Type 1 tympanoplasty: does the status of contralateral ear affect the outcome?
DOI:
https://doi.org/10.18203/issn.2454-5929.ijohns20191738Keywords:
Tympanoplasty, Eustachian tubeAbstract
Background: The objective of the study was to investigate the effect of contralateral ear status on the success rate (anatomical closure) of type 1 tympanoplasty.
Methods: The study is a prospective observational study comprising of 60 patients diagnosed with chronic otitis media, who underwent type 1 tympanoplasty during 2016-2018 in a tertiary care hospital.
Results: In our study, contralateral ear was normal in 40 (66.7%) cases & diseased in 20 (33.3%) cases. Success rate of type 1 tympanoplasty in patients with normal contralateral ear was 90% (n=36) but success rate was only 60% (n=12) in diseased contralateral ear. This was statistically significant (p=0.006).
Conclusions: Our study revealed that the status of the opposite ear is an individual prognostic factor for type 1 tympanoplasty. In other words, graft-healing rates are poorer in individuals whose opposite ears are atelectatic or perforated because of chronic otitis media.
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References
Manolidis S. Closure of tympanic membrane perforations. In: Glasscock ME, editor. Glasscock-Shambaugh’s Surgery of the Ear. 5th ed. Hamilton: BC Decker; 2003: 400–419.
Berthold, E. Uber myringoplastik. Medicinisch-Chuutgisches Central-Blatt. 1879;14:195–207.
Wullstein, H. Theory and practice of tympanoplasty. Laryngoscope. 1956;66:1076–93.
Zollner, F. The principles of plastic surgery of the sound-conduction apparatus. J Laryngol Otol. 1955;69:637–52.
Sheehan P, Dounelly M, Kane R. Clinical features of newly presented case of COM. J Laryngol Otol. 2011;115:962-6.
Bluestone CD. Pathogenesis of otitis media: role of eustachian tube. Pediatr Infect Dis J. 1996;15(4):281-91.
Tos M. Importance of eustachian tube function in middle ear surgery. Ear Nose Throat J. 1998;77(9):744-7.
Priya K, Karthikeyan P, Coumare VN, Sambandan AP. Evaluation of Eustachian tube function in chronic suppurative otitis media (tubotympanic type) with reference to its treatment outcome. Indian J Otol. 2012;18:179-83.
Sirena E, Carvalbo B, Buscble M, Moccllin M. Timanoplastia Myringoplasty Type 1 and in Residency Surgical Results and Audiometric. Arch Otorhinolaryngol-Brazil. 2010;14(4):417-21.
Wasson JD, Papadimitriou CE, Pau H. Myringoplasty: impact of perforation size on closure and audiological improvement. J Laryngol Otol. 2009;12:1-5.
Avilés Jurado FJ, Meran Gil JL, Tobed Secall M, Doménech Vadillo E, Masgoret Palau E, Martínez Novoa MD, et al. Miringoplastia: seguimiento auditivo y estudio de factores pronósticos. Acta Otorrinolaringol Esp. 2009;60:169-75.
Awan Z, Bashir H, Hussain A. Myringoplasty: A comparative study of different graft materials and various surgical techniques. Ann Pak Inst Med Sci. 2008;4(4):209-11.
Biswas SS, Hossain MA, Alam MM. Hearing evaluation after myringoplasty. Bangladesh J Otorhinolaryngol. 2010;16(1):23-8.
Shaikh AA, Shiraz MA, Shaikh OSM, Rafi T. Outcome of Tympanoplasty type 1 by Underlay Technique. JLUMHS. 2009;8(1)
Black JH, Wormald PJ. Myringoplasty: effects on hearing and contributing factors. South African Med J. 1995;85(1):41–3.
Kotecha B, Fowler S, Topham J. Myringoplasty:a prospective audit study. Clin Otolaryngol. 1999;24:126-9.
Vartianinen E, Nuutinen J. Success and pitfalls in myringoplasty:follow-up study of 404 cases. Am J Otol. 1993;14:301–5.
Sheehy J, Anderson R. Miryngoplasty. A review of 472 cases. Ann Otol Rhinol Laryngol. 1980;89:331-4.
Onal K, Uguz MZ, Kazikdas KC, Gursoy ST, Gokce H. A multivariate analysis of otological, surgical and patient-related factors in determining success in myringoplasty. Clin Otolaryngol. 2005;30:115-20.
Khan FK, Ebenezer R, Manonmani SS. Assessment of factors affecting the outcome of Myringoplasty and type- tympanoplasty. Int J Biomed Res. 2014;5(5).
Dangol K, Shrivastav RP. Study of Various Prognostic Factors Affecting Successful Myringoplasty in a Tertiary Care Centre. Int Arch Otorhinolaryngol. 2017;21(3):250-4.
Albera R, Ferrero V, Lacilla M, Canale A. Tympanic reperforation in myringoplasty:evaluation of prognostic factors. Ann Otol Rhinol Laryngol. 2006;115:875-9.
Chandrasekhar SS, House JW, Devgan U. Pediatric tympanoplasty. A 10-year experience. Arch Otolaryngol Head Neck Surg. 1995;121:873-8.
Si Y, Chen Y, Xu G, Chen X, He W, Zhang Z. Cartilage tympanoplasty combined with eustachian tube balloon dilatation in the treatment of adhesive otitis media. Laryngoscope. 2018.