scholarly journals Comparison of Tympanic Membrane Perforation With and Without Calcification of Anterior Mallear Ligament Under Transcanal Endoscopic Type I Tympanoplasty

2021 ◽  
pp. 014556132110100
Author(s):  
Cong Wu ◽  
Xiaoyun Chen ◽  
Yideng Huang ◽  
Min Zhang ◽  
Fan Ye ◽  
...  
Keyword(s):  
Tympanic Membrane ◽  
Operation Time ◽  
Tympanic Membrane Perforation ◽  
Type I ◽  
Closure Rate ◽  
Suppurative Otitis Media ◽  
Low Frequencies ◽  
Membrane Perforation ◽  
Type I Tympanoplasty ◽  
Hearing Outcomes

Objectives: Chronic suppurative otitis media (CSOM) induced tympanic membrane perforation (TMP) can be accompanied by anterior mallear ligament (AML) calcification. So far, comparative evaluations of TMP with and without AML calcification have rarely been reported. The aim of the current study is to compare the hearing outcomes of TMP with and without calcification of AML under transcanal endoscopic type I tympanoplasty. Methods: Records of 67 patients diagnosed with CSOM and receiving transcanal endoscopic type I tympanoplasty were divided into the AML calcification group (Cal group, n = 31) and the non-AML calcification group (non-Cal group, n = 36). The 31 patients in the Cal group were divided into subgroup A and B according to the severity of calcification. The operation time, closure rate, and pre- and postoperative audiometric results were retrospectively collected and analyzed. Results: Preoperatively, the Cal group had higher mean air–bone gap (ABG; P = .022), and ABGs at 250 Hz ( P = .017) and 500 Hz ( P = .008) compared with the non-Cal groups. The Cal group showed higher improvements of ABGs at 250 Hz ( P = .039) and 500 Hz ( P = .021) compared with the non-Cal groups postoperatively. Conclusions: The TMP with AML calcification leads to higher ABGs at low frequencies. The hearing outcomes are similar for TMP both with and without AML calcification after surgery. Our results suggest that transcanal endoscopic type I tympanoplasty is an appropriate surgical method for TMP with AML calcification, if the lesion can be detected and completely eliminated.

The Management of Tympanic Membrane Perforation With Endoscopic Type I Tympanoplasty

2019 ◽  
pp. 1 ◽  
Author(s):  
Daniele Marchioni ◽  
Luca Gazzini ◽  
Stefano De Rossi ◽  
Flavia Di Maro ◽  
Luca Sacchetto ◽  
...  
Keyword(s):  
Tympanic Membrane ◽  
Tympanic Membrane Perforation ◽  
Type I ◽  
Membrane Perforation ◽  
Type I Tympanoplasty

Analysis of Type I Tympanoplasty Versus Simple Underlay Myringoplasty for Tympanic Membrane Perforation

2015 ◽  
Vol 108 (5) ◽  
pp. 339-345
Author(s):  
Ryo Suzuki ◽  
Shinichi Sato ◽  
Kazuyuki Ichimaru ◽  
Tomoyuki Haji ◽  
Juichi Ito
Keyword(s):  
Tympanic Membrane ◽  
Tympanic Membrane Perforation ◽  
Type I ◽  
Membrane Perforation ◽  
Type I Tympanoplasty

scholarly journals Research of Ear Endoscopic Type I Tympanoplasty——Single-institution Experiences in China

2021 ◽  
Author(s):  
Di Ji ◽  
Jun Jie Yang ◽  
Xian Bai Zhu ◽  
Xue Qin Zhou ◽  
Xiao Jun Liang ◽  
...  
Keyword(s):  
Tympanic Membrane ◽  
Tympanic Membrane Perforation ◽  
Type I ◽  
Hearing Level ◽  
Hearing Improvement ◽  
Suppurative Otitis Media ◽  
Mean Values ◽  
Before And After ◽  
The Mean ◽  
Type I Tympanoplasty

