Paediatric revision myringoplasty: outcomes and prospects

Paediatric revision myringoplasty has received little attention. This study addressed the issue exclusively and reviewed the short- and long-term results of surgery in children between the ages of five and 15. Twenty-six out of 38 operated ears (68.4 per cent) were initially intact. The causes of immediate failure in decreasing order were: infection with graft necrosis, complete no-take of the graft and poor anterior adaptation of the graft. Age, size and site of perforation and surgeon’s experience did not significantly affect the initial outcome of surgery. Six ears developed delayed re-perforations, thus decreasing the overall success rate to 52.6 per cent. The latter were attributable to either episodes of acute otitis media or to insidious atrophy of the tympanic membrane. Notably, none developed post-operative sensorineural hearing loss. It is concluded that the results of paediatric revision myringoplasty are rather disappointing, yet arguments encouraging its practice are favourably presented.

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Revision myringoplasty

The Journal of Laryngology & Otology ◽

10.1017/s0022215100137818 ◽

1997 ◽

Vol 111 (6) ◽

pp. 517-520 ◽

Cited By ~ 9

Author(s):

Gilead Berger ◽

Dov Ophir ◽

Eliezer Berco ◽

Jacob Sadé

Keyword(s):

Retrospective Study ◽

Success Rate ◽

Tympanic Membrane ◽

Otitis Media ◽

Acute Otitis Media ◽

Long Term Results ◽

Short And Long Term ◽

Graft Necrosis

AbstractThis retrospective study was undertaken to review the short- and long-term results of 70 revision and 16 re-revision myringoplasty operations. Of the former, 43 cases (61.4 per cent) had initial success, six weeks following surgery. The leading causes of immediate failure (27 cases) were associated with a complete no- take of thegraft, infection with graft necrosis and poor anterior adaptation of the graft in decreasing order. Six out of the 43 patients developed late re-perforations during the follow-up period, thus reducing the success rate of revision myringoplasty to 52.8 per cent. Late re-perforations were attributed to insidious atrophy of the tympanic membrane or episodes of acute otitis media. Sixteen patients underwent re-revision myringoplasty and their success rate was 62.5 per cent. The overall success rate of revision and re-revision myringoplasty was 54.7 per cent. It has been concluded that results of revision myringoplastywere independent of patients' age, location and size of perforation and the seniority of the surgeon.

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Long-term results of intratympanic prednisolone injection in patients with idiopathic sudden sensorineural hearing loss

Acta Oto-Laryngologica ◽

10.3109/00016489.2013.788791 ◽

2013 ◽

Vol 133 (9) ◽

pp. 900-904 ◽

Cited By ~ 8

Author(s):

Roberto Filipo ◽

Giuseppe Attanasio ◽

Laura Cagnoni ◽

Eleonora Masci ◽

Francesca Y. Russo ◽

...

Keyword(s):

Hearing Loss ◽

Sensorineural Hearing Loss ◽

Sudden Sensorineural Hearing Loss ◽

Sensorineural Hearing ◽

Long Term Results

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Long-Term Results of Incus Vibroplasty in Patients with Moderate-to-Severe Sensorineural Hearing Loss

Audiology and Neurotology ◽

10.1159/000368387 ◽

2015 ◽

Vol 20 (2) ◽

pp. 136-146 ◽

Cited By ~ 12

Author(s):

Hannes Maier ◽

Anna-Lena Hinze ◽

Timo Gerdes ◽

Susan Busch ◽

Rolf Salcher ◽

...

Keyword(s):

Hearing Loss ◽

Sensorineural Hearing Loss ◽

Middle Ear ◽

Speech Intelligibility ◽

Bone Conduction ◽

Sensorineural Hearing ◽

Long Term Results ◽

Single Subject ◽

Over Time

Objectives: The principal aim of this study was to assess the safety and effectiveness of the middle ear implant Vibrant Soundbridge (VSB) in patients with moderate-to-severe sensorineural hearing loss up to a mean (± standard deviation) duration of 11.1 ± 2.1 years (min. = 8.2, max. = 13.9, n = 16) after the intervention. Design: This was a retrospective, single-subject repeated-measurements study over a long-term period. A total of 104 German-speaking adults (for 122 implants) were included in this study (54 male, 50 female). The mean age at implantation was 54.5 years (min. = 19.0, max. = 80.4). Audiological outcome and speech intelligibility were assessed in all VSB patients at different time points in non-overlapping groups. Results: Bone conduction (BC) thresholds were preserved after the implantation and no indication was found of an increase over time of the small air-bone gaps introduced by the implantation. BC and air conduction thresholds worsened similarly in both implanted and non-implanted ears over time. The decrease in audiological benefit provided by the VSB was moderate and the Word Recognition Score in quiet conditions at 65 dB SPL was still largely improved with the VSB in the longest observed group. Conclusions: These results confirm that the VSB does not affect the integrity of the inner/middle ear and is still beneficial in long-term follow-up.

