft in Myringoplasty: What Are the Factors Influencing Hearing Gain?

Aftermath of traumatic tympanic membrane perforation: Our findings at a tertiary care hospital in Pakistan

Traumatic Tympanic Membrane Perforation in Children in the Emergency Department: Comparison of Spontaneous Closure and Paper Patch

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