Tympanoplasty type 1 in the treatment of patients with sclerotic mastoid: anatomical and functional results

Öz

Objective: To evaluate success of tympanoplasty type 1 in the treatment of patients with sclerotic mastoid bone. Methods: A retrospective study where 92 patients with non-cholesteatomatous chronic suppurative otitis media were recruited during the period of 2010 to 2012. Patients were managed medically and after dryness of their perforations they were operated upon. Ninety-two patients underwent type 1 tympanoplasty alone without cortical mastoidectomy. Underlay technique with chondroperichondrial graft was performed for all patients. Results: Mean air-bone gap values were estimated and compared. In pre- and postoperative audiograms, air-bone gap values at 500, 1000, 2000 and 4000 Hz frequencies were determined. Pre- and postoperative mean air-bone gap values of the patients were 23.47±4.95 and 11.58±4.77 dB, respectively. Conclusion: Our study emphasizes the fact that overall satisfactory hearing outcome with adequate air-bone closure can be achieved irrespective of cortical mastoidectomy in the surgical treatment of noncomplicated chronic ear diseases.

Anahtar Kelimeler

• Tympanoplasty, mastoidectomy, chronic otitis media

Sklerotik mastoid kemiğe sahip kronik otitis medialı hastalarda tip 1 timpanoplasti: Anatomik ve fonksiyonel sonuçlar

Öz

Amaç: Sklerotik mastoid kemiğe sahip hastaların tedavisinde mastoidektomisiz tip 1 timpanoplastinin başarısını değerlendirmeyi amaçladık. Yöntem: Retrospektif olarak yapılan bu çalışmaya 2010-2012 yılları arasında kronik otitis media tanısı konarak mastoidektomisiz tip 1 timpanoplasti yapılan 92 hasta alındı. Medikal tedavi sonrası kulak akıntıları kesilen hastalara underlay teknikle kondroperikondrial greft ile timpan membran rekonstrüksiyonu yapıldı. Bulgular: Ortalama hava kemik yolu değerleri operasyon öncesi ve sonrası değerlendirildi. 500, 1000, 2000, ve 4000 Hz frekanslarında yapılan odiyogramlarla hava kemik yolu aralığı hesaplandı. Preoperatif dönemde ortalama hava kemik yolu değeri 23.47±4.95 dB iken bu değer postoperatif dönemde 11.58±4.77 dB olarak hesaplandı. Sonuç: Çalışmamızda sklerotik mastoid kemiğe sahip hastalarda yapılacak olan tip 1 timpanoplasti operasyonunda işitme kazancı ve greft başarısı tatmin edici düzeyde bulunmuştur.

Anahtar Kelimeler

• Tip 1 timpanoplasti, mastoidektomi, kronik otitis media

Kaynakça

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21. Please cite this article as: Dündar R, Soy FK, Kulduk E, Özbay C, Özkul Y, Yükkaldıran A. Tympanoplasty type 1 in the treatment of patients with
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