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Short- and Long-Term Results of Stapedotomy and Stapedectomy with a Teflon-Wire Piston Prosthesis

Annals of Otology Rhinology & Laryngology ◽

10.1177/000348940111001003 ◽

2001 ◽

Vol 110 (10) ◽

pp. 907-911 ◽

Cited By ~ 34

Author(s):

Maria Izabel Kos ◽

Pierre B. Montandon ◽

Jean-Philippe Guyot

Keyword(s):

Hearing Loss ◽

Postoperative Complications ◽

Evaluation Criteria ◽

Long Term Results ◽

Hearing Results ◽

Long Term Follow Up ◽

Short And Long Term ◽

Residual Air

We analyzed the results of 604 cases of primary stapes surgery performed between 1974 and 1997 with replacement of the stapes by a 0.6- or 0.8-mm Schuknecht Teflon-wire piston. At long-term follow-up (1 to 21 years; mean, 7 years), the residual air-bone gap was 10 dB or less in 79% of the cases. The hearing results and postoperative complications were comparable to those reported by authors who used the same evaluation criteria. Although the aim of the surgery was to perform a small stapedotomy with a narrow footplate perforation (0.8 mm), a large stapedotomy or a stapedectomy was performed in 134 cases (22.2%) because of surgical or anatomic conditions. Our results show that the larger footplate perforations allowed a better correction of the air-bone gap at the lower frequencies. The ears with larger perforations did not show a higher incidence of sensorineural hearing loss.

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Cancer of the Cervical Esophagus: Extent of Resection, Short- and Long-Term Results of Surgery

Recent Advances in Diseases of the Esophagus ◽

10.1007/978-4-431-68246-2_102 ◽

1993 ◽

pp. 630-635 ◽

Cited By ~ 3

Author(s):

A. Peracchia ◽

A. Ruol ◽

R. Bardini ◽

S. Narne ◽

A. Segalin ◽

...

Keyword(s):

Extent Of Resection ◽

Cervical Esophagus ◽

Long Term Results ◽

Short And Long Term ◽

Results Of Surgery

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A CASE OF MID-FREQUENCY SENSORINEURAL HEARING LOSS

Trakia Journal of Sciences ◽

10.15547/tjs.2020.s.01.015 ◽

2020 ◽

Vol 18 (Suppl.1) ◽

pp. 89-92

Author(s):

At. Vlaykov ◽

V. Stoyanov

Keyword(s):

Hearing Loss ◽

Sensorineural Hearing Loss ◽

Clinical Case ◽

Genetic Mutation ◽

Sensorineural Hearing ◽

Phone Call ◽

Long Term Results ◽

Genetic Origin ◽

Hereditary Nature

Introduction: Mid-frequency sensorineural hearing loss (MFSNHL) is an unusual audiometric finding with a debatable etiology with unclear long-term results. In general, the middle frequencies are affected first, and the process progresses slowly to include all frequencies. There are also some cases where provocative factors have been reported. Purpose: The aim of the work is to present a clinical case in our practice of the rare occurrence of mid-frequency acoustic hearing loss and its diagnostic approach. Material and methods: The patient has undergone a number of manual and instrumental tests to confirm or reject a specific cause of the hearing loss condition. Results: A 52-year-old man was hospitalised with complaints of hearing loss for about a year, judging by the growing difficulty in making a phone call. Conclusions: Generally, a U-shaped audiogram is thought to indicate hearing loss of genetic origin. However, this type of deafness is not unique to one particular type of genetic mutation. There are also numerous descriptions of non-genetic mid-frequency hearing loss in the literature. In the particular clinical case presented by us, it was concluded that this was a hearing loss, possibly of hereditary nature, after excluding another provocative cause, as well as due to anamnestic data on premature hearing loss in one of the parents.

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Contactless Semi-Implantable Electromagnetic Middle Ear Device for the Treatment of Sensorineural Hearing Loss: Short-Term and Long-Term Animal Experiments

Otolaryngologic Clinics of North America ◽

10.1016/s0030-6665(20)30571-5 ◽

1995 ◽

Vol 28 (1) ◽

pp. 121-140 ◽

Cited By ~ 8

Author(s):

Anthony J. Maniglia ◽

Wen H. Ko ◽

Mary Rosenbaum ◽

Ted Falk ◽

Wei-Lin Zhu ◽

...

