Tiempo seguro para cambiar de altitud en post operatorio de Timpanoplastia
| Autor: | Carolina Mateus Góngora, Melissa Mayo Patiño, Juan Camilo Ospina García |
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| Rok vydání: | 2020 |
| Předmět: | |
| Zdroj: | ACTA DE OTORRINOLARINGOLOGÍA & CIRUGÍA DE CABEZA Y CUELLO. 47:43-46 |
| ISSN: | 2539-0856 0120-8411 |
| Popis: | Introduction: The reported rate of success for tympanoplasty is high, over 90%. The factors that have been most studied and associated with good outcomes are: onset of symptoms in older than 6 years-old patients, normal contralateral ear, previous adenoidectomy, less than 50% tympanic perforation, and absence of craniofacial syndromes. A less studied variable, although of frequent presentation in our population, is the influence of altitude and pressure changes during the early stage of the postoperative period, since many patients travel to Bogota from other regions. The objective of this study is to evaluate if this factor has an impact on the tympanoplasty rate of success in pediatric patients. Materials and methods: This is a descriptive cohort study. Clinical case-history reports from patients operated at in the San Ignacio University Hospital between September 2014 and November 2016 were analyzed. The variables considered in this study were the age of patients at the time of the surgical intervention, tympanic perforation size, surgical approach, types of tympanic graft, early travel to areas outside Bogota and, if it occurred, number of days after surgery, and the success rate of the surgery determined mainly by graft healing. Results: The success rate in our cohort was 90%. 52% of the patients (n=13) traveled out of Bogota on land. 38.4% (n=5) of these patients, traveled between the day 15th and 30th of the postoperative period, 30% of these patients (n=4) traveled within the first 15 days after the surgery, 23% during the first week of the postoperative period, and 4% traveled out of Bogota more than one month after the surgery. Regarding the tympanic surgery procedure, two patients did not show closure of the perforation; one of them showed 40% of pre-surgical tympanic membrane perforation and moved on land to the Agrado, Huila (957 meters above the sea level) 15 days after the surgery. The other patient showed otorrhea some days before the surgery and traveled on land to the same place on the 8th day of the postoperative period. Conclusions: We observed in our group of patients that early travel of patients to their places of origin after tympanoplasty, does not affect graft take rate negatively. However, the analysis of a larger number of patients is required in order to obtain statistically significant results. |
| Databáze: | OpenAIRE |
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