Success is a matter of experience: type 1 tympanoplasty

Emir, Hatice; Ceylan, Kürşat; Kızılkaya, Zeynep; Göçmen, Hakan; Uzunkulaoğlu, Hakkı; Samim, Erdal

doi:10.1007/s00405-006-0240-6

Cited by 79 publications

(27 citation statements)

References 18 publications

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“…Interestingly, only 5 out of the 30 articles included in the overall meta-analysis had reported an association between age and tympanoplasty success rate. While the literature does seem to indicate that the success rate in children is somewhat lower than that in adults, uncertainty remains as to what is the ideal age to repair tympanic membrane perforations in children [28]. The current results suggest that surgeons should exert caution when considering performing tympanoplasty on children less than 5 years of age since results from tympanoplasty in that age group seems to be associated with a lower success rate.…”

Section: Discussionmentioning

confidence: 79%

The effect of age on pediatric tympanoplasty outcomes: A comparison of preschool and older children

Duval

Grimmer

Muntz

et al. 2015

International Journal of Pediatric Otorhinolaryngology

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Section: Discussionmentioning

confidence: 79%

The effect of age on pediatric tympanoplasty outcomes: A comparison of preschool and older children

Duval

Grimmer

Muntz

et al. 2015

International Journal of Pediatric Otorhinolaryngology

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“…4 Hatice Emir et al found that post-operative hearing gain was 47.3% in dry ears and 40.7% in wet ears. 5 Benjamin D et al found post-operative hearing gain for dry and wet ear were not statistically significant. 6 Tos M observed more than 10 dB hearing gain in 87% in dry ears and 66% in wet ear group.…”

Section: Discussionmentioning

confidence: 96%

A Comparison of Postoperative Hearing Gain in Dry and Wet Ear Tympanoplasty

Gangwar¹,

Kuchhal²

2016

jemds

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OBJECTIVETo compare hearing gain in dry and wet tympanoplasty. MATERIALS AND METHODSA total of 100 ears were included in the study. Two groups were created with 50 ears in each group. All patients had mucosal chronic otitis media. One group had dry ear, another had wet ear at the time of surgery. Type 1 tympanoplasty was done in all the cases by a single surgeon. Hearing gain was calculated 3 months after surgery for both groups and compared. RESULTSHearing improvement seen in 35 (70%) cases in dry ear group and 38 (76%) cases in wet ear group. Statistically, both comparisons were insignificant. CONCLUSIONThe success of tympanoplasty was not adversely affected by the presence of discharge at time of surgery and outcomes were comparable to those of the operation done for dry ear. KEYWORDSTympanoplasty, Dry Ear, Wet Ear. HOW TO CITE THIS ARTICLE:Gangwar A, Kuchhal V. A comparison of postoperative hearing gain in dry and wet ear tympanoplasty.

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“…But the temporalis fascia is still extensively used because of ease of availability and good postoperative outcomes and practical similarity with the tympanic membrane. The hurdles of type I tympanoplasty have been expansively noted among which the most common are the residual perforation, infection, dislodgement of graft and retraction of pocket and damage to chorda tympani nerve [20]. In the event of post-operative infections, graft failure usually occurs.…”

Section: Discussionmentioning

confidence: 99%

A clinical study of audiological outcome following type I tympanoplasty using temporalis fascia as graft

Sudhakar

Agarwal

Sethi

2019

Trop J Ophthalmol Otolaryngol

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Introduction: Tympanic membrane perforations caused by chronic suppurative otitis media are very frequent. Tympanoplasty is a general surgical practice for the repair of TM perforation. The aim of the present study was to evaluate the hearing outcomes following type I tympanoplasty using temporalis fascia as a graft. Materials and Methods: This cross-sectional study was carried out in the Department of ENT. A total of n=65 patients n=35 male and n=30 female were selected. All the cases underwent tympanoplasty through post aural technique using harvested temporalis fascia as the autograft material by underlay approach. The external auditory meatus was then packed with soframycin pack. Sutures and soframycin pack was taken out on the 7 th day of operation. Steroid nasal spray for 2 months along with antibiotics and decongestants which were advise for 2 weeks. The patients were followed at the one-month interval for 3 months than at 6 months. Results: The prevailing perforations were (less than 50% of the TM) found in n=29 (44.61%) of the patients followed by medium size perforations n=21 (32.30%) and large perforations were found in n=15 (23.07%). The overall success rate of the graft was n=61 (93.84%) patients out of n=65 patients and the graft uptake was found in n=63(96.92%) of the patients. The overall improvement of hearing recorded the mean preoperative air-bone conduction in male prior to the operation was 23.5±3.2 dB and mean postoperative AB gap after 3 months was 8.61±1.7 dB and the gain was 14.89±1.50 similarly in females the mean preoperative AB conduction was 22.1±2.8 dB and mean postoperative AB conduction was 6.72±1.39 the gain was 10.60±1.41. Conclusion: Type I tympanoplasty with temporalis fascia is reasonably successful for the treatment of central perforations with dry ears. The audiological outcomes in the form of hearing improvements were noticed in almost all of the patients.

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Success is a matter of experience: type 1 tympanoplasty

Cited by 79 publications

References 18 publications

The effect of age on pediatric tympanoplasty outcomes: A comparison of preschool and older children

The effect of age on pediatric tympanoplasty outcomes: A comparison of preschool and older children

A Comparison of Postoperative Hearing Gain in Dry and Wet Ear Tympanoplasty

A clinical study of audiological outcome following type I tympanoplasty using temporalis fascia as graft

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