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Indian Journal of Otolaryngology and Head & Neck Surgery

Published in:

01-03-2015 | Original Article

Hearing Outcome After Type I Tympanoplasty: A Retrospective Study

Authors: Gaurav Batni, Rashmi Goyal

Published in: Indian Journal of Otolaryngology and Head & Neck Surgery | Issue 1/2015

Abstract

The purpose of this retrospective study was to evaluate the hearing outcomes using temporalis fascia graft for tympanic membrane reconstruction in type 1 tympanoplasty. It included 100 patients with tubotympanic type of chronic suppurative otitis media requiring only tympanic membrane reconstruction. Patients requiring ossicular reconstruction or with attico antral disease were excluded. Patients were assessed after 3, 6 months and 1 year for graft status and hearing outcome. Hearing evaluation was done using tuning fork tests and pure tone audiometry. In total, 88 out of 100 patients had intact and completely healed grafts at 1 year postoperatively (success rate of 88 %). The Hearing gain achieved was 14.55 dBs and the mean air bone gap reduction was 11.94 dBs. This reduction was statistically significant when compared to the pre operative hearing conditions.

Browning GG et al Scott-brown’s otorhinolaryngology head and neck surgery, 7th edn. 3:3421

Khan NA (1992) Repair of traumatic perforation of tympanic membranes by a new technique. Pak J Otolaryngol 8:177–179

Javed M, Khan S, Ullah H, Shah J (2000) Onlay versus underlay myringoplasty, audiological results. Pak J Otolaryngol 16:59–60

Vrabec JT, Deskin RW, Grady JJ (1999) Meta-analysis of pediatric tympanoplasty. Arch Otolaryngol 125(5):530–534CrossRef

Ashfaq M, Aasim MU, Khan N (2004) Myringoplasty: anatomical and functional results. Pak Armed Forces Med J 54(2):155–158

Meyer AG, Albers FW et al (1997) Validation of hearing results in tympanoplasty. In: Huettenbrink (ed) Middle ear mechanics in researches and otosurgery. p 147–150

Rizer FM (1997) Overlay versus underlay tympanoplasty. Part I: historical review of the literature. Laryngoscope 107((12) suppl 84):1–25PubMedCrossRef

Jalisi M, Khalid I, Khalid AA (1997) The human amniotic membrane graft material in tympanoplasty. Pak J Otolaryngol 13:11–12

Ogale SB, Bhaya MH, Verma S, Sheode JH (1992) Inferior based flap in myringoplasty. Pak J Otolaryngol 8:1315

10.

Smyth GDL (1992) Toynbee memorial lecture 1992: facts and fantasies in modern otology: the ear doctor’s dilemma. J Laryngol Otol 106:591–596PubMedCrossRef

11.

Aslam N, Iqbal J, Mehmood K (2001) Type I tympanoplasty underlay technique and results. Proc Shaikh Zayed Postgrad Med Inst 15(2):77–80

12.

Fadl FA (2003) Outcome of type-1 tympanoplasty. Saudi Med J 24(1):58–61PubMed

13.

Palva T (1987) Myringoplasty and tympanoplasty. Acta Otolaryngol 104:279–284PubMedCrossRef

14.

Gerber, Dornhoffer et al (2000) Hearing results after primary cartilage tympanoplasty. Laryngoscope 111(12):1994–1999

15.

Gierek T, Slaska-Kaspera A, Majzel K, Klimczak-Golab L (2004) Results of myringoplasty and type I tympanoplasty with the use of fascia, cartilage and perichondrium grafts. Otolaryngol Pol 58:529–533PubMed

16.

Wielgosz R, Mroczkowski E (2006) Assessment of the hearing results in tympanoplasties with the use of palisade-technique. Otolaryngol Pol 60:901–905PubMed

17.

Effat KG (2005) Results of inlay cartilage myringoplasty in terms of closure of central tympanic membrane perforations. J Laryngol Otol 119(8):611–613PubMed

18.

Vos JD, Latev MD, Labadie RF, Cohen SM, Werkhaven JA, Haynes DS (2005) Use of Allo Derm in type I tympanoplasty: a comparison with native tissue grafts. Laryngoscope 115:1599–1602PubMedCrossRef

19.

Fishman AJ, Huang TC, Kanowitz SJ (2005) Total tympanic membrane reconstruction: Allo Derm versus temporalis fascia. Otolaryngol Head Neck Surg 132(6):906–915PubMedCrossRef

20.

Harvinder S, Hassan S, Sidek DS, Hamzah M, Samsudin AR, Philip R (2005) Underlay myringoplasty: comparison of human amniotic membrane to temporalis fascia graft. Med J Malays 60(5):585–589

21.

Emir H, Ceylan K, Kizilkaya Z, Gocmen H, Uzunkulaoglu H, Samim E (2007) Success is a matter of experience: type 1 tympanoplasty: influencing factors on type 1 tympanoplasty. Eur Arch Otorhinolaryngol 264(6):595–599PubMedCrossRef

22.

Singh M, Rai A, Bandyopadhyay S, Gupta SC (2003) Comparative study of the underlay and overlay techniques of myringoplasty in large and subtotal perforations of the tympanic membrane. J Laryngol Otol 117(6):444–448PubMedCrossRef

Title: Hearing Outcome After Type I Tympanoplasty: A Retrospective Study
Authors: Gaurav Batni
Rashmi Goyal
Publication date: 01-03-2015
Publisher: Springer India
Published in: Indian Journal of Otolaryngology and Head & Neck Surgery / Issue 1/2015
Print ISSN: 2231-3796
Electronic ISSN: 0973-7707
DOI: https://doi.org/10.1007/s12070-014-0749-8

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Hearing Outcome After Type I Tympanoplasty: A Retrospective Study

Abstract

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