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Anatomic and functional results in tragal cartilage tympanoplasty in adults: Correlation with prognostic factors

Year 2018, Volume: 28 Issue: 2, 78 - 84, 15.06.2018

Abstract

Objectives: This study aims to evaluate the graft success and functional results of cartilage island graft tympanoplasties performed in adult patients. Patients and Methods: Medical records of patients operated on for chronic otitis media at our clinic were reviewed. One hundred and ninety-five patients 212 ears older than 16 years of age that had undergone tympanoplasty operation and that had been followed up for at least six months postoperatively, were included in the study. The prognostic factors that could have impact on graft success were analyzed. The pure-tone average and postoperative gain in air-bone gap ABG were recorded as the mean of 0.5, 1 and 2 kHz thresholds. Results: Graft success was achieved in 191 patients 90% , and graft perforation occurred in 21 patients 10% . When the risk factors that might lead to graft perforation were analyzed separately, the presence of cholesteatoma p=0.014 , and not performing mastoidectomy during tympanoplasty p=0.031 were significantly associated with graft perforation. The average preoperative ABG, including all types of tympanoplasty operations was 40.20±17.3 dB, and postoperative ABG was 30.14±19.21 dB p<0.05 . Conclusion: The presence of cholesteatoma and tympanoplasty without mastoidectomy were found to affect graft success negatively. Cartilage island graft is an effective technique for tympanic membrane closure and significant hearing improvement.

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There are 37 citations in total.

Details

Primary Language English
Journal Section Research Article
Authors

Işılay Öz This is me

Seyra Hatice Erbek This is me

Selim Erbek This is me

Levent Naci Özlüoğlu This is me

Publication Date June 15, 2018
Published in Issue Year 2018 Volume: 28 Issue: 2

Cite

APA Öz, I., Erbek, S. H., Erbek, S., Özlüoğlu, L. N. (2018). Anatomic and functional results in tragal cartilage tympanoplasty in adults: Correlation with prognostic factors. The Turkish Journal of Ear Nose and Throat, 28(2), 78-84.
AMA Öz I, Erbek SH, Erbek S, Özlüoğlu LN. Anatomic and functional results in tragal cartilage tympanoplasty in adults: Correlation with prognostic factors. Tr-ENT. June 2018;28(2):78-84.
Chicago Öz, Işılay, Seyra Hatice Erbek, Selim Erbek, and Levent Naci Özlüoğlu. “Anatomic and Functional Results in Tragal Cartilage Tympanoplasty in Adults: Correlation With Prognostic Factors”. The Turkish Journal of Ear Nose and Throat 28, no. 2 (June 2018): 78-84.
EndNote Öz I, Erbek SH, Erbek S, Özlüoğlu LN (June 1, 2018) Anatomic and functional results in tragal cartilage tympanoplasty in adults: Correlation with prognostic factors. The Turkish Journal of Ear Nose and Throat 28 2 78–84.
IEEE I. Öz, S. H. Erbek, S. Erbek, and L. N. Özlüoğlu, “Anatomic and functional results in tragal cartilage tympanoplasty in adults: Correlation with prognostic factors”, Tr-ENT, vol. 28, no. 2, pp. 78–84, 2018.
ISNAD Öz, Işılay et al. “Anatomic and Functional Results in Tragal Cartilage Tympanoplasty in Adults: Correlation With Prognostic Factors”. The Turkish Journal of Ear Nose and Throat 28/2 (June 2018), 78-84.
JAMA Öz I, Erbek SH, Erbek S, Özlüoğlu LN. Anatomic and functional results in tragal cartilage tympanoplasty in adults: Correlation with prognostic factors. Tr-ENT. 2018;28:78–84.
MLA Öz, Işılay et al. “Anatomic and Functional Results in Tragal Cartilage Tympanoplasty in Adults: Correlation With Prognostic Factors”. The Turkish Journal of Ear Nose and Throat, vol. 28, no. 2, 2018, pp. 78-84.
Vancouver Öz I, Erbek SH, Erbek S, Özlüoğlu LN. Anatomic and functional results in tragal cartilage tympanoplasty in adults: Correlation with prognostic factors. Tr-ENT. 2018;28(2):78-84.