Is type 1 tympanoplasty effective in elderly patients? Comparison of fascia and perichondrium grafts

Background: Tympanoplasty is regularly performed in various ages but data about the procedure in elderly is insufficient. Objectives: To compare the success rates and hearing outcomes of fascia and perichondrium grafts used for tympanoplasty in patients >65 years and to evaluate the prognostic fa...

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Bibliographic Details
Published in:Acta oto-laryngologica 2019-09, Vol.139 (9), p.734-738
Main Authors: Cayir, Serkan, Kayabasi, Serkan, Hizli, Omer
Format: Article
Language:English
Subjects:
Age Factors
Aged
Cartilage - transplantation
Cohort Studies
Elderly
fascia
Fascia - transplantation
Female
Follow-Up Studies
Geriatric Assessment
Graft Rejection
Graft Survival
Hearing Tests - methods
Humans
Male
Middle Aged
perichondrium
Prognosis
Retrospective Studies
Risk Assessment
Statistics, Nonparametric
success
Tissue Transplantation - adverse effects
Tissue Transplantation - methods
Treatment Outcome
Tympanic Membrane Perforation - diagnostic imaging
Tympanic Membrane Perforation - surgery
tympanoplasty
Tympanoplasty - adverse effects
Tympanoplasty - methods
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Summary:Background: Tympanoplasty is regularly performed in various ages but data about the procedure in elderly is insufficient. Objectives: To compare the success rates and hearing outcomes of fascia and perichondrium grafts used for tympanoplasty in patients >65 years and to evaluate the prognostic factors affecting the success of tympanoplasty. Methods: Reviewing records of 49 elderly patients underwent tympanoplasty, two groups were constituted: perichondrium (25 patients) and fascia (24 patients) groups. Ages, genders, perforation sides, type and location of perforation, graft success rates, functional success rates and air-bone gap (ABG) gains were compared. Results: Overall graft success rate was 85.7%. After a mean follow-up of 23.3 ± 8.32 months, overall mean ABG gain was 11.33 ± 8.42 dB. Overall median postoperative ABG value (9 dB) was significantly lower compared to the median preoperative value (24 dB) (p 
ISSN:0001-6489
1651-2251
DOI:10.1080/00016489.2019.1633018