Hostname: page-component-848d4c4894-nr4z6 Total loading time: 0 Render date: 2024-06-06T16:46:15.550Z Has data issue: false hasContentIssue false
  • English
  • Français

Success rate of type 1 tympanoplasty: a comparative study

Published online by Cambridge University Press:  11 March 2021

H Odat Open the ORCID record for H Odat [Opens in a new window] ,
M Alali ,
Y Kanaan  and
M Al-Qudah
H Odat*
Affiliation:
Department of Special Surgery, Division of Otolaryngology, Jordan University of Science and Technology, King Abdullah University Hospital, Irbid, Jordan
M Alali
Affiliation:
Department of Special Surgery, Division of Otolaryngology, Jordan University of Science and Technology, King Abdullah University Hospital, Irbid, Jordan
Y Kanaan
Affiliation:
Department of Special Surgery, Division of Otolaryngology, Jordan University of Science and Technology, King Abdullah University Hospital, Irbid, Jordan
M Al-Qudah
Affiliation:
Department of Special Surgery, Division of Otolaryngology, Jordan University of Science and Technology, King Abdullah University Hospital, Irbid, Jordan
*
Author for correspondence: Dr Haitham Odat, Division of Otolaryngology, Department of Special Surgery, Jordan University of Science and Technology, King Abdullah University Hospital, PO Box 3030, Irbid, Jordan E-mail: dr.haithamodat@gmail.com
Get access Rights & Permissions [Opens in a new window]

Abstract

Objectives

This study aimed to compare graft take rate after tympanoplasty between adults and paediatric patients, cartilage and fascia grafts, and overlay and underlay techniques.

Methods

Data were analysed in groups according to the technique (underlay vs overlay), age (paediatric patients vs adults) and graft (cartilage vs temporalis fascia). The main outcome measures were full graft take and the incidence of complications.

Results

A total of 198 patients (208 ears) were included. Overall, full graft take was achieved in 200 ears (96 per cent). The success rate was higher in adults compared with paediatric patients (97.5 per cent vs 92.25, respectively) but the difference was insignificant. Similarly, higher but insignificant graft take rate was found in the cartilage group compared with fascia group (98.6 per cent vs 94.9 per cent, respectively).

Conclusion

All cases of overlay tympanoplasty had full graft take (success rate 100 per cent). In the underlay group, successful graft take was achieved in 154 cases (95 per cent). This difference was statistically insignificant.

Keywords

Tympanic MembraneTympanoplastyEardrum Perforation
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 135 , Issue 4 , April 2021 , pp. 315 - 319
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Dr H Odat takes responsibility for the integrity of the content of the paper

