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Revision surgery and complications after myringoplasty

Presenting Author: Eva Westman

Published online by Cambridge University Press:  03 June 2016

Eva Westman
Eva Westman*
Affiliation:
Umeå University
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Abstract

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Learning Objectives: The aim of the present study is to analyze the number of revisionmyringoplasties and complications across Sweden, in the aspects of take rate/postoperative infection/tastedisturbance/tinnitus.

Myringoplasty is a common middle ear surgery perfomed to close a TM perforation.

Since 1997 these proceduren have been reported by a majority of ENT clinics to a National Quality Register in Sweden. The data from the quality register have in this study been used to evaluate patients operated with myringoplasties between 2002 and 2012 to study revision surgery and the complications reported in the register.

The reported complications 6–12 months after surgery are taste disturbances of corda tympani, new or persistent tinnitus and postoperative infections. NAtional results as well as detailed results from 2 ENT clinics in Sweden ,County hospitals have been analyzed to compare the frequency of complications.

A review of the patient records were made to further analyze the patients report of postoperative infections from the 2 county hospitals. To further analyze if taste disturbances and tinnitus is till persistent after a longer period after surgery a survey was sent home to all the reporter cases in the nation.

In summary patients have an increaded risk for reperforation after revision surgery.

Men has a higher risk for tinnitus compared to women, an women have a greater risk for taste disturbances compared to men. Postoperative infections seem to be over reported. Tinnitus seems to be persistent long time after surgery.