Myringoplastie : Les facteurs influençant les résultats anatomiques d’une série de 229 cas

Elboukhari, A.; Touihem, Nabil; Nadour, K.; Attifi, Hicham; Zalagh, M.; Messary, Abdelhamid

doi:10.13070/rs.fr.4.2314

Cited by 2 publications

(2 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The majority of the literature’s cases reported that the most used cartilage is the tragus for 100% of the patients [ 3 - 5 ]. The rate of anatomical success of our patients was 92%, which is comparable to the rates cited in the literature for cartilaginous myringoplasty: 93% in the study of Yurttas et al [ 7 ], 92.3% in the study of Onal et al [ 8 ], and 90.7% in Elboukhari [ 9 ]. In addition, age is often cited as a key prognostic factor in the assessment of tympanoplasty for children [ 10 ].…”

Section: Discussionsupporting

confidence: 86%

See 1 more Smart Citation

Cartilaginous Myringoplasty: Anatomical and Functional Results

Taleuan¹,

Ridal²,

Elatiq³

et al. 2023

Cureus

View full text Add to dashboard Cite

Introduction: Myringoplasty remains a topical subject. Our study aims at analyzing the anatomical and functional results of cartilaginous myringoplasty, and also determining the main factors that could influence its results.Materials and methods: A retrospective study of 51 cases of tympanic perforations operated at the ENT department of the Hassan II University Hospital of Fez between January 2018 and November 2021. Only the patients with exclusive cartilage myringoplasty were included. The anatomical and functional results of cartilage myringoplasty were evaluated and analyzed according to several variables. The statistical analysis was performed using SPSS Statistics software.Results: The average age of our patients was 35, with a sex ratio of 2.45. The perforation was anterior in 58%, posterior in 12%, and central in 30% of the cases. The average pre-operative audiometric air bone gap (ABG) was 29.3 dB. The most commonly used graft was the conchal cartilage in 89% of cases. A complete cicatrization has been noticed in 92%, and at six months after surgery, a complete closure of the ABG has been observed in 43% of cases, a significant hearing improvement with an ABG between 11 and 20 dB in 24%, a hearing recovery with an ABG between 21 and 30 dB in 21%, and an ABG > 30 dB in 12% of the cases. A statically significant relationship (p<0.05) has been found between the functional or anatomical failure of the myringoplasty; the different predictive factors were: the young age (less than 16 years), the inflammatory state of the tympanic cavity, the anterior location, and large size of the perforation. Conclusion:Cartilaginous myringoplasty provides good anatomical and auditory results. The pre-operative predictive factors, such as age, complete and sufficient drying of the ear, the size and location of the perforation, and the size of the used cartilage, should all be considered for a better anatomical and functional outcome.

show abstract

Section: Discussionsupporting

confidence: 86%

“…The type of the surgical approach did not impact des results of myringoplasty in our study (93% of success for the retro-auricular approach, and 91.5% for the endaural one), which corresponds to the study of Elboukhari [ 9 ] who has demonstrated a 91.4% success rate of the retro-auricular approach vs. 90.5% for the endaural.…”

Section: Discussionsupporting

confidence: 84%