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Over-under cartilage tympanoplasty: technique, results and a call for improved reporting

Published online by Cambridge University Press:  06 October 2020

I D Erbele ,
M R Fink ,
G Mankekar ,
L S Son ,
R Mehta  and
M A Arriaga
I D Erbele
Affiliation:
Department of Otolaryngology, Division of Neurotology, Louisiana State University Health Sciences Center, New Orleans, USA Our Lady of the Lake Hearing and Balance Center, Baton Rouge, USA
M R Fink
Affiliation:
Medical School, Louisiana State University Health Sciences Center, New Orleans, USA
G Mankekar
Affiliation:
Department of Otolaryngology, Division of Neurotology, Louisiana State University Health Sciences Center, New Orleans, USA Department of Otolaryngology, Louisiana State University Health Sciences Center, Shreveport, USA
L S Son
Affiliation:
Department of Otolaryngology, Division of Neurotology, Louisiana State University Health Sciences Center, New Orleans, USA Our Lady of the Lake Hearing and Balance Center, Baton Rouge, USA
R Mehta
Affiliation:
Department of Otolaryngology, Division of Neurotology, Louisiana State University Health Sciences Center, New Orleans, USA Our Lady of the Lake Hearing and Balance Center, Baton Rouge, USA
M A Arriaga*
Affiliation:
Department of Otolaryngology, Division of Neurotology, Louisiana State University Health Sciences Center, New Orleans, USA Our Lady of the Lake Hearing and Balance Center, Baton Rouge, USA Culicchia Neurological Clinic, New Orleans, USA
*
Author for correspondence: Dr Moisés A Arriaga, Department of Otolaryngology, Division of Neurotology, Louisiana State University Health Sciences Center, 1111 Medical Center Blvd, Suite 630; Marrero, LA 70072, Baton Rouge70808, USA E-mail: maa@neurotologic.com Fax: +1 225 765 1023
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Abstract

Objective

This study aimed to describe the microscopic over-under cartilage tympanoplasty technique, provide hearing results and detail clinically significant complications.

Method

This was a retrospective case series chart review study of over-under cartilage tympanoplasty procedures performed by the senior author between January 2015 and January 2019 at three tertiary care centres. Cases were excluded for previous or intra-operative cholesteatoma, if a mastoidectomy was performed during the procedure or if ossiculoplasty was performed. Hearing results and complications were obtained.

Results

Sixty-eight tympanoplasty procedures met the inclusion criteria. The median age was 13 years (range, 3–71 years). The mean improvement in pure tone average was 6 dB (95 per cent confidence interval 4–9 dB; p < 0.0001). The overall perforation closure rate was 97 per cent (n = 66). Revision surgery was recommended for a total of 6 cases (9 per cent) including 2 post-operative perforations, 1 case of middle-ear cholesteatoma and 3 cases of external auditory canal scarring.

Conclusion

Over-under cartilage tympanoplasty is effective at improving clinically meaningful hearing with a low rate of post-operative complications.

Keywords

TympanoplastyTympanic Membrane PerforationHearing
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 134 , Issue 10 , October 2020 , pp. 875 - 881
Copyright
Copyright © The Author(s), 2020. Published by Cambridge University Press

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Footnotes

Dr M A Arriaga takes responsibility for the integrity of the content of the paper

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