Tympanoplasty: factors associated with anatomical and audiometric results

Lagos, Antonia; Villarroel, Pablo; García-Huidobro, Francisco; Delgado, Valentina; Huidobro, Borja; Caro, Jorge; Martín, José San

doi:10.1016/j.otoeng.2019.07.002

Cited by 1 publication

(3 citation statements)

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“…In our study, large perforations were associated with a higher probability of postoperative reperforation. These findings are similar to those reported in the 2017 Sajid study, 14 where it was found that large perforations were re-drilled in 58.3% of cases, compared to 100% closure success in small perforations. Likewise, Heo et al 18 found 14 a lower probability, 6.1%, in the postoperative closure of the perforation if it was greater than 50% and that its location did not have a great influence on the result.…”

Section: Discussionsupporting

confidence: 91%

“…Small perforations have a lower incidence of reperforation, since they preserve their anatomical and physiological structure. 14 Despite the fact that the audiometric results obtained in the study were based solely on the pre and postoperative record of the PTA, not on the closure of the air-bone gap, a statistically significant decrease in the postoperative PTA was evidenced in the ear left most patients, averaging 6.2 dB in the right ear and 7 dB in the left ear. Bedoya et al 2 , obtained an average gain of 14.83 dB in the evaluated patients.…”

Section: Discussionmentioning

confidence: 74%

“…The use of cartilaginous graft proved to be effective for the closure of perforations in the patients of the institution, even when they had poor prognostic factors (chronic recurrent otitis media, large perforations, bilateral involvement) and even in the absence of another surgical procedure such as mastoidectomy, adenoidectomy, or Tuboplasty. Hsern Ern Tan et al In 2016, 14 reported a successful closure in perforations smaller than 50% when cartilage was used as a graft, with a 2.8% higher percentage of surgical success, compared with the use of fascia only. Benjamin et al In 2008, 15 concluded that the performance of mastoidectomy as a concomitant procedure in the same surgical time or later, did not show a lower incidence of postoperative perforations, 16 compared with only tympanoplasty, in patients with pathology uncomplicated (not cholesteatomatous).…”

Section: Discussionmentioning

confidence: 99%

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Surgical results of type I tympanoplasty during the years 2014 to 2019, at the hospital universitario clínica San Rafael in Bogotá

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2021

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Objective: To determine the frequency of postoperative tympanic reperforations at three months and at six months, in patients who underwent type I tympanoplasty in the otorhinolaryngology service of San Rafael University Clinical Hospital in Bogotá, Colombia, during the years 2014 to 2019. Methodology: retrospective, descriptive and cross-sectional study. Study population and methods: The data were collected from the review of otology outpatient medical records, who met the selection criteria and the surgical criteria for institutional type I tympanoplasty. Results: 47 patients were operated on. 62% were female and 38% male. Postoperative reperforation was evidenced in 8.5% of the total sample. None were before three months, 1 patient between 3 and 6 months postoperative and 3 patients after 6 months postoperative. The most frequent cause for which a patient was led to type I tympanoplasty was infectious, (66%). The otorhinolaryngological comorbidity most frequently associated with perforations was chronic otitis media (COM), in 51%. The audiometries performed showed an improvement of 17% and 20% between the preoperative and postoperative PTA, in the right ear and in the left ear, respectively. Conclusions: The results show that the type of tympanoplasty used in the institution is effective for the anatomical closure of the tympanic perforations included in our study, despite the associated poor prognostic factors, recommending the use of this surgical technique and this type of cartilaginous graft to achieve this main objective.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 74%