Tympanoplasty Outcomes in Dry and Wet Ears
Journal Title: Otolaryngology – Open Journal - Year 2016, Vol 2, Issue 2
Abstract
Introduction: Chronic suppurative otitis media is a major public health problem in children and adults. Tympanoplasty is a surgical procedure which aims to prevent recurrent otorrhea and restore hearing ability. Objective: To compare the graft uptake and the hearing outcome of tympanoplasty in non cholesteatomatous chronic otitis media between wet and totally dry ears. Methods: A total of 108 wet ears (with mucoid discharge) and 232 dry ears (at least 3 months before surgery) with chronic suppurativeotitis media were operated on by myringoplasty between 2000 and 2014. Postoperative graft uptake and hearing gain rates were compared between both groups. Results: Cartilage was used in 100% of wet ears and 35% of dry ears. In the other cases, temporalis fascia was the chosen graft. Anatomical success rate was 88% for the wet ear group and 87.5% for the dry ear group. The hearing gain rate was 62%% for the wet ear group and 56% for the dry ear group. Differences were found to be statistically non significant for both graft intake (p=0.9) and hearing gain (p=0.29). In the wet ear group, only age <40 years was found to be a predictive factor of audio logical success in tympanoplasty (p=0.001). Conclusion: The success of myringoplasty is not adversely affected by the presence of mucoid ear discharge at time of surgery, and outcomes are comparable to those of the operation done for dry ears.
Authors and Affiliations
Ines Nacef
Keywords
Related Articles
- EP ID EP546632
- DOI 10.17140/OTLOJ-2-113
- Views 169
- Downloads 0
The Asessment of Gastroesophageal and Gastropharyngeal Reflux Prevelance After Total Laryngectomy
Objective: The aim of this study is to detect prevalence of glomerular filtration rate (GFR) in total laryngectomy patients. Method: Thirty-eight healthy patients who underwent total laryngectomy and followed at least 6...
Rare Localization of Lymphoma
Objective: Primitive Thyroid Lymphomas (PTL) are rare tumors. Women in the sixth or seventh decade of life are more commonly affected. In the present study, we report a case of primitive thyroid lymphoma and we review th...
Comparison of Tonsillectomy Techniques and their Histopathological Healing Patterns
Objective: This study aims to identify the tonsillectomy method offering the lowest post-operative morbidity, complications and the best healing pattern. Study Design: Prospective, randomized, double-blinded study. Setti...
Petrous Apex Cerebrospinal Fluid (CSF) Leak: A Review Article
Objective: The objective of this study was to present a review article about petrous apex cerebrospinal fluid (CSF) leak. Data Sources: Published English-language literatures in PubMed and Google Scholar. Review Methods:...
Bilateral Internal Jugular Vein Thrombosis: An Unusual Presentation of Lemierre Syndrome
Background: Lemierre syndrome is a rare disease characterized by internal jugular vein thrombosis and septic emboli. These symptoms typically develop after acute oropharyngeal infection by Fusobacterium necrophorum. Case...