Comparison of anterior and posterior tympanomeatal flap elevations in endoscopic transcanal tympanoplasty

Autor:	Sercan Gode, Tayfun Kirazli, Arin Ozturk, Cem Bilgen, Isa Kaya, Murat Benzer
Přispěvatelé:	Ege Üniversitesi
Rok vydání:	2019
Předmět:	Adult Male medicine.medical_specialty tympanomeatal flap elevation transcanal endoscopic tympanoplasty Adolescent medicine.medical_treatment Operative Time Surgical Flaps 03 medical and health sciences 0302 clinical medicine Tympanoplasty medicine Humans Chronic otitis media 030223 otorhinolaryngology Tympanic Membrane Perforation Ideal (set theory) business.industry Endoscopy General Medicine Middle Aged Surgery Cartilage Treatment Outcome Otorhinolaryngology 030220 oncology & carcinogenesis Audiometry Pure-Tone Female business Follow-Up Studies
Zdroj:	Acta oto-laryngologica. 139(8)
ISSN:	1651-2251
Popis:	EgeUn### Background: There is not an ideal tympanomeatal flap incision type for transcanal procedures. Aims/Objectives: Comparing the outcomes and feasibility of posteriorly and anteriorly based tympanomeatal flap incisions for anterior perforations in endoscopic transcanal cartilage tympanoplasty. Material and methods: Twenty-six patients who had anterior TM perforation were included. Patients were divided into two groups with randomization. All of the data were prospectively collected. These included demographic data, date of the surgery, mean surgery time, preoperative and postoperative sixth-month pure-tone audiometry (PTA), type of tympanomeatal flap incision and graft healing success. Results: Mean follow up time was 20.69 +/- 5.03 months. Graft healing rate was 100% in both groups. There was no major complication in both of groups. Mean air bone gap level improvement of (dB HL) at all frequencies was 7.69 +/- 2.83 dB HL in group 1 and 7.98 +/- 3.08 dB HL in group 2 respectively. Regarding pre-and postoperative mean air bone gap levels and mean surgery times, there was no significant difference between groups (p>.05). Conclusions and significance: For non-complicated anterior perforations that are less than 50% of TM, endoscopic transcanal cartilage tympanoplasty using anterior tympanomeatal flap elevation procedure was seemed minimally invasive and feasible to perform with successful audiologic and postoperative outcomes.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::7ae624cf082be7b6718ecf0550cb4ac2 https://pubmed.ncbi.nlm.nih.gov/31107133 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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