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Arch Otolaryngol Head Neck Surg. 2008 Nov;134(11):1155-8. doi: 10.1001/archotol.134.11.1155.

Efficacy of tympanoplasty without mastoidectomy for chronic suppurative otitis media.

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  • 1Department of Otolaryngology, University of Texas at Houston, Houston, Texas, USA.

Abstract

OBJECTIVE:

To compare the efficacy of tympanoplasty without mastoidectomy in patients with chronic suppurative otitis media (CSOM) vs efficacy in those with dry tympanic membrane (TM) perforations.

DESIGN:

Retrospective controlled study based on a prospective database.

SETTING:

Academic tertiary referral center.

PATIENTS:

A total of 150 consecutive patients without cholesteatoma with CSOM or dry perforations alone who underwent tympanoplasty without mastoidectomy from January 2000 through December 2005.

INTERVENTION:

Tympanoplasty without mastoidectomy.

MAIN OUTCOME MEASURE:

Perforation recurrence. Independent variables were age, surgical approach, perforation size, and revision surgery.

RESULTS:

The TM graft failure rate was not significantly worse in the CSOM group compared with the dry perforation group (P = .48). The independent variables studied were not statistically related to the success of tympanoplasty except that revision surgery was associated with a slightly reduced success rate (P = .03).

CONCLUSIONS:

The success rate of tympanoplasty without mastoidectomy is at least as good for patients with CSOM as it is for patients with perforation without prior otorrhea. Age (P = .28), perforation size (P = .11), and surgical approach (P = .82) were not significantly related to success rate. Revision surgery was associated with a slightly lower success rate.

PMID:
19015443
[PubMed - indexed for MEDLINE]
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