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Tympanoplasty

Tympanoplasties


Presentation

  • MATERIALS AND METHODS: In the present study; 121 patients, who underwent type 1 tympanoplasty were examined retrospectively. SFAR of all patients were recorded.[ncbi.nlm.nih.gov]
  • OBJECTIVE: This study presents results for a pediatric series of tympanoplasty using the butterfly-cartilage technique, with comparison to literature reports.[ncbi.nlm.nih.gov]
  • CONCLUSION: The presentation of SAC is similar to that of TMP despite being a separate clinical entity.[ncbi.nlm.nih.gov]
  • In our present study, 39 patients presented with left ear disease, 33 presented with right ear disease and 28 presented with bilateral ear disease.[waent.org]
  • Recently the authors discovered a second case presenting with chronic otorrhea via a fistulous tract in the tympanic membrane.[ncbi.nlm.nih.gov]
Short Stature
  • The most prominent features of patients with CP are abnormal faces characterized by a flat nose and short stature. CP patients show various types and levels of hearing loss.[ncbi.nlm.nih.gov]
Plethora
  • SurgeryPlanet facilitates a plethora of services to the medical treatment traveler also which includes, a hassle free and discounted travel option, a welcome hand at the airport on arrival, travel in an air-conditioned car, round the clock service & support[surgeryplanet.com]
Torticollis
  • Although torticollis is a well recognised abnormality, there is minimal literature identifying it as a sole long-standing complication in otological surgery.[ncbi.nlm.nih.gov]
Dizziness
  • There were no complications of infection, wound dehiscence, worsened sensorineural levels, dizziness, or facial weakness in either group.[ncbi.nlm.nih.gov]
  • Normal Problems Slight dizziness or unsteadiness (with or without nausea) may occur. Call your physician if dizziness or vomiting are disabling or last more than 24 hours.[gulfcoastfacialplastics.com]
  • Dizziness: Some unsteadiness is common the first few days after surgery. Dizziness with sudden head motion may persist for several weeks. Dizziness may be prolonged on rare occasions.[ghs.org]
  • Some possible complications include: Dizziness: It is common to experience some unsteadiness for a few days after a tympanomastoidectomy. Sudden head movements may cause dizziness for a few weeks. On rare occasions, prolonged dizziness may occur.[fortworthent.net]
  • There can be imbalance and dizziness immediately after this procedure. Dizziness is uncommon in operations that only involve the eardrum itself.[earsurgery.org]
Vertigo
  • The postoperative inner ear damage including statistically significantly increased bone conduction hearing thresholds and persistent vertigo was not found.[jstage.jst.go.jp]
  • You may have nausea or vertigo for a few days after surgery. Take care to steady yourself and get up slowly. Tinnitus (noise in the ear) may be temporarily better, worse or remain the same.[clancy-ent.com.au]
  • Vertigo and dizziness is common after ear surgery but is usually short-lived and rarely persists. Many medications are given during surgery to prevent nausea and vomiting. Facial nerve paralysis is a very rare complication of ear surgery.[earassociates.com]
  • General complications of tympanoplasty include : Infection Graft failure Chondritis Injury to the nerve (chorda tympani) Sensorineural hearing loss (SNHL) and vertigo Increased conductive hearing loss External auditory canal stenosis SURGERY PRE-OPERATIVE[bsrhospitals.com]
  • Diagnosis/Preparation The examining physician performs a complete physical with diagnostic testing of the ear, which includes an audiogram and history of the hearing loss, as well as any vertigo or facial weakness.[surgeryencyclopedia.com]

Workup

  • Preoperative Workup Detailed history. Head & neck exam including pneumatic otoscopy, otomicroscopy, and hearing assessment with tuning forks and/or formal audiometry.[csurgeries.com]

Treatment

  • RESULTS: The median treatment duration in each hospital was 8 days (interquartile range: 7-11).[ncbi.nlm.nih.gov]
  • Treatment The most common treatment for sleep apnea is the use of a continuous positive airway pressure (CPAP) device during sleep. This is an extremely safe and effective treatment option, but it is not always accepted by patients.[sinaigrace.org]
  • Abstract The successful surgical treatment of chronic otitis media or its sequela is frequently related to a ventilated tympanic cavity.[ncbi.nlm.nih.gov]
  • Treatment Tympanoplasty The treatment of tympanic perforation should be the surgical reconstruction of the integrity of the middle ear .[topdoctors.es]
  • Abstract The first goal of tympanoplasty as treatment for chronic otitis media is to obtain a clean, disease-free ear, the second one hearing improvement.[ncbi.nlm.nih.gov]

