The Impact of Smoking on Ossiculoplasty Outcomes
| Autor: | James S. Russell, Matthew D. Cox, John L. Dornhoffer, Shane R. Anderson |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent medicine.medical_treatment Hearing Loss Conductive Young Adult 03 medical and health sciences Postoperative Complications Tympanoplasty 0302 clinical medicine Risk Factors Chart review medicine Humans Significant risk Tympanostomy tube 030223 otorhinolaryngology Aged Retrospective Studies Aged 80 and over medicine.diagnostic_test business.industry Incidence (epidemiology) Smoking Significant difference Middle Aged medicine.disease Sensory Systems Conductive hearing loss Surgery Ossicular Replacement Treatment Outcome Otorhinolaryngology Female Neurology (clinical) Audiometry business 030217 neurology & neurosurgery |
| Zdroj: | Otology & Neurotology. 37:721-727 |
| ISSN: | 1531-7129 |
| Popis: | OBJECTIVES To assess the impact of tobacco smoking on outcomes after ossiculoplasty. STUDY DESIGN Case series with chart review. SETTING Tertiary care center. PATIENTS Adult patients (16-88 yr of age) undergoing ossiculoplasty with cartilage tympanoplasty. OUTCOME MEASURES Patients were classified as smokers (TOB) or nonsmokers (TOB). Comparisons were then made between these two groups with regard to early and late audiometric outcomes, rate of cure of conductive hearing loss, rate of successful graft healing, and incidence of complications after surgery. RESULTS There was no significant difference between the two groups with regard to postoperative ΔPTA-ABG (change in pure-tone average air-bone gap) (-14.4 dB vs. -14.6 dB for TOB vs. TOB, respectively, p = 0.946) or final audiometric outcome (ΔPTA-ABGfinal) (-13.6 dB vs. -11.7 dB for TOB vs. TOB, respectively, p = 0.315), cure of conductive hearing loss, defined as closure of the PTA-ABG to ≤20 dB HL, at postoperative audiometry (75.0% [129/172] for the TOB group vs. 69.3% [52/75] for the TOB group, p = 0.355), late audiometry (71.4% [105/147] for the TOB group vs. 66.7% [44/66] for the TOB group, p = 0.483), or successful graft healing (99.4% in the TOB group vs. 98.7% in the TOB group, p = 0.544). However, complications were observed significantly (p = 0.0003) more often in the TOB group (34.7% [26/75]) than the TOB group (14.5% [25/172]). CONCLUSION Smoking is not a significant risk factor for anatomic failure of cartilage tympanic membrane graft or worsened audiometric outcome after ossiculoplasty. However, complications were significantly more common in smokers, supporting the practice of primary tympanostomy tube placement at the time of ossiculoplasty. |
| Databáze: | OpenAIRE |
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