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Revision tympanoplasty*

  • Mirko Tos and Torben Lau

Summary

The terms ‘planned two-stage operations’, ‘planned second-look operations’, ‘previous surgery’, and ‘revision surgery’ are discussed on the basis of our series of 2,303 ears operated upon from January 1965 to December 1980. We have not performed any planned two-stage operations. All operations prior to the first operation in our department are denoted ‘previous surgery’. ‘Revision surgery’ denotes all reoperations performed either in this department or elsewhere during the observation period until the end of 1984, and the revision rate is analysed in patients with different pathological conditions. ‘Revision surgery’ was performed in 15.6 percent of 740 ears with cholesteatoma (in 13.9 percent once, in 1.6 percent twice, and in 0.1 percent three times), and ‘previous surgery’ in 3 percent.

Among 229 ears with chronic granulating otitis, revision surgery had been performed in 12.2 percent up to December 1982. By December 1984, this figure had risen to 16.1 percent. ‘Previous surgery’ had been performed in 18.3 percent. A total of 38.4 percent had at least two operations.

The revision rate in other conditions varied from 10 percent (sequelae to chronic otitis) to 34 percent (post-inflammatory acquired atresia). These rates are discussed and the functional results presented.

Copyright

Corresponding author

Prof. Dr. Mirko Tos, Department of ENT, Gentofte Hospital, Niels Andersens Vej DK 2900 Hellerup, Denmark.

Footnotes

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*

Presented by M. Tos at a Meeting of the Section of Otology, The Royal Society of Medicine, on 3rd May 1985.

Footnotes

References

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Austin, D. F. (1969) Types and indications of staging. Archives of Otolaryngology, 89: 235242.
Sheehy, J. L. and Crabtree, J. A. (1973) Tympanoplasty: Staging the operation. Laryngoscope, 83: 15941621.
Smyth, G. D. L. and Kerr, A. G. (1970) Staged tympanoplasty. Journal of Laryngology and Otology, 90: 597621.
Symth, G. D. L. (1980) Chronic Ear Disease, Churchill Livingstone.
Tabb, H. C. (1963) The surgical management of chronic ear disease with special reference to staged surgery. Laryngoscope, 73: 363383.
Tos, M. (1976) Late results in tympanoplasty. Staging the operation. Acta Otolaryngologica, 82: 282285.
Tos, M. (1982a) Modification of combined-approach tympanoplasty in attic cholesteatoma. Archives of Otolaryngology, 108: 772778.
Tos, M. (1982b) Short- and long-term results with ossiculoplasty in cholesteatomatous ears. In: Sadé, J. (Ed.): Cholesteatoma and Mastoid Surgery. Kugler (Amsterdam), pp. 547558.
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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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