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Factors that may affect graft success in tympanoplasty with mastoidectomy

Year 2015, Volume: 5 Issue: 1, 9 - 12, 19.09.2015

Veysel Yurttaş Ahmet Ural Ahmet Kutluhan Kazım Bozdemir

https://doi.org/10.2399/jmu.2015001003
Cited By: 1

Abstract

Objective: The aim of this study was to evaluate the different factors that may affect graft success in tympanoplasty with mastoidectomy. Methods: Patients who underwent tympanoplasty with mastoidectomy between September 2004 and July 2010 were included in this study. Patient data were collected retrospectively. The effects of the epitympanic patency, duration of the dry period of the ear, presence of preoperative otorrhea, location of the perforation, status of the middle ear mucosa, and status of the tympanic membrane on the rate of postoperative graft success in patients who underwent tympanoplasty with mastoidectomy were investigated. The chi-square test and Fisher's exact test were used for statistical analysis. Results: A total of 130 patients, 74 male and 56 female, with an average age of 35.7 (range: 11 to 56) years were included. The overall success rate for full postoperative graft success was 75%. A >3-month dry period of the ear, absence of preoperative otorrhea, preoperative normal middle ear mucosa, and presence of epitympanic patency significantly increased the postoperative success rate of graft (p

Keywords

Tympanoplasty mastoidectomy prognostic factors epitympanic patency

References

  • Bluestone CD. Epidemiology and pathogensis of chronic suppu- rative otitis media: implications for prevention and treatment. In J Pediatr Otorhinolaryngol 1998;42:207-23.
  • Tos M. Manual of ear surgery. Vol. 1, Thieme Medical Publishers, pp.2, 1993.
  • Onal K, Uguz MZ, Kazikdas KC, Gursoy ST, Gokce H. A multi- variate analysis of otological, surgical and patient-related factors in determining success in myringoplasty. Clin Otolaryngol 2005;30: 115–20.
  • Pignataro L, Grillo Della Berta L, Capaccio P, Zaghis A. Myringoplasty in children: anatomical and functional results. J Laryngol Otol 2001;115:369–73.
  • Caylan R, Titiz A, Falcioni M, et al. Myringoplasty in children: factors influencing surgical outcome. Otolaryngol Head Neck Surg 1998;118:709–13.
  • Adkins WY, White B. Type I tympanoplasty: influencing factors. Laryngoscope 1984;94:916–8.
  • Sadé J, Berco E, Brown M, Weinberg J, Avraham S. Myringoplasty: short and long-term results in a training program. J Laryngol Otol 1981;95:653–65.
  • Lee P, Kelly G, Mills RP. Myringoplasty: does the size of the per- foration matter? Clin Otolaryngol Allied Sci 2002;27:331–4.
  • Kotecha B, Fowler S, Topham J. Myringoplasty: a prospective audit study. Clin Otolaryngol Allied Sci 1999;24:126–9.
  • Koch WM, Friedman EM, McGill TJ, Healy GB. Tympanoplasty in children. The Boston Children’s Hospital experience. Arch Otolaryngol Head Neck Surg 1990;116:35–40.
  • Sheehy JL. Mastoidectomy: the intact canal wall procedure In: Brackmann DE, editor. Otologic surgery. Phialdelphia: WB Saunders; 1994. p. 211–24.
  • McGrew BM, Jackson CG, Glasscock ME 3rd. Impact of mas- toidectomy on simple tympanic membrane perforation repair. Laryngoscope 2004;114:506–11.
  • Lau T, Tos M. Long-term results of surgery for chronic granulat- ing otitis. Am J Otolaryngol 1986;7:341–5.
  • Vartiainen E, Kansanen M. Tympanomastoidectomy for chronic otitis media without cholesteatoma. Otolaryngol Head Neck Surg 1992;106:230–4.
  • Mutoh T, Adachi O, Tsuji K, Okunaka M, Sakagami M. Efficacy of mastoidectomy on MRSA-infected chronic otitis media with tympanic membrane perforation. Auris Nasus Larynx 2007;34: 9–13.
  • Balyan FR, Celikkanat S, Aslan A, Taibah A, Russo A, Sanna M. Mastoidectomy in noncholesteatomatous chronic suppurative oti- tis media: is it necessary? Otolaryngol Head Neck Surg 1997;117: 592–5.
  • Mishiro Y, Sakagami M, Takahashi Y, Kitahara T, Kajikawa H, Kubo T. Tympanoplasty with and without mastoidectomy for non- cholesteatomatous chronic otitis media. Eur Arch Otorhinolaryn- gol 2001;258:13–5.
  • Merenda D, Koike K, Shafiei M, Ramadan H. Tympanometric volume: a predictor of success of tympanoplasty in children. Otolaryngol Head Neck Surg 2007;136:189–92.
  • Singh GB, Sidhu TS, Sharma A, Singh N. Tympanoplasty type I in children – an evaluative study. Int J Pediatr Otorhinolaryngol 2005;69:1071–6.
  • Pinar E, Sadullahoglu K, Calli C, Oncel S. Evaluation of prognos- tic factors and middle ear risk index in tympanoplasty. Otolaryngol Head Neck Surg 2008;139:386–90.
  • Albu S, Babighian G, Trabalzini F. Prognostic factors in tym- panoplasty. Am J Otol 1998;19:136–40.
  • Hulka GF, McElveen JT Jr. A randomized, blinded study of canal wall up versus canal wall down mastoidectomy determining the differences in viewing middle ear anatomy and pathology. Am J Otol 1998;19:574–8.
  • Mishiro Y, Sakagami M, Kondoh K, Kitahara T, Kakutani C. Long-term outcomes after tympanoplasty with and without mas- toidectomy for perforated chronic otitis media. Eur Arch Otorhinolaryngol 2009;266:819–22.
  • This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported (CC BY
  • NC-ND0) Licence (http://creativecommons.org/licenses/by-nc-nd/3.0/) which permits unrestricted noncommercial use, distribution, and reproduc
  • tion in any medium, provided the original work is properly cited.
  • Please cite this article as: Yurttafl V, Ural A, Kutluhan A, Bozdemir K. Factors that may affect graft success in tympanoplasty with mastoidectomy.
  • ENT Updates 2015;5(1):9–12.

