Anterior subannular T-tube for prolonged middle ear ventilation during tympanoplasty: evaluation of efficacy and complications
| Autor: | Ravindhra G. Elluru, Joel A. Goebel, J. G. Neely, Reena Dhanda |
|---|---|
| Rok vydání: | 2001 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent medicine.medical_treatment Otitis Media Suppurative Postoperative Complications Tympanoplasty Medicine Humans Grommet Child Aged Retrospective Studies Middle ear ventilation Cholesteatoma Middle Ear business.industry Eustachian Tube Cholesteatoma Retrospective cohort study Middle Aged medicine.disease Middle Ear Ventilation Sensory Systems Surgery Ossicular Prosthesis medicine.anatomical_structure Ossicular Replacement Otorhinolaryngology Anesthesia Chronic Disease Breathing Middle ear Female Neurology (clinical) business Complication Follow-Up Studies |
| Zdroj: | Otologyneurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology. 22(6) |
| ISSN: | 1531-7129 |
| Popis: | We previously described the use of anterior subannular T-tubes (n = 20) for long-term middle ear ventilation. In the current study, we examine a larger patient population (n = 38) and a longer follow-up interval (average2 years) to evaluate the efficacy and safety of anterior subannular tympanostomy.Retrospective nonrandomized case review.Tertiary referral hospital.Our series consisted of 38 consecutive patients with a diagnosis of eustachian tube dysfunction, adhesive otitis media, or chronic otitis media with a perforation who underwent a tympanoplasty.A subannular T-tube was placed anteriorly at the time of tympanoplasty to provide long-term middle ear ventilation.The main outcomes of this study are tube position, tube patency, and middle ear ventilation. In addition, hearing was evaluated both preoperatively and postoperatively and any complications were noted.There were 38 patients and 38 ears that received an anterior subannular T-tube at the time of tympanoplasty. The study group consisted of 24 female patients and 14 male patents with a median age of 36 years (range, 10-75 yr). All 38 patients had eustachian tube dysfunction, 22 had adhesive otitis media, 23 had chronic otitis media, 13 had a cholesteatoma, 11 had tympanic membrane perforations, and 3 patients had a cleft palate. All patients underwent tympanoplasty. Eighteen patients had a concomitant ossiculoplasty and 7 had a mastoidectomy. Follow-up ranged from 1 month to 48 months (average, 26 mo). Three tubes had extruded within 2 years, in 1 case resulting in a persistent perforation. Postoperative complications included 1 patient with a partially extruded prosthesis, 2 patients with tipped prosthesis and persistent tympanic membrane retraction, and 1 patient with a plugged tube. All other tubes were patent and showed no evidence of migration. Furthermore, there were no cases of anterior canal blunting or ingrowth of epithelium around the tube.Anterior subannular tympanostomy is a safe and effective method for long-term middle ear ventilation in patients with chronic eustachian tube dysfunction. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|