Prognosis

  • Prognosis/Risk MER IndexBest prognosis (normal ear) 0Mild risk 2Moderate risk 5Severe risk 7Worst prognosis (end stage) 12 21. • Postoperative care• Results• Complications[slideshare.net]
  • Outcome/prognosis 95% of patients will require a second look procedure either to check for the presence of residual and/or recurrent cholesteatoma and also for the reconstruction of the ossicular chain.[londonentsurgeons.com]
  • Smoking and tympanoplasty: Implications for prognosis and middle ear risk index(MERI). Laryngoscope 2011;3:1806-11. 5. Kaylie DM, Bennett ML, Davis B, Jackson CG. Effects of smoking on otologic surgery outcomes.[indianjotol.org]
  • Outlook (Prognosis) In most cases, the pain and symptoms are completely relieved. Hearing loss is minor. The outcome may not be as good if the bones in the middle ear need to be reconstructed, along with the eardrum.[mountsinai.org]

Etiology

  • Although this may be the true etiology in some cases, middle ear adhesions, loss of support of the posterior canal wall and inadvertent blockage of the Eustachian tube orifice by graft material may be contributing factors.[ncbi.nlm.nih.gov]
  • This study was a chart review (February 2006 to October 2011) of 172 pediatric otolaryngology patients undergoing type I tympanoplasty for TM perforation of any etiology at a tertiary-care pediatric otolaryngology practice.[ncbi.nlm.nih.gov]
  • Kenna M (1988) Etiology and pathogenesis of chronic suppurative otitis media. Arch Otolaryngol Head Neck Surg 97(2, Suppl 137):16–17 Google Scholar 15. Browning GG, Gatehouse S (1989) Hearing in chronic suppurative otitis media.[link.springer.com]

Epidemiology

  • The epidemiological profiles and postoperative results, including hearing gain, duration of surgery, perioperative nausea or vomiting, and graft success rate, were reviewed.[ncbi.nlm.nih.gov]
  • OBJECTIVE: The outcome of myringoplasties may be affected by local, general or epidemiologic factors. We reduced the variability of the surgical procedure to a minimum, in order to better evaluate the role of these factors on the functional results.[ncbi.nlm.nih.gov]
  • Kenna M (1988) Epidemiology and natural history of chronic suppurative otitis media. Arch Otolaryngol Head Neck Surg 97(2):8 Google Scholar 25. World Health Organization (1998) Prevention of hearing impairment from chronic otitis media.[link.springer.com]
Sex distribution
Age distribution

Pathophysiology

  • Proper understanding of the pathophysiology of the different diseases of the middle ear is mandatory in planning tympanoplastic procedures.[ncbi.nlm.nih.gov]
  • OBJECTIVE: To describe the pathophysiology and treatment of the lateralized tympanic membrane that occurs after canal wall down tympanoplasty. STUDY DESIGN: Retrospective case review. SETTING: Tertiary referral hospital.[ncbi.nlm.nih.gov]
  • We also perform all general paediatric ENT surgery, with the exception of: surgery for children under the age of two complex craniofacial disorders genetic conditions with complex pathophysiology.[lnwh.nhs.uk]
  • Okabe, XIV An Experimental Study of the Pathophysiology of the Middle Ear Mechanics, Annals of Otology, Rhinology & Laryngology, 73, 1, (124), (1964). Francis A.[doi.org]

Prevention

  • Surgical techniques for prevention of these complications and a means of bypassing the totally blocked Eustachian tube are discussed.[ncbi.nlm.nih.gov]
  • OBJECTIVES: To evaluate the efficacy of combined antistaphylococcal and antipseudomonal preoperative antibiotics for preventing surgical site infections following tympanoplasty and mastoidectomy with contaminated cholesteatoma.[ncbi.nlm.nih.gov]
  • Tympanoplasty or Myringoplasty Surgery is done to close a hole in the eardrum to prevent recurrent infection and sometimes the middle ear bones (ossicles) that consist of the Incus, Malleus and Stapes.[surgeryplanet.com]
  • Tubes at tympanoplasty have been recommended to assure ventilation until eustachian tube and middle ear mucosal functions have been restored and to prevent the complications of graft loss, atelectasis, cholesteatoma and ossicular destruction.[ncbi.nlm.nih.gov]
  • Young age did not prevent TEES tympanoplasty. Two hundred nineteen of 250 (88%) perforations were closed successfully by tympanoplasty, with equivalent closure rates between TEES and postauricular approaches.[ncbi.nlm.nih.gov]

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