Keyword(s):

Hearing Loss ◽

Sensorineural Hearing Loss ◽

Middle Ear ◽

Animal Experiments ◽

Sensorineural Hearing ◽

Short Term

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Short- and Long-Term Results of Total vs Subtotal Thyroid- ectomies in the Surgical Treatment of Graves' Disease

Swiss Surgery ◽

10.1024/1023-9332.7.1.20 ◽

2001 ◽

Vol 7 (1) ◽

pp. 20-24 ◽

Cited By ~ 14

Author(s):

Robert ◽

Mariéthoz ◽

Pache ◽

Bertin ◽

Caulfield ◽

...

Keyword(s):

Recurrent Laryngeal Nerve ◽

Nerve Palsy ◽

Recurrent Laryngeal Nerve Palsy ◽

Laryngeal Nerve ◽

Long Term Results ◽

Graves Disease ◽

Laryngeal Nerve Palsy ◽

Short And Long Term

Objective: Approximately one out of five patients with Graves' disease (GD) undergoes a thyroidectomy after a mean period of 18 months of medical treatment. This retrospective and non-randomized study from a teaching hospital compares short- and long-term results of total (TT) and subtotal thyroidectomies (ST) for this disease. Methods: From 1987 to 1997, 94 patients were operated for GD. Thirty-three patients underwent a TT (mostly since 1993) and 61 a ST (keeping 4 to 8 grams of thyroid tissue - mean 6 g). All patients had received propylthiouracil and/or neo-mercazole and were in a euthyroid state at the time of surgery; they also took potassium iodide (lugol) for ten days before surgery. Results: There were no deaths. Transient hypocalcemia (< 3 months) occurred in 32 patients (15 TT and 17 ST) and persistent hypocalcemia in 8 having had TT. Two patients developed transient recurrent laryngeal nerve palsy after ST (< 3 months). After a median follow-up period of seven years (1-15) with five patients lost to follow-up, 41 patients having had a ST are in a hypothyroid state (73%), thirteen are euthyroid (23%), and two suffered recurrent hyperthyroidism, requiring completion of thyroidectomy. All 33 patients having had TT - with follow-ups averaging two years (0.5-8) - are receiving thyroxin substitution. Conclusions: There were no instances of persistent recurrent laryngeal nerve palsy in either group, but persistent hypoparathyroidism occurred more frequently after TT. Long after ST, hypothyroidism developed in nearly three of four cases, whereas euthyroidy was maintained in only one-fourth; recurrent hyperthyroidy was rare.

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Short- and Long-Term Results of the Surgical Management of Frontobasal Fractures

Skull Base ◽

10.1055/s-2007-984187 ◽

2007 ◽

Vol 17 (S 1) ◽

Author(s):

Boštjan Lanišnik ◽

Vojko Didanovič ◽

Bogdan Čizmarevič

Keyword(s):

Surgical Management ◽

Long Term Results ◽

Short And Long Term

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Transapical versus Conventional Aortic Valve Replacement�A Propensity-Matched Comparison

The Heart Surgery Forum ◽

10.1532/hsf98.20111084 ◽

2012 ◽

Vol 15 (1) ◽

pp. 4 ◽

Cited By ~ 23

Author(s):

David M. Holzhey ◽

William Shi ◽

A. Rastan ◽

Michael A. Borger ◽

Martin H�nsig ◽

...

Keyword(s):

Aortic Valve ◽

Survival Rates ◽

Long Term Results ◽

Term Survival ◽

Kaplan Meier ◽

Risk Patients ◽

Short And Long Term ◽

Good Treatment Option ◽

Matched Comparison

Introduction: The goal of this study was to compare the short- and long-term outcomes after aortic valve (AV) surgery carried out via standard sternotomy/partial sternotomy versus transapical transcatheter AV implantation (taTAVI).Patients and Methods: All 336 patients who underwent taTAVI between 2006 and 2010 were compared with 4533 patients who underwent conventional AV replacement (AVR) operations between 2001 and 2010. Using propensity score matching, we identified and consecutively compared 2 very similar groups of 167 patients each. The focus was on periprocedural complications and long-term survival.Results: The 30-day mortality rate was 10.8% and 8.4% (P = .56) for the conventional AVR patients and the TAVI patients, respectively. The percentages of postoperative pacemaker implantations (15.0% versus 6.0%, P = .017) and cases of renal failure requiring dialysis (25.7% versus 12.6%, P = .004) were higher in the TAVI group. Kaplan-Meier curves diverged after half a year in favor of conventional surgery. The estimated 3-year survival rates were 53.5% � 5.7% (TAVI) and 66.7% � 0.2% (conventional AVR).Conclusion: Our study shows that even with all the latest successes in catheter-based AV implantation, the conventional surgical approach is still a very good treatment option with excellent long-term results, even for older, high-risk patients.

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