Over-under cartilage tympanoplasty: technique, results and a call for improved reporting. Issue 10 (6th October 2020)

• Record Type: Journal Article
• Authors: Erbele, I D; Fink, M R; Mankekar, G; Son, L S; Mehta, R; Arriaga, M A
• Is Part Of: Journal of laryngology & otology. Volume 134:Issue 10(2020)
• Page Start: 875
• Page End: 881
• Publication Date: 2020-10-06
• Subjects: Tympanoplasty, -- Tympanic Membrane Perforation, -- Hearing; Otolaryngology -- Periodicals; 617.51
• DOI: 10.1017/S0022215120001978
• Languages: English
• ISSNs: 0022-2151

Abstract

Abstract: Objective: This study aimed to describe the microscopic over-under cartilage tympanoplasty technique, provide hearing results and detail clinically significant complications. Method: This was a retrospective case series chart review study of over-under cartilage tympanoplasty procedures performed by the senior author between January 2015 and January 2019 at three tertiary care centres. Cases were excluded for previous or intra-operative cholesteatoma, if a mastoidectomy was performed during the procedure or if ossiculoplasty was performed. Hearing results and complications were obtained. Results: Sixty-eight tympanoplasty procedures met the inclusion criteria. The median age was 13 years (range, 3–71 years). The mean improvement in pure tone average was 6 dB (95 per cent confidence interval 4–9 dB; p < 0.0001). The overall perforation closure rate was 97 per cent ( n = 66). Revision surgery was recommended for a total of 6 cases (9 per cent) including 2 post-operative perforations, 1 case of middle-ear cholesteatoma and 3 cases of external auditory canal scarring. Conclusion: Over-under cartilage tympanoplasty is effective at improving clinically meaningful hearing with a low rate of post-operative complications.