The outcome of type I tympanoplasty in patients with chronic otitis media
Background. Tympanoplasty type 1 is a reconstruction of tympanic membrane perforation with an examination of the middle ear to ensure normality. Aim. Assess the effect of the age of the patient, site, and size of tympanic membrane perforation on hearing gain and graft uptake in patients with chroni...
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| Format: | Article |
| Language: | English |
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Amaltea Medical Publishing House
2023-12-01
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| Series: | Romanian Journal of Medical Practice |
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| Online Access: | https://rjmp.com.ro/articles/2023.4/RJMP_2023_4_Art-09.pdf |
| _version_ | 1797257103371403264 |
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| author | Sabeeh Allawi Zayer Aldayyeni Mukdam Hussein Abd Alzahra Alebady Saba Abd Alnabi Abd Alhassan Alhijaj Sadiq Musa Ahmed |
| author_facet | Sabeeh Allawi Zayer Aldayyeni Mukdam Hussein Abd Alzahra Alebady Saba Abd Alnabi Abd Alhassan Alhijaj Sadiq Musa Ahmed |
| author_sort | Sabeeh Allawi Zayer Aldayyeni |
| collection | DOAJ |
| description | Background. Tympanoplasty type 1 is a reconstruction of tympanic membrane perforation with an examination of the middle ear to ensure normality.
Aim. Assess the effect of the age of the patient, site, and size of tympanic membrane perforation on hearing gain and graft uptake in patients with chronic otitis media. Patients and method. Thirty patients with type 1 tympanoplasty aged between 10 years and 50 years. Patients had been submitted for audiological tests and examination pre-operatively and at 1, 3 and 6-month
intervals postoperatively. Results. Improvement was 57% in 10-25 years, 59% in 25-40 years, and 56% in 40-50 years. While graft uptake was 90% in the three groups. Hearing improvement in anterior perforation was (60%), ost. perforation (41.5%), inferior perforation (43%). While the take rate is 100% in the post, perforation, 80% in anterior perforation and 83.3% in inferior perforation, hearing gain was 40% in large perforation, 66% in medium size and 77% in small size. While the take rate in small perforation was 100%, in medium perforation 90% and large perforation 80%. About 70% of patients had closure of the air-bone gap to within 15 dB and 83 % to within 20 dB. Conclusion. Age had no impact on hearing gain and graft uptake. Size of perforation affects hearing gain
and graft uptake where they are better in small and medium size perforation than large perforation. The site of perforation affects hearing gain and graft uptake where hearing gain was better in anterior perforation, while graft up was better in posterior perforation. |
| first_indexed | 2024-04-24T22:32:19Z |
| format | Article |
| id | doaj.art-247d6fc580ba486889a8cc6ee8953d6f |
| institution | Directory Open Access Journal |
| issn | 1842-8258 2069-6108 |
| language | English |
| last_indexed | 2024-04-24T22:32:19Z |
| publishDate | 2023-12-01 |
| publisher | Amaltea Medical Publishing House |
| record_format | Article |
| series | Romanian Journal of Medical Practice |
| spelling | doaj.art-247d6fc580ba486889a8cc6ee8953d6f2024-03-19T14:06:56ZengAmaltea Medical Publishing HouseRomanian Journal of Medical Practice1842-82582069-61082023-12-0118418318810.37897/RJMP.2023.4.9The outcome of type I tympanoplasty in patients with chronic otitis mediaSabeeh Allawi Zayer Aldayyeni 0Mukdam Hussein Abd Alzahra Alebady1Saba Abd Alnabi Abd Alhassan Alhijaj2Sadiq Musa Ahmed3Department of Surgery, Faculty of Medicine, University of Misan, Misan, IraqDepartment of Surgery, Faculty of Medicine, University of Misan, Misan, IraqDepartment of Pediatrics, Child and Maternity Hospital, Misan Health Directorate, Ministry of Health, Misan, IraqDepartment of Surgery, Faculty of Medicine, University of Misan, Misan, Iraq Background. Tympanoplasty type 1 is a reconstruction of tympanic membrane perforation with an examination of the middle ear to ensure normality. Aim. Assess the effect of the age of the patient, site, and size of tympanic membrane perforation on hearing gain and graft uptake in patients with chronic otitis media. Patients and method. Thirty patients with type 1 tympanoplasty aged between 10 years and 50 years. Patients had been submitted for audiological tests and examination pre-operatively and at 1, 3 and 6-month intervals postoperatively. Results. Improvement was 57% in 10-25 years, 59% in 25-40 years, and 56% in 40-50 years. While graft uptake was 90% in the three groups. Hearing improvement in anterior perforation was (60%), ost. perforation (41.5%), inferior perforation (43%). While the take rate is 100% in the post, perforation, 80% in anterior perforation and 83.3% in inferior perforation, hearing gain was 40% in large perforation, 66% in medium size and 77% in small size. While the take rate in small perforation was 100%, in medium perforation 90% and large perforation 80%. About 70% of patients had closure of the air-bone gap to within 15 dB and 83 % to within 20 dB. Conclusion. Age had no impact on hearing gain and graft uptake. Size of perforation affects hearing gain and graft uptake where they are better in small and medium size perforation than large perforation. The site of perforation affects hearing gain and graft uptake where hearing gain was better in anterior perforation, while graft up was better in posterior perforation. https://rjmp.com.ro/articles/2023.4/RJMP_2023_4_Art-09.pdftympanoplastytympanic membrane perforationchronic otitis mediahearing improvementotorrhea |
| spellingShingle | Sabeeh Allawi Zayer Aldayyeni Mukdam Hussein Abd Alzahra Alebady Saba Abd Alnabi Abd Alhassan Alhijaj Sadiq Musa Ahmed The outcome of type I tympanoplasty in patients with chronic otitis media Romanian Journal of Medical Practice tympanoplasty tympanic membrane perforation chronic otitis media hearing improvement otorrhea |
| title | The outcome of type I tympanoplasty in patients with chronic otitis media |
| title_full | The outcome of type I tympanoplasty in patients with chronic otitis media |
| title_fullStr | The outcome of type I tympanoplasty in patients with chronic otitis media |
| title_full_unstemmed | The outcome of type I tympanoplasty in patients with chronic otitis media |
| title_short | The outcome of type I tympanoplasty in patients with chronic otitis media |
| title_sort | outcome of type i tympanoplasty in patients with chronic otitis media |
| topic | tympanoplasty tympanic membrane perforation chronic otitis media hearing improvement otorrhea |
| url | https://rjmp.com.ro/articles/2023.4/RJMP_2023_4_Art-09.pdf |
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