Mastoidektomili timpanoplastide greft başarısını etkileyen faktörler

Year 2015, Volume: 5 Issue: 1, 9 - 12, 19.09.2015

Veysel Yurttaş Ahmet Ural Ahmet Kutluhan Kazım Bozdemir

https://doi.org/10.2399/jmu.2015001003
Cited By: 1

Abstract

Amaç: Çalışmanın amacı mastoidektomili timpanoplastide greft başarısı üzerinde etkisi olabilecek faktörleri araştırmaktır. Yöntem: Bu retrospektif çalışmada Eylül 2004 ile Temmuz 2014 arasında mastoidektomili timpanoplasti ameliyatı geçiren olguların verileri değerlendirildi. Epitimpanik açıklık, kulağın kuru kalış süresi, preoperatif otore olup olmaması, perforasyonun yeri, orta kulak mukozasının ile timpanik membranın durumunun postoperatif greft başarısı üzerindeki etkisi araştırıldı. İstatistiksel analiz için ki-kare ve Fisher exact testleri kullanıldı. Bulgular: Çalışmada toplam 130 hasta (56 kadın, 74 erkek; yaş ortalaması: 35.7, yaş aralığı: 11-56) dahil edildi. Greft başarı oranı %75 olarak belirlendi. Kulağın 3 aydan daha uzun süre kuru kalması, preoperatif olarak kulak akıntısı olmaması, preoperatif normal orta kulak mukozası ve epitimpanik açıklık oluşu postoperatif greft başarısını anlamlı şekilde artırmıştır (p

