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

Huang, Jie; Li, Zeqing; Wu, Kunmin; Wang, Wuqing

doi:10.1159/000491493

Cited by 8 publications

(10 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%

“…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 1 more Smart Citation

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%

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

“…Considering the mucosal variety of chronic otitis media, the literature suggests that concomitant cortical mastoidectomy provides no additional benefit over tympanoplasty alone. 1,9,10 This has been found to hold true even when there is radiological evidence of soft tissue opacity in the antrum and mastoid air cells. 11 However, in spite of existing evidence, mastoidectomy for mucosal disease is a common practice among otologists even today.…”

Section: Discussionmentioning

confidence: 96%

Endoscopic epitympanic exploration in mucosal chronic otitis media: is canal wall up mastoidectomy really needed?

et al. 2021

View full text Add to dashboard Cite

Objective To compare endoscopic epitympanic exploration with conventional canal wall up (cortical) mastoidectomy for mucosal chronic otitis media in terms of post-operative outcomes. Methods Seventy-six patients diagnosed with chronic otitis media (mucosal variety) were randomly assigned to two treatment groups: endoscopic epitympanic exploration and conventional canal wall up (cortical) mastoidectomy. The groups were compared in terms of: post-operative anatomical outcomes (graft uptake), middle-ear physiological outcomes (post-operative tympanometry), audiological outcomes (air–bone gap), surgical time, post-operative pain, vertigo, and long-term complications such as retraction pocket and re-perforation. Results There was a statistically significant difference between the groups in terms of mean air–bone gap at 12 months, surgical time, and median post-operative pain measured at 6 hours (p < 0.05). No statistically significant differences were noted in terms of: graft uptake at 1, 3 and 6 months, mean air–bone gap at 3 and 6 months, tympanometry at 3, 6 and 12 months, vertigo at 1 week, or long-term complications. Conclusion Endoscopic epitympanic exploration resulted in significantly better long-term audiological outcomes, shorter operating time and less pain compared with conventional canal wall up (cortical) mastoidectomy.

show abstract

“…In the literature [11], the cochlear implantation using an ear endoscope was successfully completed in 2014. In the literature [12], the Second A liated Hospital of Nanjing University performed 113 cases of tympanoplasty using the ear endoscope in 2012, of which 92 cases reached dry ears within half a month to one month. Tympanic pressure gradually improved after 3 to 6 months.…”

Section: Discussionmentioning

confidence: 99%

Research of Ear Endoscopic Type I Tympanoplasty——Single-institution Experiences in China

Ji¹,

Yang²,

Zhu³

et al. 2021

Preprint

View full text Add to dashboard Cite

Purpose: To assess outcomes of one-handed ear endoscopic Type I Tympanoplasty and summarize the experience. Methods: This study retrospectively analyzed 34 cases (23 females and 11 males) of one-handed ear Endoscopic Type I Tympanoplasty. Result: The mean values of air conduction threshold before and after surgery were 48.22+18.36dB HL and 34.34+19.83dB HL, respectively. The mean values of the air-bone gap before and after surgery were 23.60+12.18 dB HL and 11.05+6.62 dB HL, respectively. The results showed statistically significant differences in hearing improvement(P<0.05). Among 34 ears, 30 ears had effective hearing improvement. No vertigo, intracranial infection, suppuration, and any other postoperative complications occurred. Although 1 ear occurred tympanic membrane perforation again, all ears achieved dry. Conclusion: Ear endoscopic Type I Tympanoplasty with fewer complications and shorter surgery time were suitable for the chronic suppurative otitis media. Healing of the tympanic membrane and recovery of hearing level was ensured. However, the experience is still insufficient in China, so a large number of clinical workers need to exchange experience to promote the development of ear minimally invasive surgery.

show abstract

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

Cited by 8 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

Endoscopic epitympanic exploration in mucosal chronic otitis media: is canal wall up mastoidectomy really needed?

Research of Ear Endoscopic Type I Tympanoplasty——Single-institution Experiences in China

Contact Info

Product

Resources

About