Endoscopic type 3 tympanoplasty: Functional outcomes in chronic otitis media.
Adult
Aged
Audiometry
/ methods
Bone Conduction
/ physiology
Cartilage
/ transplantation
Cholesteatoma, Middle Ear
/ surgery
Chronic Disease
Ear Ossicles
/ surgery
Humans
Middle Aged
Natural Orifice Endoscopic Surgery
/ methods
Ossicular Prosthesis
Ossicular Replacement
/ methods
Otitis Media
/ surgery
Prospective Studies
Treatment Outcome
Tympanoplasty
/ methods
Chronic otitis media
Cirugía endoscópica de oreja
Endoscopic ear surgery
Ossicular chain reconstruction
Otitis media crónica
Partial ossicular replacement prostheses
Reconstrucción de la cadena osicular
Timpanoplastia tipo 3
Type 3 tympanoplasty
Journal
Acta otorrinolaringologica espanola
ISSN: 2173-5735
Titre abrégé: Acta Otorrinolaringol Esp (Engl Ed)
Pays: Spain
ID NLM: 101770938
Informations de publication
Date de publication:
Historique:
received:
17
08
2018
revised:
03
02
2019
accepted:
14
02
2019
pubmed:
7
8
2019
medline:
22
12
2020
entrez:
7
8
2019
Statut:
ppublish
Résumé
Type 3 tympanoplasty is the surgery of choice for middle ear reconstruction in cases where an integral stapes suprastructure and mobile footplate are present. The objective of this study was to obtain functional results after endoscopic type 3 tympanoplasty in chronic otitis media. Prospective study including 24 patients who underwent endoscopic type 3 tympanoplasty, using PORP for ossicular chain reconstruction (OCR) and cartilage graft for tympanic membrane reconstruction. Audiograms were made preoperatively, and 6 months after surgery. Dry, closed, self-cleaning ears were obtained in 91.7% of the cases. Mean preoperative air-bone gap (ABG) was 30.4dB, mean postoperative ABG was 16.7dB, dB gain of 13.6dB. ABG closure rate to 20dB or less of 79.2%, and to 10dB or less of 29.2%. Endoscopic tympanoplasty and OCR is a valid option for surgeons who are comfortable with the use of endoscopes for middle ear surgery as it allows improved visualization of the prosthesis and graft placement during middle ear reconstruction.
Sections du résumé
BACKGROUND
BACKGROUND
Type 3 tympanoplasty is the surgery of choice for middle ear reconstruction in cases where an integral stapes suprastructure and mobile footplate are present.
OBJECTIVE
OBJECTIVE
The objective of this study was to obtain functional results after endoscopic type 3 tympanoplasty in chronic otitis media.
MATERIALS AND METHODS
METHODS
Prospective study including 24 patients who underwent endoscopic type 3 tympanoplasty, using PORP for ossicular chain reconstruction (OCR) and cartilage graft for tympanic membrane reconstruction. Audiograms were made preoperatively, and 6 months after surgery.
RESULTS
RESULTS
Dry, closed, self-cleaning ears were obtained in 91.7% of the cases. Mean preoperative air-bone gap (ABG) was 30.4dB, mean postoperative ABG was 16.7dB, dB gain of 13.6dB. ABG closure rate to 20dB or less of 79.2%, and to 10dB or less of 29.2%.
CONCLUSION AND SIGNIFICANCE
CONCLUSIONS
Endoscopic tympanoplasty and OCR is a valid option for surgeons who are comfortable with the use of endoscopes for middle ear surgery as it allows improved visualization of the prosthesis and graft placement during middle ear reconstruction.
Identifiants
pubmed: 31383353
pii: S0001-6519(19)30042-1
doi: 10.1016/j.otorri.2019.02.001
pii:
doi:
Types de publication
Journal Article
Langues
eng
spa
Sous-ensembles de citation
IM
Pagination
83-87Informations de copyright
Copyright © 2019 Sociedad Española de Otorrinolaringología y Cirugía de Cabeza y Cuello. Publicado por Elsevier España, S.L.U. All rights reserved.