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

Published online by Cambridge University Press:  15 March 2017

AD Olusesi  and
O Oyeniran
AD Olusesi*
Affiliation:
ENT Department, National Hospital Abuja, Nigeria
O Oyeniran
Affiliation:
ENT Department, National Hospital Abuja, Nigeria
*
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: drbiodunolusesi@gmail.com
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Abstract

Background:

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

Methods:

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.

Results:

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.

Conclusion:

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.

Keywords

TympanoplastyCosts and Cost AnalysisCartilageOtitis Media
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 131 , Issue 5 , May 2017 , pp. 399 - 403
Copyright
Copyright © JLO (1984) Limited 2017 

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