A comparative study of preoperative and postoperative hearing after type I tympanoplasty using temporalis fascia graft at Dr. B. R. Ambedkar Medical College, Bengaluru
DOI:
https://doi.org/10.18203/issn.2454-5929.ijohns20202777Keywords:
Conductive hearing loss, Tympanoplasty, Myringoplasty, Fascia, Myringosclerosis, AudiometryAbstract
Background: The objective of the study was to identify the factors which significantly influence type 1 tympanoplasty success.
Methods: A prospective study was performed on 30 patients who underwent type 1 tympanoplasty via underlay technique using temporalis fascia graft from December 2017 to September 2019 in a teaching hospital. Outcome measures were graft uptake rate and hearing gain. The factors assessed were the age and sex, preoperative condition of the ipsilateral and contralateral ears, perforation size, presence of tympanosclerosis, and whether simultaneous cortical mastoidectomy was performed.
Results: None of the factors proved to have a significant influence on tympanic membrane closure or hearing gain.
Conclusions: The success rate of a type 1 tympanoplasty is dependent on the skills of the surgeon and the type of graft used. Age, sex, laterality of the disease, duration of dry ear, size of the perforation, presence of tympanosclerosis and simultaneous cortical mastoidectomy have no bearing on hearing gain.
Metrics
References
Acuin J. Chronic Suppurative Otitis Media: Burden Illness and Management Options. Geneva: World Health Organisation; 2004.
Ballenger W. Ballenger's otorhinolaryngology. In: Snow J, Wackym P, eds. 17th ed. Shelton, Connecticut; 2009.
Scott-Brown's Otorhinolaryngology and Head and Neck Surgery. In: Watkinson JC, Clarke RW, eds. 8th ed. Vol. 2. Boca Raton, Florida: CRC Press; 2018.
Shambaugh G. Glasscock-Shambaugh Surgery of the ear. In: Gulya A, Minor L, Poe D, eds. 6th ed. Shelton, Connecticut: People's Medical Publishing House-USA; 2010.
Glasscock ME, Jackson CG, Nissen AJ, Schwaber MK. Postauricular Undersurface Tympanic Membrane Grafting: A Follow-Up Report. Laryngoscope 1982;92(7):718-27.
Thakur SK, Singh SK, Afaque A, Ghimire N. Outcome of Type 1 tympanoplasty: An experience at Biratnagar eye hospital in Eastern Nepal. Asian J Med Sci. 2016;7(2):55-60.
Arora N, Passey JC, Agarwal AK, Bansal R. Type 1 Tympanoplasty by Cartilage Palisade and Temporalis Fascia Technique: A Comparison. Indian J Otolaryngol Head Neck Surg. 2017;69(3):380-4.
Singh M, Hamam P, Lyngdoh N, Priyokumar O. Evaluation of hearing status in pre- and post-operative endoscopic type 1 tympanoplasty and its influencing factors. J Med Soc. 2014;28(3):166.
Majeed J, Ahamed N. Comparative Study between Temporalis Fascia and Tragal Perichondrium in Myringoplasty. IOSR J Dent Med Sci. 2016;15(11):64-72.
Harkare VV, Mishra RK, Deosthale NV, Khadakkar SP, Dhoke PR, Dhote K, Kamal N, Reddy ST. A comparative study of different tissues used for tympanic membrane grafting. J Evol Med Dent Sci. 2013;2(41):7834-41.
Adkins WY, White B. Type I tympanoplasty: influencing factors. Laryngoscope. 2009;94(7):916-8.
Fadl FA. Outcome of type-1 tympanoplasty. Saudi Med J. 2003;24(1):58-61.
van Stekelenburg BC, Aarts MC. Determinants influencing success rates of myringoplasty in daily practice: a retrospective analysis. Eur Arch Otorhinolaryngol. 2019;3:1-7.
Salviz M, Bayram O, Bayram AA, Balikci HH, Chatzi T, Paltura C, Ozkul MH. Prognostic factors in type I tympanoplasty. Auris Nasus Larynx. 2015;42(1):20-3.
Albera R, Ferrero V, Lacilla M, Canale A. Tympanic Reperforation in Myringoplasty: Evaluation of Prognostic Factors. Ann Otol Rhinol Laryngol. 2006;115(12):875-9.
Carr SD, Strachan DR, Raine CH. Factors affecting myringoplasty success. J Laryngol Otol. 2015;129(1):23-6.
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.
Balyan FR, Celikkanat S, Aslan A, Taibah A, Russo A, Sanna M. Mastoidectomy in non cholesteatomatous chronic suppurative otitis media: is it necessary? Otolaryngol Head Neck Surg. 1997;117(6):592-5.
Mishiro Y, Sakagami M, Takahashi Y, Kitahara T, Kajikawa H, Kubo T. Tympanoplasty with and without mastoidectomy for non-cholesteatomatous chronic otitis media. Eur Arch Otorhinolaryngol. 2001;258(1):13-5.
Jain K, Pandey A, Gupta S, Rahul. A Clinical Study of Hearing Outcome after Type I Tympanoplasty. Int Arch Integr Med. 2016;3(10):48-54.
Wasson JD, Papadimitriou CE, Pau H. Myringoplasty: impact of perforation size on closure and audiological improvement. J Laryngol Otol. 2009;123(9):973-7.
Wielinga EW, Derks AM, Cremers CW. Tympanosclerosis in the tympanic membrane: influence on outcome of myringoplasty. Am J Otol. 1995;16(6):811-4.
Albu S, Trabalzini F, Amadori M. Usefulness of cortical mastoidectomy in myringoplasty. Otol Neurotol. 2012;33(4):604-9.
McGrew BM, Jackson CG, Glasscock III ME. Impact of mastoidectomy on simple tympanic membrane perforation repair. Laryngoscope. 2004;114(3):506-11.