Surgical results of type I tympanoplasty during 2014 to 2019, at Hospital Universitario Clínica San Rafael, Bogotá
Article Sidebar
Main Article Content
Abstract
Abstract
Main objective: to determine the frequency of postoperative tympanic perforations early (three months) and late (six months), in patients who underwent type I tympanoplasty in the ENT department of the San Rafael Clinical University Hospital in Bogotá, Colombia, during the years 2014 to 2019.
Study design: retrospective, descriptive and cross-sectional.
Materials and methods: adult and pediatric patients of the otolaryngology service of the San Rafael Clinical University Hospital of Bogotá, Colombia, with a history of tympanic perforations during the years 2014 to 2019 and who were operated with type I tympanoplasty were evaluated. Post-surgical results were evaluated. mainly the post-surgery perforations with “over-under” medial technique using ear cartilage graft and temporal fascia.
Results: 47 patients were included in the study, of which 62% were female and 91% were older than 7 years. The percentage of reperforation was 8.5%, that is, 4 of 47 patients, and at 12.8 months on average. The most frequent cause of tympanic perforation was infectious with 66% and medium size 55.3%. The most frequent otolaryngological comorbidity was chronic otitis media with 51%. The audiological results showed a gain of 17% in the right ear and 20% in the left ear.
Downloads
Article Details
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Este artículo es publicado por la Revista Acta de Otorrinolaringología & Cirugía de Cabeza y Cuello.
Este es un artículo de acceso abierto, distribuido bajo los términos de la LicenciaCreativeCommons Atribución-CompartirIgual 4.0 Internacional.( http://creativecommons.org/licenses/by-sa/4.0/), que permite el uso no comercial, distribución y reproducción en cualquier medio, siempre que la obra original sea debidamente citada.
eISSN: 2539-0856
ISSN: 0120-8411
References
Tseng CC, Lai MT, Wu CC, Yuan SP, Ding YF. Comparison of the efficacy of endoscopic tympanoplasty and microscopic
tympanoplasty: A systematic review and meta-analysis. Laryngoscope. 2017 Aug 1;127(8):1890–6.
Bedoya L, Mejía L, Duarte L. Factores relacionados a timpanoplastia fallida en el Hospital Universitario de La
Samaritana. Acta de Otorrinolaringología & Cirugía de Cabeza y Cuello. 2014; 42(4): 216-221
Elías Ordóñez-Ordóñez L, Vitery Erazo L, Ricardo González Marín N, Parra Valencia DP, Rueda Rs. Timpanoplastia en
perforación timpánica secundaria a trauma por onda explosiva. Revista Med Universidad Militar Nueva Granda, 2014, vol. 22.
Aupy B, Clément P, Crambert A, Roguet E, Conessa C. Traumatismo auricular por onda expansiva. EMC -
Otorrinolaringología. 2013 Aug;42(3):1–9.
Lou ZC, Lou ZH, Zhang QP. Traumatic tympanic membrane perforations: A study of etiology and factors affecting outcome. American Journal of Otolaryngology - Head and Neck Medicine and Surgery. 2012;33(5):549–55.
Orji FT&, Agu CC. Determinants of spontaneous healing in traumatic perforations of the tympanic membrane. Clinical
Otolaryngology 2008 vol. 33.
Webb BD, Chang; C Y Joseph. Efficacy of Tympanoplasty Without Mastoidectomy for Chronic Suppurative Otitis Media.
Arch Otolaryngol Head Neck Surg. 2008. Vol. 134.
Eliades SJ, Limb CJ. The role of mastoidectomy in outcomes following tympanic membrane repair: A review. Laryngoscope. 2013. p. 1787–802.
Callioglu EE, Tijen Ceylan B, Kuran G, Demirci S, Tulaci KG, Caylan R. Cartilage graft or fascia in tympanoplasty in patients
with low middle ear risk index (anatomical and audological results). European Archives of Oto-Rhino-Laryngology. 2013
Nov;270(11):2833–7.
Salviz M, Bayram O, Bayram AA, Balikci HH, Chatzi T, Paltura C, et al. Prognostic factors in type I tympanoplasty. Auris Nasus Larynx. 2015 Feb 1;42(1):20–3.
Iacovou E, Vlastarakos P v., Papacharalampous G, Kyrodimos E, Nikolopoulos TP. Is cartilage better than temporalis muscle fascia in type I tympanoplasty? Implications for current surgical practice. European Archives of Oto-Rhino-Laryngology. 2013.p. 2803–13.
Yilmaz MS, Guven M, Kayabasoglu G, Varli AF. Comparison of the anatomic and hearing outcomes of cartilage type 1
tympanoplasty in pediatric and adult patients. European Archives of Oto-Rhino-Laryngology. 2015;272(3):557–62.
Ryan MA, Kaylie DM. What is the optimal age to repair tympanic membrane perforations in pediatric patients?
Laryngoscope. 2016. p. 2201–2.
Lagos A, Villarroel P, García-Huidobro F, Delgado V, Huidobro B, Caro J, et al. Tympanoplasty: factors associated with
anatomical and audiometric results. Acta Otorrinolaringologica Espanola. 2020.
Darouassi Y, Aljalil A, Ennouali A, Hanine MA, Chebraoui Y, Bouaity B, et al. Prognostic factors of myringoplasty: Study
of a 140 cases series and review of the literature. Pan African Medical Journal. 2019;33.
Iacovou E, Vlastarakos P v., Papacharalampous G, Kyrodimos E, Nikolopoulos TP. Is cartilage better than temporalis muscle fascia in type I tympanoplasty? Implications for current surgical practice. European Archives of Oto-Rhino-Laryngology. 2013. p. 2803–13.
Lin Y-C, Wang W-H, Weng H-H, Lin Y-C. Predictors of Surgical and Hearing Long-term Results for Inlay Cartilage
Tympanoplast. Arch Otolaryngol Head Neck Surg. 2011.
Heo KW. Outcomes of type I tympanoplasty using a cartilage shield graft in patients with poor prognostic factors. Auris
Nasus Larynx. 2017 oct 1;44(5):517–21.
Fernandes VLG, Goel HC, de Sousa E, de Gouveia Pinto NM.A Comparative Study of Type-I Underlay Tympanoplasty with Temporalis Fascia Graft Alone and with Conchal Cartilage. Indian Journal of Otolaryngology and Head and Neck Surgery. 2019 Nov 1; 71:1320–6.
Gao T, Li X, Hu J, Ma W, Li J, Shao N, et al. Management of traumatic tympanic membrane perforation: A comparative
study. Therapeutics and Clinical Risk Management. 2017 Jul24; 13:927–31.
Shah, M.I. & Ghani, R. & Asif, M. Type-I Tympanoplasty By Underlay Technique - Factors Affecting Outcome. Journal of
Ayub Medical College, Abbottabad: JAMC. 29. 258-261.
Tan HE, Santa Maria PL, Eikelboom RH, Anandacoomaraswamy KS, Atlas MD. Type I Tympanoplasty Meta-Analysis: A
Single Variable Analysis. Otology and Neurotology. 2016 Aug 1;37(7):838–46.
Hardman J, Muzaffar J, Nankivell P, Coulson C. Tympanoplasty for Chronic Tympanic Membrane Perforation in Children:
Systematic Review and Meta-analysis. Otology & Neurotology. Otology & Neurotology, Inc; 2015.
Babu S, Luryi AL, Schutt CA. Over–under versus medial tympanoplasty: Comparison of benefit, success, and hearing results. Laryngoscope. 2019 May 1;129(5):1206–10.