Insertion of middle-ear Silastic sheeting during tympanoplasty: hearing outcomes

Elmorsy, Shawky; Amer, H E

doi:10.1017/s0022215110002276

Cited by 14 publications

(8 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…On examining the full texts, 92 articles were assessed as unsuitable where COM was not the primary disease (7), tympanoplasty subtypes were not the primary intervention (11), the article was not published in English (5), the article did not contain long‐term hearing outcomes (68) or the presented data were too limited (1). Thirty‐nine studies 14‐52 reporting long‐term hearing outcomes and/or complications following middle ear interventions were included for synthesis.…”

Section: Resultsmentioning

confidence: 99%

“…10 of these studies 20,21,24,25,32,38,39,42,45,52 reported air‐bone gap (ABG) data in sufficient detail so that it could be categorized in to bins of ≤20 dB HL or ˃20 dB HL. Additionally, 14 publications 15,18,19,23,24,35,36,38,42,43,46‐48,52 reported mean pre‐ and post‐operative ABG for patients with and without cholesteatoma in sufficient detail to permit weighted averages for these subgroups to be calculated. Eight studies 18,21,24,32,34,42,45,52 also reported these data for patients that underwent ossicular reconstruction, permitting the calculation of weighted averages for this subgroup.…”

Section: Resultsmentioning

confidence: 99%

“…Thirty‐eight out of 39 studies reported complete outcome data or explained missing data adequately. Three studies were rated as high risk for selective reporting 18,22,23 . The exclusion criteria in several studies resulted in exclusion of more complex cases with ossicular discontinuity or revision cases 35,36,45 .…”

Section: Resultsmentioning

confidence: 99%

“…Regarding complications, 31 14,15,17,19‐27,29‐32,34‐39,41‐44,46,47,49‐51 studies presented complications data, however, three of these studies 30,41,54 presented complications data in terms of ears and could not be included in the data synthesis calculation, which is based on complication per patient. The mean complication rate, calculated for a total of 3162 patients from the remaining studies, was 14.0% (Figure 4).…”

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Success rates in restoring hearing loss in patients with chronic otitis media: A systematic review

Lewis¹,

Vanaelst²,

Hua³

et al. 2021

Laryngoscope Investig Oto

View full text Add to dashboard Cite

Objective To assess the effectiveness of tympanoplasty in treating chronic otitis media‐related hearing loss, published literature was systematically reviewed to determine the clinical success rate of tympanoplasty at restoring hearing in chronic otitis media patients at a minimum follow‐up period of 12‐months. Data Sources PubMed, Embase and the Cochrane Library. Methods Two independent reviewers performed literature searches. Publications reporting long‐term (≥12‐month) hearing outcomes and complications data on adult and pediatric patients with chronic otitis media were included and assessed for risk of bias and strength of evidence. To assess how tympanoplasty influences long‐term hearing outcomes, data on pure tone audiometry (air‐bone gap) and complications were extracted and synthesized. Results Thirty‐nine studies met the inclusion criteria. Data from 3162 patients indicated that 14.0% of patients encountered postoperative complications. In adult patients, mean weighted air‐bone gap data show closure from 26.5 dB hearing level (HL) (preoperatively) to 16.1 dB HL (postoperatively). In studies that presented combined adult and pediatric data, the mean preoperative air‐bone gap of 26.7 dB HL was closed to 15.4 dB HL. In 1370 patients with synthesizable data, 70.7% of patients had a postoperative air‐bone gap ˂ 20 dB HL at long‐term follow‐up. Finally, subgroup analysis identified that mean improvement in ABG closure for patients with and without cholesteatoma was 10.0 dB HL and 12.4 dB HL, respectively. Conclusion In patients with chronic otitis media, tympanoplasty successfully closed the air‐bone gap to within 20 dB HL in 7/10 cases and had an overall complication rate of 14.0%. Level of Evidence 2a.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Success rates in restoring hearing loss in patients with chronic otitis media: A systematic review

Lewis¹,

Vanaelst²,

Hua³

et al. 2021

Laryngoscope Investig Oto

View full text Add to dashboard Cite

show abstract

“…In this study, cases that needed to correct atelectatic membranes or intraoperative verification of adhesions inside the middle ear were managed by placing a silastic sheet in the medial wall of the middle ear. This stimulates the regeneration of the middle ear mucosa and prevents the formation of adhesions (Ng & Linthicum, 1992;Elmorsy & Amer, 2011;Sanna et al, 2012). In an aerated middle ear, silastic promotes a mucosal lined cavity, without foreign-body reaction, rejection, or chronic inflammatory response (Ng & Linthicum, 1992).…”

Section: Surgical Techniquementioning

confidence: 99%

Subannular Tubes in Children With Cleft Palate

Martins

Alexandre

Santos

et al. 2021

The Cleft Palate Craniofacial Journal

View full text Add to dashboard Cite

Objective: To investigate subannular tube (SAT) placement as an alternative treatment of chronic middle ear disease in children with cleft palate. Design: Retrospective cohort study. Participants: All children with cleft palate with intractable otitis media with effusion and/or with tympanic membrane retraction, operated for insertion of 1 or more sets of transtympanic tubes followed by SAT in a tertiary center. Main Outcome Measures: Audiological outcomes, average duration of tubes, and postoperative complications were analyzed. Results: This study included 21 children with cleft palate, aged 3 to 14 years. A total of 38 ears was evaluated. The median time of follow-up was 42 months. During follow-up, 69.2% of the patients had no complications. Observed complications were otorrhea (13.5%) and tube obstruction (7.7%). In 7.9% of the cases, otitis media with effusion relapsed after tube extrusion. By the end of the study, 76.3% of the tubes remained in situ and 68.4% of the tympanic membranes had the SAT in place and had no significant alterations. The mean duration of SATs was 16 months, which was significantly superior to transtympanic tube duration. A significant sustained improvement in the hearing of children with SATs was observed. Conclusion: Subannular tube insertion results in hearing improvement to normal range and tympanic retraction pockets reversion in children with cleft palate with persistent otitis media with effusion and tympanic retraction/atelectasis. This surgery appears to be safe and provides long-term efficient middle ear aeration. Strict postoperative follow-up is crucial for the success of the treatment.

show abstract

Imaging of the Postoperative Ear and Temporal Bone

Ginat¹,

Moonis²,

Mukherji³

et al. 2017

Atlas of Postsurgical Neuroradiology

View full text Add to dashboard Cite

Insertion of middle-ear Silastic sheeting during tympanoplasty: hearing outcomes

Abstract: Patients who had undergone Silastic sheet insertion showed significantly better air conduction, bone conduction and air-bone gap averages one year post-operatively, compared with those who had not.

Cited by 14 publications

References 16 publications

Success rates in restoring hearing loss in patients with chronic otitis media: A systematic review

Success rates in restoring hearing loss in patients with chronic otitis media: A systematic review

Subannular Tubes in Children With Cleft Palate

Imaging of the Postoperative Ear and Temporal Bone

Contact Info

Product

Resources

About