Clinical outcome of revision cartilage tympanoplasty

We retrospectively reviewed 32 ears from 30 adult patients with chronic otitis media who underwent revision tympanoplasty using cartilage graft (performed by a single surgeon) from January 10, 2011, to May 10, 2016. All procedures were performed using an endaural incision for both temporalis fascia...

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Bibliographic Details
Published in:Ear, nose, & throat journal nose, & throat journal, 2018-10, Vol.97 (10-11), p.349-361
Main Authors: Wei, Pei-Yin, Chu, Chia-Hui, Wang, Mao-Che
Format: Article
Language:English
Subjects:
Care and treatment
Ear surgery
Health aspects
Medical schools
Methods
Otitis
Otitis media
Patient outcomes
Physicians
Skin grafts
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Summary:We retrospectively reviewed 32 ears from 30 adult patients with chronic otitis media who underwent revision tympanoplasty using cartilage graft (performed by a single surgeon) from January 10, 2011, to May 10, 2016. All procedures were performed using an endaural incision for both temporalis fascia graft and tragal cartilage graft harvesting. The overall surgical success rate was 93.3%. The average preoperative hearing level was 43.1 ± 17.3 dBHL, and the average postoperative hearing level was 39.2 ± 18.2 dBHL, representing a significant improvement. The average air-bone gap was 19.4 ±7.6 dB preoperatively and 16.9 ± 9.9 dB postoperatively. Also of note, the improvement in air-bone gap reached the level of significance at 500 Hz (p = 0.023). We conclude that using cartilage graft in revision tympanoplasty is a safe and reliable technique with good surgical outcomes. Using one single endaural incision for both fascia and cartilage harvesting is simple while achieving aesthetic wound healing.
ISSN:0145-5613
1942-7522