Functional outcomes of tympanoplasty surgery
Journal Title: Otolaryngologia Polska - Year 2016, Vol 70, Issue 6
Abstract
Objective: We reviewed functional outcomes of tympanoplasty. Study design: The results of tympanoplastic surgery are changing in time. We present late treatment outcomes among different types of tympanoplasty. Methods: Eighty-six patients who underwent tympanoplasty were enrolled in the study. The results of pure tone audiometry performed 7 days before, then at 3 months, 1 year, and 3 years after the surgery were assessed. Type II tympanoplasty involved implantation of a partial ossicular replacement prosthesis and type III tympanoplasty involved reconstruction with a total ossicular replacement prosthesis and the use of autogenous homogenous material. Statistical analysis was performed. Results: With all four types of tympanoplasty, hearing improvement was achieved at 3 months and 1 year after surgery based on the magnitude of the mean ABG reduction (p<0.001). In patients who underwent type I, type III, and type IV tympanoplasty, the ABG reduction at 3 years after surgery was maintained at the level reported at 3 months and 1 year after surgery (p<0.001). In patients who underwent type II tympanoplasty, however, the mean ABG value was increased at all tested frequencies (p<0.05). The mean ABG values reported 3 years after type II and type III tympanoplasty were similar. Conclusions: Based on the results over time, hearing improvement seems to be less durable after reconstruction with the partial ossicular replacement prosthesis procedure compared to the total ossicular replacement prosthesis procedure.
Authors and Affiliations
Izabela Matuszewska, Paweł Burduk, Wojciech Kaźmierczak, Joanna Janiak-Kiszka
Keywords
Related Articles
- EP ID EP185976
- DOI 10.5604/01.3001.0009.3734
- Views 90
- Downloads 0
The infl uence of endoscopic treatment of isolated, small infl ammatory lesions of sphenoid sinus on headache sensation
One of the most frequent complaint in patients with isolated sphenoiditis is headache. In large proportion of these patients no pathologic findings are revealed in sphenoethmoidal recess endoscopicaly thus discrimination...
Jakość życia zależna od stanu zdrowia u osób po przebytym raku ustnej części gardła – badanie populacyjne
Cel: Celem niniejszego badania było porównanie jakości życia (QoL, ang. quality of life) pacjentów po przebytym nowotworze złośliwym ustnej części gardła, którzy zostali podani różnym metodom leczenia. Materiał i metody:...
Hearing organ function in children with nephrotic syndrome in the course of primary glomerulopathy
Nephrotic syndrome (NS) is connected with an increase of glomeral permeability. It generates numerous, reversible electrolic and biochemical disturbances. The aim of the work was complex evaluation of hearing organ in ch...
The significance of Karol Gilewski (1832–1871) for the Polish laryngology
The professional and scientific activities of Karol Gilewski (1832-1871), one of the famous Cracovian physicians, the professor of the Jagellonian University are described first of all. His treatise on laryngofissure and...
Marginal mandibular nerve injury during neck dissection of level IIa, and the influence of different types of dissection: diathermy versus cold knife
Introduction: Post-operative injury of the marginal mandibular branch of the facial nerve is consider a complication in neck dissection and can be related to different factors including traction, devascularisation or the...