Effect of Mastoid and Middle Ear Volume on Graft Success and Hearing Outcomes in Pediatric Tympanoplasty

2022 ◽  
pp. 1-25
Author(s):  
Deniz Baklaci ◽  
Ergin Bilgin ◽  
Elif Kaya Celik ◽  
Alican Kilic ◽  
Duygu Erdem ◽  
...  
Keyword(s):  
Middle Ear ◽  
Graft Success ◽  
Hearing Outcomes

scholarly journals Is Allergic Rhinitis a Factor That Affects Success of Tympanoplasty?

2016 ◽  
Vol 59 (1) ◽  
pp. 10-13
Author(s):  
Elif Ersoy Callioglu ◽  
A. Sami Bercin ◽  
Hayati Kale ◽  
Togay Muderris ◽  
Sule Demirci ◽  
...  
Keyword(s):  
Allergic Rhinitis ◽  
Success Rate ◽  
Middle Ear ◽  
Success Rates ◽  
Type 1 Tympanoplasty ◽  
Significant Difference ◽  
Patient Groups ◽  
The Difference ◽  
Graft Success

Objective: The aim of the present study was to investigate the effect of allergic rhinitis on the success of the operation in chronic otitis surgery by using score for allergic rhinitis (SFAR). Materials and Methods: In the present study; 121 patients, who underwent type 1 tympanoplasty were examined retrospectively. SFAR of all patients were recorded. The graft success rates of 26 patients with allergic rhinitis (AR) and 95 patients with no allergic rhinitis group (NAR) were compared. Results: While the graft success rate in NAR group was 89.5%, this rate was 80.8% in the AR group. However, the difference between groups was not statistically significant (p = 0.311). Conclusion: These findings suggest that allergic rhinitis decreases the graft success rate of the pathologies occurring in eustachian tube, middle ear and mastoid although statistically significant difference wasn’t found. Prospective studies with larger patient groups are required in order to evaluate this pathology.

Insertion of middle-ear Silastic sheeting during tympanoplasty: hearing outcomes

2010 ◽  
Vol 125 (5) ◽  
pp. 445-448 ◽  
Author(s):  
S M Elmorsy ◽  
H E Amer
Keyword(s):  
Retrospective Study ◽  
Surgical Treatment ◽  
Chronic Inflammation ◽  
Middle Ear ◽  
Bone Conduction ◽  
Chronic Otitis Media ◽  
One Year ◽  
Operative Findings ◽  
Hearing Outcomes ◽  
Air Conduction

AbstractObjective:To study the effect of Silastic®sheeting placed in the middle ear during tympanoplasty, including the effect on hearing.Design:Retrospective study.Background:Chronic inflammation of the middle ear is common. Surgical treatment sometimes results in middle-ear adhesions and hearing deterioration.Materials and methods:We selected 106 patients with chronic otitis media, middle-ear adhesions and intact ossicles, based on intra-operative findings. These patients underwent single-stage tympanoplasty either with or without insertion of Silastic sheeting. Audiometry was undertaken pre-operatively and one and 12 months post-operatively.Results:Patients who had undergone Silastic sheet insertion showed significantly better air conduction, bone conduction and air–bone gap averages one year post-operatively, compared with those who had not.

scholarly journals Comparative study of hearing level pre and post ossiculoplasty in Aseer Central Hospital, Saudi Arabia

2018 ◽  
Vol 4 (2) ◽  
pp. 312
Author(s):  
Abdullah Assiri ◽  
Ali M. Al-Qannass ◽  
Tawfiq A. Khurayzi ◽  
Talat E. Alardi
Keyword(s):  
Saudi Arabia ◽  
Middle Ear ◽  
Male Gender ◽  
Hearing Level ◽  
Central Hospital ◽  
Hearing Improvement ◽  
Kingdom Of Saudi Arabia ◽  
Hearing Outcome ◽  
Average Change ◽  
Hearing Outcomes

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Achieving successful hearing outcomes following ossiculoplasty in patients with middle ear diseases depend on several factors. Unfortunately, the literature is confusing concerning the middle ear factors and types of pathologic process that are most important in predicting hearing outcome. The objective of the study was to investigate the improvement or deterioration of hearing after ossiculoplasty and identify the possible prognostic factors.</span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">Between January, 2012 and December, 2014, 30 ossiculoplasties were performed and followed up by the first author with the help of other authors in Otolaryngology department, Aseer Ceneral hospital, Abha, Kingdom of Saudi Arabia. The patients were followed up at 6 months, 9 months after the operation and then on a yearly basis. Postoperative hearing outcomes were considered successful if the postoperative air-bone gap was within 20 dB while it was considered not successful if it exceeds 20 dB.  </span></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">The study included 30patients. Their age ranged between 18 and 61 years with a mean of 37.4±10.7 years. Sixty percent of them (n=18) were females and forty percent (n=12) were males. Pre-operative PTA was 37.83±8.97 dB and it decreased to 23.0±12.57 dB postoperatively. This difference was statistically significant (p&lt;0.001) with an average change in ABG of 150 dB across the 30 patients. The successful rate was 50%. the only factor proved to be significantly associated with successful ossiculoplasty was the male gender as 75% of makes compared to 33.3% of females patients reported postoperative air-bone gap within 20 dB, p=0.030. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">Successful rate of ossiculoplasty in Asser central hospital is within the globally reported rates. However, further larger prospective study is recommended for better understanding of predictive factors for hearing improvement after ossiculoplasty that may contribute to the surgeon’s judgment and the information given to patients.</span></p>