References

Telian, SA, Schmalbach, CE. Chronic otitis media. In: J.B, Snow, J.J, Ballenger, eds. Ballenger's Otorhinolaryngology: Head and Neck Surgery, 16th edn, BC Decker: Barcelona, 2003;261–93Google Scholar
Knapik, M, Saliba, I. Pediatric myringoplasty: a study of factors affecting outcome. Int J Pediatr Otorhinolaryngol 2011;75:818–23CrossRefGoogle ScholarPubMed
House, WF. Myringoplasty. AMA Arch Otolaryngol 1960;71:399–404CrossRefGoogle ScholarPubMed
De Seta, E, Covelli, E, De Seta, D, Mancini, P, Filipo, R. Cartilage tympanoplasty: how to reduce surgery time. J Laryngol Otol 2010;124:784–5CrossRefGoogle ScholarPubMed
Sheehy, JL, Anderson, RG. Myringoplasty. A review of 472 cases. Ann Otol Rhinol Laryngol 1980;89:331–4CrossRefGoogle ScholarPubMed
Heermann, J Jr, Heermann, H, Kopstein, E. Fascia and cartilage palisade tympanoplasty. Nine years’ experience. Arch Otolaryngol 1970;91:228–41CrossRefGoogle ScholarPubMed
Wehrs, RE. Grafting techniques. Otolaryngol Clin North Am 1999;32:443–55CrossRefGoogle ScholarPubMed
Kartush, JM, Michaelides, EM, Becvarovski, Z, LaRouere, MJ. Over-under tympanoplasty. Laryngoscope 2002;112:802–7CrossRefGoogle ScholarPubMed
Sheahan, P, O'Dwyer, T, Blayney, A. Results of type 1 tympanoplasty in children and parental perceptions of outcome of surgery. J Laryngol Otol 2002;116:430–4CrossRefGoogle ScholarPubMed
Emir, H, Ceylan, K, Kizilkaya, Z, Gocmen, H, Uzunkulaoglu, H, Samim, E. Success is a matter of experience: type 1 tympanoplasty: influencing factors on type 1 tympanoplasty. Eur Arch Otorhinolaryngol 2007;264:595–9CrossRefGoogle ScholarPubMed
Sarkar, S, Roychoudhury, A, Roychaudhuri, BK. Tympanoplasty in children. Eur Arch Otorhinolaryngol 2009;266:627–33CrossRefGoogle ScholarPubMed
Adkins, WY, White, B. Type 1 tympanoplasty: influencing factors. Laryngoscope 1984;94:916–18CrossRefGoogle Scholar
Cabra, J, Moñux, A. Efficacy of cartilage palisade tympanoplasty: randomized controlled trial. Otol Neurotol 2010;31:589–95CrossRefGoogle ScholarPubMed
Rizer, FM. Overlay versus underlay tympanoplasty. Part I: historical review of the literature. Laryngoscope 1997;107:1–25CrossRefGoogle ScholarPubMed
Singh, M, Rai, A, Bandyopadhyay, S, Gupta, SC. Comparative study of the underlay and overlay techniques of myringoplasty in large and subtotal perforations of the tympanic membrane. J Laryngol Otol 2003;117:444–8CrossRefGoogle ScholarPubMed
Ryan, JE, Briggs, RJ. Outcomes of the overlay graft technique in tympanoplasty. ANZ J Surg 2010;80:624–9CrossRefGoogle ScholarPubMed
Albera, R, Ferrero, V, Lacilla, M, Canale, A. Tympanic reperforation in myringoplasty: evaluation of prognostic factors. Ann Otol Rhinol Laryngol 2006;115:875–9CrossRefGoogle ScholarPubMed
Angeli, SI, Kulak, JL, Guzmán, J. Lateral tympanoplasty for total or near-total perforation: prognostic factors. Laryngoscope 2006;116:1594–9CrossRefGoogle ScholarPubMed
Jung, TTK, Park, SK. Mediolateral graft tympanoplasty for anterior or subtotal tympanic membrane perforation. Otolaryngol Head Neck Surg 2005;132:532–6CrossRefGoogle ScholarPubMed
Shim, DB, Kim, HJ, Kim, MJ, Moon, IS. Three-point fix tympanoplasty. Acta Otolaryngol 2015;135:429–34CrossRefGoogle ScholarPubMed
Barake, R, El Natout, T, Bassim, M, El Natout, MA. Loop underlay tympanoplasty for anterior, subtotal and total tympanic membrane perforations: a retrospective review. J Otolaryngol Head Neck Surg 2019;48:12CrossRefGoogle ScholarPubMed
Yetiser, S, Hıdır, Y. Temporalis fascia and cartilage-perichondrium composite shield grafts for reconstruction of the tympanic membrane. Ann Otol Rhinol Laryngol 2009;118:570–4CrossRefGoogle Scholar
Callioglu, EE, Ceylan, BT, Kuran, G, Demirci, S, Tulaci, KG, Caylan, R. Cartilage graft or fascia in tympanoplasty in patients with low middle ear risk index (anatomical and audological results). Eur Arch Otorhinolaryngol 2013;270:2833–7CrossRefGoogle Scholar
Iacovou, E, Vlastarakos, PV, Papacharalampous, G, Kyrodimos, E, Nikolopoulos, TP. Is cartilage better than temporalis muscle fascia in type I tympanoplasty? Implications for current surgical practice. Eur Arch Otorhinolaryngol 2013;270:2803–13CrossRefGoogle ScholarPubMed
Gamra, OB, Mbarek, C, Khammassi, K, Methlouthi, N, Ouni, H, Hariga, I et al. Cartilage graft in type I tympanoplasty: audiological and otological outcome. Eur Arch Otorhinolaryngol 2008;265:739–42CrossRefGoogle ScholarPubMed
Sadé, J, Berco, E, Brown, M, Weinberg, J, Avraham, S. Myringoplasty: short and long-term results in a training program. J Laryngol Otol 1981;95:653–65CrossRefGoogle Scholar
Podoshin, L, Fradis, M, Malatsakey, S, Ben-David, J. Type I tympanoplasty in children. Am J Otolaryngol 1996;17:293–6Google ScholarPubMed
Zhan, KY, Rawlins, KW, Mattingly, JK, Malhotra, PS, Adunka, OF. Pediatric lateral graft tympanoplasty A review of 78 cases. Int J Pediatr Otorhinolaryngol 2019;119:166–70CrossRefGoogle ScholarPubMed
Chandrasekhar, SS, House, JW, Devgan, U. Pediatric tympanoplasty. A 10-year experience. Arch Otolaryngol Head Neck Surg 1995;121:873–8CrossRefGoogle ScholarPubMed
Lin, AC, Messner, AH. Pediatric tympanoplasty: factors affecting success. Curr Opin Otolaryngol Head Neck Surg 2008;16:64–8CrossRefGoogle ScholarPubMed
Yung, M, Neumann, C, Vowler, SL. A longitudinal study on pediatric myringoplasty. Otol Neurotol 2007;28:353–5CrossRefGoogle ScholarPubMed
Umapathy, N, Dekker, PJ. Myringoplasty: is it worth performing in children? Arch Otolaryngol Head Neck Surg 2003;129:1053–5CrossRefGoogle ScholarPubMed
Shishegar, M, Faramarzi, M, Rashidi Ravari, M. Evaluation of middle ear risk index in patients undergoing tympanoplasty. Eur Arch Otorhinolaryngol 2019;276:2769–74CrossRefGoogle ScholarPubMed