Tympanoplasty Outcomes in Dry and Wet Ears.
Chronic suppurative otitis media is a major public health problem
in children and
adults. Tympanoplasty is a surgical procedure which aims to
prevent recurrent otorrhea and
restore hearing ability.
To compare the graft uptake and the hearing outcome of tympanoplasty in non
cholesteatomatous chronic otitis media between wet and totally dry ears.
A total of 108 wet ears and 232 dry ears with chronic suppurativeotitis
media were operated on by myringoplasty
between 2000 and 2014. Postoperative graft uptake and
hearing gain rates were compared
between both groups.
Cartilage was used in 100% of wet ears and 35% of dry ears.
In the other cases,
temporalis fascia was the chosen graft. Anatomical
success rate was 88% for the wet ear group
and 87.5% for the dry ear group. The hearing
gain rate was 62%% for the wet ear group and
56% for the dry ear group.
Differences were found to be statistically non significant for both
graft intake (p=0.9) and hearing gain (p=0.29). In the
wet ear group, only age <40 years was
found to be a predictive factor of audio logical success in tympanoplasty (p=0.001).
Chronic suppurative otitis media is a major public health
problem in children and adults. It is
characterized by recurrent middle ear discharge through a tympanic
membrane perforation. Tympanoplasty is a surgical procedure which aims to prevent
recurrent otorrhea and restore
hearing ability.
Otolaryngol Open J. 2016; 2(2): 51-57. doi: 10.17140/OTLOJ-2-113