Effect of Ossicular Prosthesis Biofilms on Middle Ear Scarring and Hearing Outcomes

2009 ◽  
Vol 30 (8) ◽  
pp. 1191-1195 ◽  
Author(s):  
Eric M. Jaryszak ◽  
Edith M. Sampson ◽  
Patrick J. Antonelli
Keyword(s):  
Middle Ear ◽  
Hearing Outcomes

scholarly journals The practices and philosophies of cartilage tympanoplasty in difficult and challenging circumstances: audiological and morphological perspectives

2021 ◽  
Vol 7 (2) ◽  
pp. 358
Author(s):  
Apoorva Kumar Pandey ◽  
Ajaz U. Haq ◽  
Sharad Hernot ◽  
Madhuri Kaintura ◽  
Aparna Bhardwaj ◽  
...  
Keyword(s):  
Success Rate ◽  
Pure Tone ◽  
Randomized Study ◽  
Chronic Otitis Media ◽  
Functional Results ◽  
Pure Tone Average ◽  
Cartilage Tympanoplasty ◽  
The Difference ◽  
Graft Success ◽  
Hearing Outcomes

<p class="abstract"><strong>Background:</strong> The main objective of the study was to assess the anatomical and functional results of cartilage tympanoplasty using full thickness cartilage graft (with or without perichondrium) reinforced with fascia in high risk situations.</p><p class="abstract"><strong>Methods:</strong> This prospective non-controlled, non-randomized  study included 124 cases of chronic otitis media who underwent cartilage (reinforcement) tympanoplasty (underlay) and ossicular reconstruction with or without mastoidectomy in following seven groups:  revision cases, atelectatic cases, subtotal perforation (dry), larger anterior perforations (dry), tympanosclerosis, cholesteatomatous ear, and wet (discharging) ears .  Graft success was accepted labelled as an intact graft at the end of six month postoperatively. At the same time, hearing results were also assessed by comparing pre- and post-operative pure tone average air-bone gap (PTA-ABG) of each group using Student “t” test and p&lt;0.05 was considered statistically significant for the hearing outcomes.  </p><p class="abstract"><strong>Results:</strong> Anatomical success rate in this series was 94.36%. The overall mean pre- and post- operative pure tone average air-bone gap (PTA-ABG) were 31.33±10.41 dB and 19.55±12.04 dB, respectively and the difference was statistically significant (p&lt;0.05). Best take up rates were observed in atelectatic and tympanosclerotic group i.e., 100% and 96.55% respectively.</p><p class="abstract"><strong>Conclusions:</strong> This study discusses the results of cartilage tympanoplasty in specifically indicated seven situation and reveals good anatomic results in each group (minimum success rate was 86.66% in wet ears) and statistically significant differences in mean pre- and post op PTA-ABG in groups except cholesteatoma and wet ear group.</p>

scholarly journals Isolated middle ear anomalies: unfamiliar causes of conductive hearing loss: a case series

2020 ◽  
Vol 7 (1) ◽  
pp. 130
Author(s):  
Honnurappa Vijayendra ◽  
Somashekhar Abhilasha ◽  
Vinay Vijayendra ◽  
Nilesh Mahajan
Keyword(s):  
Hearing Loss ◽  
Middle Ear ◽  
Case Series ◽  
Retrospective Case ◽  
Case Series Study ◽  
Ear Anomalies ◽  
Operative Findings ◽  
Hearing Outcomes ◽  
Conductive Hearing ◽  
Series Study

<p class="abstract">In this paper, we highlighted on the various types of isolated congenital middle ear ossicular anomalies we had seen and managed. This is significant as these are rare and go undiagnosed for long period of time. The mainstay of managing these conditions includes proper and timely diagnosis and correction of conducting hearing loss. This was a retrospective case series study done over period of 3 years from July 2016 to June 2019 at a tertiary referral otology centre. The study comprised of 9 patients diagnosed with isolated middle ear anomalies and in total 11 operated ears for the same as two patients underwent bilateral treatment. Each case was handled differently according to the intra operative middle ear findings. We found that in all of our cases the HRCT findings were in correlation with our intra operative findings. All cases had excellent post-operative hearing outcomes. Isolated middle ear deformity even though rare to identity, with recent advancement it is possible to diagnose and treat it on time and hence reduce the disability experienced by the patient. Whatever the type of abnormalities, most of them could be corrected with appropriate ossicular reconstruction by preserving the normal existing anatomy and bypassing the anomalous part.</p><p> </p>

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