Analysis of the long-term results of tympanoplasty

DOI: https://doi.org/10.29296/25877305-2020-11-15
Download full text PDF
Issue: 
11
Year: 
2020

V. Saidulaev(2, 3), Candidate of Medical Sciences; V. Shpotin(2, 3), MD; Professor A.
Yunusov(1), MD; A. Grigoryeva(2, 3), MD; V-Kh. Saidulaev(4) (1)National Medical Research Center of
Otorhinolaryngology, Federal Biomedical Agency of Russia, Moscow (2)Astrakhan Branch, National Medical
Research Center of Otorhinolaryngology, Federal Biomedical Agency of Russia, Astrakhan (3)Astrakhan State
Medical University (4)Acad. I.P. Pavlov Ryazan State Medical University

Objective: to assess and compare the anatomical and functional results of tympanoplasty for complete and partial detachment of the tympanic membrane from the handle of the malleus. Subjects and methods. The investigation enrolled 32 patients diagnosed with chronic tubotympanic suppurative otitis media (mesotympanitis), who were divided into 2 groups, each of which included 16 patients. Results. At 6 and 12 months after surgery, good anatomical results were obtained in 15 (93.8%) and 14 (87.5%) patients in Groups 1 and 2, respectively. Analysis of tone audiometry thresholds showed that the functional indicators significantly improved compared with preoperative results (p0.05). Conclusion. Analysis of the anatomical and functional results of the investigation showed no differences between tympanoplasty procedures for partial and complete detachment of the tympanic membrane from the handle of the malleus.
Keywords: 
surgery
otorhinolaryngology
chronic suppurative otitis media
mesotympanitis
tympanoplasty

It appears your Web browser is not configured to display PDF files. Download adobe Acrobat или click here to download the PDF file.

References: 
  1. Bhutta M. Epidemiology and pathogenesis of otitis media: construction of a phenotype landscape. Audiol Neurootol. 2014; 19 (3): 210–23. DOI: 10.1159/000358549
  2. Krjukov A.I., Ivojlov A.Ju., Garov E.V. i dr. Vlijanie mikrobnoj flory na techenie hronicheskogo gnojnogo srednego otita. Med. sovet. 2014; 3: 21–3 [Kryukov A.I., Ivoylov A.Y., Garov E.V. et al. Effect of microbial flora on the course of chronic suppurative otitis media. Meditsinskiy sovet = Medical Council. 2014; 3: 21–3 (in Russ.)]. https://doi.org/10.21518/2079-701X-2014-3-21-23
  3. Garov E.V., Sidorina N.G., Zelenkova V.N. i dr. Analiz effektivnosti timpanoplastiki u bol'nyh hronicheskim perforativnym srednim otitom. Vestn otorinolaringol. 2014; 6: 8–11 [Garov E.V., Sidorina N.G., Zelenkova V.N. et al. Analysis of the effectiveness of tympanoplasty in the patients presenting with chronic otitis media complicated by perforation. Bulletin of Otorhinolaryngology = Vestnik otorinolaringologii. 2014; 6: 8–11 (in Russ.)]. https://doi.org/10.17116/otorino201468-11
  4. Eldaebes M., Landry T., Bance M. Repair of subtotal tympanic membrane perforations: A temporal bone study of several tympanoplasty materials. PLoS One. 2019; 14 (9): 19. https://doi.org/10.1371/journal.pone.0222728
  5. Haynes D., Vos J., Labadie R. Acellular allograft dermal matrix for tympanoplasty. Curr Opin Otolaryngol Head Neck Surg. 2005; 13 (5): 283–6. DOI: 10.1097/01.moo.0000172820.97322.8d
  6. Mohamad S., Khan I., Hussain S. Is cartilage tympanoplasty more effective than fascia tympanoplasty? A systematic review. Otology & Neurotology. 2012; 33 (5): 699–705. DOI: 10.1097/MAO.0b013e318254fbc2
  7. Horov O.G., Plavskij D.M. Timpanoplastika s primeneniem hrjaschevyh plastin pri obshirnyh defektah barabannoj pereponki. Novosti hirurgii. 2010; 1 (18): 108–13 [Khorov O.G., Plavskii D.M. Timpanoplastika s primeneniem khryashchevykh plastin pri obshirnykh defektakh barabannoi pereponki. Novosti khirurgii. 2010; 1 (18): 108–13 (in Russ.)].
  8. Fernandes V., Goel H., De Sousa E. et al. A Comparative Study of Type-I Underlay Tympanoplasty with Temporalis Fascia Graft Alone and with Conchal Cartilage. Indian J Otolaryngol Head Neck Surg. 2019; 2 (71): 1320–6. DOI: 10.1007/s12070-018-1397-1
  9. Vahidi M., Mollasadeghi A., Shahbazian H. et al. Does Malleolus non-Lifting Tympanoplasty have any Advantage Over Malleus Lifting Techniques? Iran J Otorhinolaryngol. 2016; 28 (84): 7–11.