Keywords

Timpanoplasti mastoidektomi prognostik faktörler epitimpanik açıklık

References

  • Bluestone CD. Epidemiology and pathogensis of chronic suppu- rative otitis media: implications for prevention and treatment. In J Pediatr Otorhinolaryngol 1998;42:207-23.
  • Tos M. Manual of ear surgery. Vol. 1, Thieme Medical Publishers, pp.2, 1993.
  • Onal K, Uguz MZ, Kazikdas KC, Gursoy ST, Gokce H. A multi- variate analysis of otological, surgical and patient-related factors in determining success in myringoplasty. Clin Otolaryngol 2005;30: 115–20.
  • Pignataro L, Grillo Della Berta L, Capaccio P, Zaghis A. Myringoplasty in children: anatomical and functional results. J Laryngol Otol 2001;115:369–73.
  • Caylan R, Titiz A, Falcioni M, et al. Myringoplasty in children: factors influencing surgical outcome. Otolaryngol Head Neck Surg 1998;118:709–13.
  • Adkins WY, White B. Type I tympanoplasty: influencing factors. Laryngoscope 1984;94:916–8.
  • Sadé J, Berco E, Brown M, Weinberg J, Avraham S. Myringoplasty: short and long-term results in a training program. J Laryngol Otol 1981;95:653–65.
  • Lee P, Kelly G, Mills RP. Myringoplasty: does the size of the per- foration matter? Clin Otolaryngol Allied Sci 2002;27:331–4.
  • Kotecha B, Fowler S, Topham J. Myringoplasty: a prospective audit study. Clin Otolaryngol Allied Sci 1999;24:126–9.
  • Koch WM, Friedman EM, McGill TJ, Healy GB. Tympanoplasty in children. The Boston Children’s Hospital experience. Arch Otolaryngol Head Neck Surg 1990;116:35–40.
  • Sheehy JL. Mastoidectomy: the intact canal wall procedure In: Brackmann DE, editor. Otologic surgery. Phialdelphia: WB Saunders; 1994. p. 211–24.
  • McGrew BM, Jackson CG, Glasscock ME 3rd. Impact of mas- toidectomy on simple tympanic membrane perforation repair. Laryngoscope 2004;114:506–11.
  • Lau T, Tos M. Long-term results of surgery for chronic granulat- ing otitis. Am J Otolaryngol 1986;7:341–5.
  • Vartiainen E, Kansanen M. Tympanomastoidectomy for chronic otitis media without cholesteatoma. Otolaryngol Head Neck Surg 1992;106:230–4.
  • Mutoh T, Adachi O, Tsuji K, Okunaka M, Sakagami M. Efficacy of mastoidectomy on MRSA-infected chronic otitis media with tympanic membrane perforation. Auris Nasus Larynx 2007;34: 9–13.
  • Balyan FR, Celikkanat S, Aslan A, Taibah A, Russo A, Sanna M. Mastoidectomy in noncholesteatomatous chronic suppurative oti- tis media: is it necessary? Otolaryngol Head Neck Surg 1997;117: 592–5.
  • Mishiro Y, Sakagami M, Takahashi Y, Kitahara T, Kajikawa H, Kubo T. Tympanoplasty with and without mastoidectomy for non- cholesteatomatous chronic otitis media. Eur Arch Otorhinolaryn- gol 2001;258:13–5.
  • Merenda D, Koike K, Shafiei M, Ramadan H. Tympanometric volume: a predictor of success of tympanoplasty in children. Otolaryngol Head Neck Surg 2007;136:189–92.
  • Singh GB, Sidhu TS, Sharma A, Singh N. Tympanoplasty type I in children – an evaluative study. Int J Pediatr Otorhinolaryngol 2005;69:1071–6.
  • Pinar E, Sadullahoglu K, Calli C, Oncel S. Evaluation of prognos- tic factors and middle ear risk index in tympanoplasty. Otolaryngol Head Neck Surg 2008;139:386–90.
  • Albu S, Babighian G, Trabalzini F. Prognostic factors in tym- panoplasty. Am J Otol 1998;19:136–40.
  • Hulka GF, McElveen JT Jr. A randomized, blinded study of canal wall up versus canal wall down mastoidectomy determining the differences in viewing middle ear anatomy and pathology. Am J Otol 1998;19:574–8.
  • Mishiro Y, Sakagami M, Kondoh K, Kitahara T, Kakutani C. Long-term outcomes after tympanoplasty with and without mas- toidectomy for perforated chronic otitis media. Eur Arch Otorhinolaryngol 2009;266:819–22.
  • This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported (CC BY
  • NC-ND0) Licence (http://creativecommons.org/licenses/by-nc-nd/3.0/) which permits unrestricted noncommercial use, distribution, and reproduc
  • tion in any medium, provided the original work is properly cited.
  • Please cite this article as: Yurttafl V, Ural A, Kutluhan A, Bozdemir K. Factors that may affect graft success in tympanoplasty with mastoidectomy.
  • ENT Updates 2015;5(1):9–12.
There are 28 citations in total.

