Comparison of Short- and Long-term Hearing Outcomes of Successful Inlay Cartilage Tympanoplasty Between Small and Large Eardrum Perforations

Wen-Hung Wang; Chien-Chia Huang; Chi-Che Huang; Pei-Wen Wu; Ta-Jen Lee

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자료유형: 학술저널

저자정보: Wen-Hung Wang Chien-Chia Huang Chi-Che Huang Pei-Wen Wu Ta-Jen Lee

저널정보: 대한이비인후과학회 Clinical and Experimental Otorhinolaryngology Clinical and Experimental Otorhinolaryngology 제8권 제4호

발행연도: 2015.1

수록면: 359 - 363 (5page)

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Objectives. To compare the short- and long-term hearing outcomes after successful inlay cartilage tympanoplasty between patients with small (≤25%) and large (≥50%) eardrums perforations. Methods. This is a retrospective case series study conducted in a tertiary referral center. Twenty-five patients who underwent 27 procedures were enrolled. Their mean age was 60.26 years (range, 42 to 76 years). The mean follow-up time was 18.86 months (range, 12.30 to 35.83 months). The preoperative, initial postoperative, and long-term hearing results in patients with total repair of the eardrum were analyzed. Results. In the small size group, the average (±standard deviation) air-bone gap (ABG) closure was 1.08±7.53 dB in the short-term and 2.33±11.56 dB in the long-term hearing examinations. There was no difference between short- and long-term ABG closure (P=0.689). In the large size group, the average ABG closure was 9.77±9.40 dB in the short-term and 16.25±6.01 dB in the long-term hearing examinations. There was a significant difference between short- and long-term ABG closure (P=0.029). Conclusion. Patients with large perforations have continuous hearing improvement and ABG closure for more than one year. In contrast, the short- and long-term postoperative ABGs are almost the same in patients with small perforations. More long-term postoperative follow-up of hearing results is necessary for large perforations.

#Hearing #Inlay Butterfly Cartilage #Air-Bone Gap #Tympanoplasty #Chronic Otitis Media

참고문헌 (13)

참고문헌 신청

Anand TS / 2002 / Butterfly inlay tympanoplasty: a study in Indian scenario / Indian J Otolaryngol Head Neck Surg 54 (1) : 11 ~ 13

Couloigner V / 2005 / Inlay butterfly cartilage tympanoplasty in children / Otol Neurotol 26 (2) : 247 ~ 251

Dornhoffer J / 2003 / Cartilage tympanoplasty: indications, techniques, and outcomes in a 1,000-patient series / Laryngoscope 113 (11) : 1844 ~ 1856

Eavey RD / 1998 / Inlay tympanoplasty: cartilage butterfly technique / Laryngoscope 108 (5) : 657 ~ 661

Ghanem MA / 2006 / Butterfly cartilage graft inlay tympanoplasty for large perforations / Laryngoscope 116 (10) : 1813 ~ 1816

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