Abstract Purpose: To assess outcomes of one-handed ear endoscopic Type I Tympanoplasty and summarize the experience. Methods: This study retrospectively analyzed 34 cases (23 females and 11 males) of one-handed ear Endoscopic Type I Tympanoplasty. Result: The mean values of air conduction threshold before and after surgery were 48.22+18.36dB HL and 34.34+19.83dB HL, respectively. The mean values of the air-bone gap before and after surgery were 23.60+12.18 dB HL and 11.05+6.62 dB HL, respectively. The results showed statistically significant differences in hearing improvement(P<0.05). Among 34 ears, 30 ears had effective hearing improvement. No vertigo, intracranial infection, suppuration, and any other postoperative complications occurred. Although 1 ear occurred tympanic membrane perforation again, all ears achieved dry. Conclusion: Ear endoscopic Type I Tympanoplasty with fewer complications and shorter surgery time were suitable for the chronic suppurative otitis media. Healing of the tympanic membrane and recovery of hearing level was ensured. However, the experience is still insufficient in China, so a large number of clinical workers need to exchange experience to promote the development of ear minimally invasive surgery.

scholarly journals Analysis of Type I Tympanoplasty Versus Simple Underlay Myringoplasty for Tympanic Membrane Perforation

2015 ◽  
Vol 144 (0) ◽  
pp. 8-9
Author(s):  
Ryo Suzuki ◽  
Shinichi Sato ◽  
Kazuyuki Ichimaru ◽  
Tomoyuki Haji ◽  
Juichi Ito
Keyword(s):  
Tympanic Membrane ◽  
Tympanic Membrane Perforation ◽  
Type I ◽  
Membrane Perforation ◽  
Type I Tympanoplasty

scholarly journals Observation of hearing loss in patients with chronic suppurative otitis media tubotympanic type

1970 ◽  
Vol 7 (4) ◽  
pp. 397-401 ◽  
Author(s):  
M Maharjan ◽  
P Kafle ◽  
M Bista ◽  
S Shrestha ◽  
KC Toran
Keyword(s):  
Hearing Loss ◽  
Tympanic Membrane ◽  
Otitis Media ◽  
Tympanic Membrane Perforation ◽  
Chronic Suppurative Otitis Media ◽  
Common Finding ◽  
Hearing Level ◽  
Suppurative Otitis Media ◽  
Low Frequencies ◽  
Membrane Perforation

Background: It is acknowledged that size and site of tympanic membrane perforation is proportional to degree of hearing loss but there are many studies which suggests otherwise. Persistent ear discharge is also supposed to deteriorate hearing level with passage of time. This study is carried out to find out the relation between size and site of tympanic membrane perforation and duration of ear discharge on hearing loss. Objectives: The objective of this study is to study the effect of size and site of tympanic membrane perforation and duration of ear discharge on hearing loss. Materials and methods: This is a cross-sectional prospective study conducted at Kathmandu Medical College, department of ear nose and throat from January till July 2009. One hundred patients aged between 8 to 60 years with pars-tensa perforations were included in the study. Detail clinical examination and history was carried out followed by hearing evaluation by audiometry was done in all cases. All the data is collected, statistical analysis is done using SPSS program and documented for study. Results: One hundred patients with 119 perforated tympanic membrane, age ranged between 8 to 60 years, 44 males and 56 females were studied. Bilateral tympanic membrane perforation were seen in 19 patients, right sided perforation in 39 and left sided in 42 patients respectively. Large central perforation involving all four quadrants was the most common otologic findings seen in 72 ears (60.50%) whereas perforation in posterosuperior quadrant was the least common finding seen in 3 patients (2.52%). Significant relation is observed between site of perforation and degree of hearing loss; posterior placed perforations seem to have larger hearing loss. Ninety-five perforations (79.83%) showed more loss in low frequencies with larger air bone gap at low frequencies. The longer the duration of ear discharge, the more the hearing loss. Conclusion: The larger the perforation, the greater the decibel loss in sound perception. The location of perforation on the tympanic membrane and the duration of ear discharge have significant effect on the magnitude of hearing loss. Key words: chronic suppurative otitis media; tympanic membrane perforation; hearing loss DOI: 10.3126/kumj.v7i4.2761 Kathmandu University Medical Journal (2009) Vol.7, No.4 Issue 28, 397-401

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