Details

Primary Language Turkish
Journal Section Articles
Authors

Veysel Yurttaş This is me

Ahmet Ural This is me

Ahmet Kutluhan This is me

Kazım Bozdemir This is me

Publication Date September 19, 2015
Submission Date September 19, 2015
Published in Issue Year 2015 Volume: 5 Issue: 1

Cite

APA Yurttaş, V., Ural, A., Kutluhan, A., Bozdemir, K. (2015). Mastoidektomili timpanoplastide greft başarısını etkileyen faktörler. ENT Updates, 5(1), 9-12. https://doi.org/10.2399/jmu.2015001003
AMA Yurttaş V, Ural A, Kutluhan A, Bozdemir K. Mastoidektomili timpanoplastide greft başarısını etkileyen faktörler. ENT Updates. March 2015;5(1):9-12. doi:10.2399/jmu.2015001003
Chicago Yurttaş, Veysel, Ahmet Ural, Ahmet Kutluhan, and Kazım Bozdemir. “Mastoidektomili Timpanoplastide Greft başarısını Etkileyen faktörler”. ENT Updates 5, no. 1 (March 2015): 9-12. https://doi.org/10.2399/jmu.2015001003.
EndNote Yurttaş V, Ural A, Kutluhan A, Bozdemir K (March 1, 2015) Mastoidektomili timpanoplastide greft başarısını etkileyen faktörler. ENT Updates 5 1 9–12.
IEEE V. Yurttaş, A. Ural, A. Kutluhan, and K. Bozdemir, “Mastoidektomili timpanoplastide greft başarısını etkileyen faktörler”, ENT Updates, vol. 5, no. 1, pp. 9–12, 2015, doi: 10.2399/jmu.2015001003.
ISNAD Yurttaş, Veysel et al. “Mastoidektomili Timpanoplastide Greft başarısını Etkileyen faktörler”. ENT Updates 5/1 (March 2015), 9-12. https://doi.org/10.2399/jmu.2015001003.
JAMA Yurttaş V, Ural A, Kutluhan A, Bozdemir K. Mastoidektomili timpanoplastide greft başarısını etkileyen faktörler. ENT Updates. 2015;5:9–12.
MLA Yurttaş, Veysel et al. “Mastoidektomili Timpanoplastide Greft başarısını Etkileyen faktörler”. ENT Updates, vol. 5, no. 1, 2015, pp. 9-12, doi:10.2399/jmu.2015001003.
Vancouver Yurttaş V, Ural A, Kutluhan A, Bozdemir K. Mastoidektomili timpanoplastide greft başarısını etkileyen faktörler. ENT Updates. 2015;5(1):9-12.

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https://doi.org/10.1007/s00405-016-4428-0
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