Type I tympanoplasty in pediatric age – The results of a tertiary hospital

Gonçalves, Ana Isabel; Rato, Catarina; Duarte, Delfim; Vilhena, Ditza de

doi:10.1016/j.ijporl.2021.110899

Cited by 7 publications

(9 citation statements)

References 35 publications

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“…Two studies illustrated significantly worse anatomic outcomes in tympanosclerosis cases. 8,29 The remaining studies did not find tympanosclerosis to be associated with anatomic failure. 11,17,20,30 Lesinskas and Stankeviciute 17 showed that hearing success was significantly lower in patients with tympanosclerosis than in those without tympanosclerosis for both primary and revision procedures.…”

Section: Tympanosclerosismentioning

confidence: 96%

“…A single study found perforation location to be predictive of anatomic failure. 8 The remaining studies showed that perforation location did not significantly impact anatomic 10,26,29,30,[32][33][34][35][36][37][38][39][40][41][42][43] or functional 10,29,34,44 success.…”

Section: Anterior Perforationsmentioning

confidence: 97%

“…Two studies reported significantly worse anatomic outcomes in patients with tympanosclerosis. 8,29 Patients with tympanosclerosis had worse hearing outcomes than patients without tympanosclerosis. 17,29 Chronic Suppurative Otitis Media (CSOM)…”

Section: Tympanosclerosismentioning

confidence: 99%

“…8,29 Patients with tympanosclerosis had worse hearing outcomes than patients without tympanosclerosis. 17,29 Chronic Suppurative Otitis Media (CSOM)…”

Section: Tympanosclerosismentioning

confidence: 99%

“…8 Four studies analyzed the relationship between perforation location and hearing outcomes; none found significant effects on success. 10,29,34,44 Authors utilized a number of different graft techniques to repair anterior perforations, including overlay or lateral graft, 65,66 inlay graft, 33,67 circumferential subannular, 40 interlay, 68 window shade, 69 and medial or underlay graft (including over-underlay and inferior flap). 10,15,26,32,[34][35][36][37][38]44,65,66,[70][71][72][73][74][75][76][77][78] Although generally outcomes did not appear to differ, statistical analysis was not possible due to potential confounding variables such as differing graft materials.…”

Section: Anterior Perforationsmentioning

confidence: 99%

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Tympanoplasty in the Setting of Complex Middle Ear Pathology: A Systematic Review

Gutiérrez

Cabrera

Stout

et al. 2023

Ann Otol Rhinol Laryngol

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Objective: To assess the prognostic factors for anatomic and hearing success after tympanoplasty in the setting of complex middle ear pathology. Methods: A systematic review was performed in January 2022. English-language articles describing outcome data for tympanoplasty repair variables including underlying pathology, perforation location, smoking status, graft technique, reconstruction material, anatomic success, and hearing success were extracted. Articles were included when tympanosclerosis, retraction pockets, adhesions, cholesteatoma, chronic suppurative otitis media, anterior perforations, and smoking were included. Underlying pathology, perforation location, smoking status, graft technique, reconstruction material, anatomic success, and hearing success were extracted. Any factors analyzed as potential indicators of success were sought out. Results: Data sources included PubMed, OVID, Cochrane, Web of Science, Scopus, and manual search of bibliographies. Ninety-three articles met final criteria, which accounted for 6685 patients. Fifty articles presented data on both anatomic and hearing outcomes, 32 articles presented data on anatomic outcomes only, and 11 articles presented data on hearing outcomes only. This systematic review found that adhesions and tympanosclerosis were prognostic factors for poorer hearing. Additionally, smoking and tympanosclerosis may be predictive of anatomic failure; however, the significance of this finding was mixed in included studies. This analysis is significantly limited by both the heterogeneity within the patients and the lack of controls. Conclusion: Adhesions and tympanosclerosis were prognostic factors for poorer hearing. Clearly documented methods and outcomes for the included pathologies could lead to more definitive conclusions regarding prognostic factors for success. Level of Evidence: 3B

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Section: Tympanosclerosismentioning

confidence: 96%

Section: Anterior Perforationsmentioning

confidence: 97%

Section: Tympanosclerosismentioning

confidence: 99%

“…8,29 Patients with tympanosclerosis had worse hearing outcomes than patients without tympanosclerosis. 17,29 Chronic Suppurative Otitis Media (CSOM)…”

Section: Tympanosclerosismentioning

confidence: 99%