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Outcome and cost analysis of bilateral sequential same-day cartilage tympanoplasty compared with bilateral staged tympanoplasty

  • AD Olusesi (a1) and O Oyeniran (a1)
Abstract Background:

Few studies have compared bilateral same-day with staged tympanoplasty using cartilage graft materials.


A prospective randomised observational study was performed of 38 chronic suppurative otitis media patients (76 ears) who were assigned to undergo bilateral sequential same-day tympanoplasty (18 patients, 36 ears) or bilateral sequential tympanoplasty performed 3 months apart (20 patients, 40 ears). Disease duration, intra-operative findings, combined duration of surgery, post-operative graft appearance at 6 weeks, post-operative complications, re-do rate and relative cost of surgery were recorded.


Tympanic membrane perforations were predominantly subtotal (p = 0.36, odds ratio = 0.75). Most grafts were harvested from the conchal cartilage and fewer from the tragus (p = 0.59, odds ratio = 1.016). Types of complication, post-operative hearing gain and revision rates were similar in both patient groups.


Surgical outcomes are not significantly different for same-day and bilateral cartilage tympanoplasty, but same-day surgery has the added benefit of a lower cost.

Corresponding author
Address for correspondence: Dr A D Olusesi, ENT Department, National Hospital Abuja, Plot 132, Central Area, Off Constitution Avenue, Garki Phase 2, FCT 900001, Abuja, Nigeria E-mail:
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1 O Guntinal-Lichius , C Wittenkindt , M Baier , JJ Manni . Optimizing the pre-treatment process before mobile ear surgery for chronic suppurative otitis media in Wolisso and Attat, Ethiopia. J Laryngol Otol 2014;128:421–4

3 AD Olusesi . Otitis media as a cause of significant hearing loss among Nigerians. Int J Pediatr Otorhinolaryngol 2008;72:787–92

4 GJ Gianoli , JS Soileau . Chronic suppurative otitis media, caloric testing, and rotational chair testing. Otol Neurotol 2008;29:1315

5 R Mane , B Patio , A Mohite , VV Varute . Bilateral type 1 tympanoplasty in chronic otitis media. Indian J Otolaryngol Head Neck Surg 2013;65:293–7

6 SK Raghuwanshi , DP Asati . Outcome of single-sitting bilateral type 1 tympanoplasty in Indian patients. Indian J Otolaryngol Head Neck Surg 2013;65:622–6

7 CW Kim , JS Lee , CH Park , SY Kwon , DK Kim , JH Lee . Comparison of sequential same-day middle ear surgeries: bilateral mastoidectomy, unilateral mastoidectomy with contralateral tympanoplasty, and bilateral tympanoplasty. Eur Arch Otorhinolaryngol 2015;272:1395–402

8 S Genc . A different cartilage graft technique: perichondrium-preserved palisade island graft in tympanoplasty. J Craniofac Surg 2016;27:e166–70

9 PW Wu , WH Wang , CC Huang , TJ Lee , CC Huang . Comparison of short- and long-term hearing outcomes of successful inlay cartilage tympanoplasty between small and large eardrum perforations. Clin Exp Otorhinolaryngol 2015;8:359–63

10 H Heah , SR Soon , HW Yuen . A case series of complicated infective otitis media requiring surgery in adults. Singapore Med J 2016;57:681–5

11 P Kylén , SD Arlinger , LM Bergholtz . Preoperative temporary threshold shift in ear surgery. An electrocochleographic study. Acta Otolaryngol 1977;84:393401

12 AK Rai , GB Singh , R Sahu , S Singh , R Arora . Evaluation of simultaneous bilateral same day tympanoplasty type 1 in chronic suppurative otitis media. Auris Nasus Larynx 2014;41:148–52

16 S Suzuki , H Yasunaga , H Matsui , K Fushimi , T Yamasoba . Factors associated with prolonged duration of post-tympanoplasty local treatment in adult chronic otitis media patients: A retrospective observational study using a Japanese inpatient database. Auris Nasus Larynx 2016;43:377–81

17 J Löfgren , J Mulowooza , P Nordin , A Wladis , BC Forsberg . Cost of surgery in a low-income setting in eastern Uganda. Surgery 2015;157:983–91

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The Journal of Laryngology & Otology
  • ISSN: 0022-2151
  • EISSN: 1748-5460
  • URL: /core/journals/journal-of-laryngology-and-otology
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