Risk factors of tympanoplasties in long-term observation
Journal Title: Otolaryngologia Polska - Year 2018, Vol 72, Issue 2
Abstract
Objectives: The aim of the study was to evaluate risk factors influencing the results of tympanoplasties on the base of material taken from the Department of Otolaryngology and Laryngological Oncology Collegium Medicum of Nicolaus Copernicus University in Bydgoszcz between 2004-2009. In this period 98 operations were done. The time from operation to hearing examination was 3 to 7 years, mean 5,43. Tympanoplastic operation were divided according to Tos classification. Measuring hearing results, tonal audiometry was done and mean air bone gap on four frequencies was assesed (500, 1000, 2000, 3000 Hz), according to AAO-HNS guidelines (1995). This parameter was compared between groups separated according to risk factors, that could potentially affect the results. Those risk factors were: disfunction of the Eustechian tube, localisation and size of the perforation of the tympanic membrane, damage of the ossicles, the state of the mastoid process, the number of operations, the presence of the cholesteatoma or granulating tissue, chronic otitis media in the opposite ear, smoking cigarettes, mastoidectomy, canal wall down technique. The results were analysed using statistical test. Results: The most impotant risk factor affecting treatment's results (besides discharge from the ear) is damage of the ossicles, especially the malleus and stapes. Well done operation ensures good hearing results irrespectively of the presence of cholesteatoma or granulating tissue, and also in case of reoperation. For all types of tympanoplasties neither the localisation, nor the size of perforation do not influence on hearing results in long term observation.<br/><br/>
Authors and Affiliations
Joanna Janiak-Kiszka, Wojciech Kaźmierczak, Kinga Lewandowska, Mateusz Grabowski, Henryk Kaźmierczak, Łukasz Kluczyński
Keywords
Related Articles
- EP ID EP275834
- DOI 10.5604/01.3001.0011.7248
- Views 95
- Downloads 0
Jatrogenne płynotoki w przebiegu operacji osteoplastycznych zatoki czołowej
The aim of the study: to evaluate CSF leak as a complication of osteoplastic flap surgery of the frontal sinus. Material and methods: Medical recordings of the patients that underwent osteoplastic flap surgery of the fro...
Skrofuloza — gruźlica węzłów chłonnych szyi
SUMMARY We described a diagnostic procedure of two cases of extrapulmonary tuberculosis in elderly people. The paper presents the diagnostic difficulty caused by the lack of obtaining an adequate amount of material and l...
The role of functional nasal surgery in the treatment of obstructive sleep apnea syndrome
Introduction: Nasal obstruction is widely mentioned among the factors influencing pathophysiology of obstructed breathing disorders during sleep. However numerous observations confirms such relation, influence of nasal s...
Jakość życia i słyszenia u osób po 60. roku życia po operacji wszczepienia implantu ślimakowego
Cel badania. Wieloośrodkowa ocena jakości życia i jakości słyszenia u pacjentów po 60. roku życia po operacji wszczepienia implantu ślimakowego Nucleus®. Materiał i metody. Badaniami objęto zaimplantowanych chorych powyż...
Ocena wyników operacyjnego leczenia odstających małżowin usznych