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Miki Ikehata, Shigeto Ohta, Yasuo Mishiro, Hirokazu Katsura, Shinya Miuchi, Kenzo Tsuzuki, Masafumi Sakagami
OBJECTIVE: The eustachian tube (ET) has two important functions, ventilation and clearance of the middle ear. We evaluated the ET ventilator function by the sonotubometry and the inflation-deflation test that are widely used today, and the ET clearance function by the saccharin test. Results of both tests were compared with surgical outcomes, and assessed which test was more closely related to the surgical outcomes. STUDY DESIGN: Prospective case series. SETTING: A single university hospital...
October 12, 2016: Otology & Neurotology
Hyun-Min Lee, Keun-Ik Yi, Jae-Hoon Jung, Il-Woo Lee
We report an extremely rare case of hearing aid silicone impression material as a foreign body in the middle ear. Symptoms of the patient were otorrhea and vertigo after taking of a mold impression on his only hearing ear, and the symptoms mimicked chronic otitis media. A temporal bone CT scan revealed foreign body material in the middle ear and Eustachian tube. An intact canal wall mastoidectomy with a facial recess approach and type IV tympanoplasty was performed to remove the silicone impression material...
September 28, 2016: American Journal of Otolaryngology
Michael C Topf, David W Hsu, Douglas R Adams, Tingting Zhan, Stanley Pelosi, Thomas O Willcox, Brian McGettigan, Kyle W Fisher
PURPOSE: To determine the rate of persistent tympanic membrane perforation after intratympanic steroid injection. To determine which comorbid conditions and risk factors are associated with prolonged time to perforation closure following intratympanic steroid injection. MATERIALS AND METHODS: Clinical data were gathered for patients who had undergone intratympanic steroid injection to treat sudden sensorineural hearing loss or Ménière's disease. Primary outcomes analysis included rate of persistent tympanic membrane perforation, defined as perforation at least 90days following last injection, and time to perforation healing...
September 28, 2016: American Journal of Otolaryngology
F Solmaz, D Akduman, M Haksever, E Gündoğdu, M Yanılmaz, A Mescioğlu
Cartilage is one of the most preferable grafts for tympanoplasty (TPL). The anatomical and audiological results and take rates of perichondrium attached cartilage island graft in tympanoplasty (PACIT) are presented herein. One hundred ninety four ears of 191 patients (108 male, 83 female) were evaluated retrospectively in terms of the type of surgery, graft take rate and hearing results. Type I, II, and III TPL were performed in 127 (65.46%), 45 (23.20%), and 22 (11.34%) ears, respectively. The overall mean preoperative pure tone average-air bone gaps (PTA-ABGs) for TPL types were 33...
August 2016: Acta Otorhinolaryngologica Italica
Ahmed Omran, Fatthi Abdel Baki, Ahmed Amin
OBJECTIVE: To assess the effectiveness of glass ionomer bone cement (GIBC) in lateral attic wall reconstruction after primary acquired attic cholesteatoma surgery. MATERIALS AND METHODS: This prospective study was conducted on twenty children collected from the ENT outpatient clinics of a secondary and tertiary hospital. All patients presented with chronic suppurative otitis media with cholesteatoma of the primary acquired attic type. All patients underwent intact canal wall mastoidectomy (ICWM) with a transcanal atticotomy to address primary cholesteatoma involving the attic and the supratubal recess...
August 2016: Journal of International Advanced Otology
Taylan Gün, Osman Fatih Boztepe, Doğan Atan, Aykut İkincioğulları, Hüseyin Dere
OBJECTIVE: To compare the efficacy of three different myringoplasty techniques, namely hyaluronic acid fat graft myringoplasty (HAFGM), fat graft myringoplasty (FGM), and temporal fascia for the closure of different sizes and sites of tympanic membrane perforations. MATERIALS AND METHODS: We retrospectively analyzed the medical records of patients who had undergone a type 1 tympanoplasty operation at our clinic between May 2007 and February 2013. The patients were divided into three groups depending on the patient's choice of technique as follows: Fat Graft Myringoplasty (FGM) (Group I), Hyaluronic Acid Fat Graft Myringoplasty (HAFGM) (Group II), and Temporalis Fascia (TF) (Group III)...
August 2016: Journal of International Advanced Otology
Makoto Hosoya, Sho Kanzaki, Satoko Wakabayashi, Kaoru Ogawa
Chondrodysplasia punctata (CP) is a systemic disorder of chondrogenesis. The most prominent features of patients with CP are abnormal faces characterized by a flat nose and short stature. CP patients show various types and levels of hearing loss. This disease is rare, and no successful tympanoplasties with hearing recovery have been reported. Here, we report on a CP case, in which hearing recovery was successfully treated with tympanoplasty.
September 22, 2016: Auris, Nasus, Larynx
Adel Alrwisan, Almut G Winterstein, Patrick J Antonelli
OBJECTIVE: To quantify the incidence of persistent tympanic membrane perforation (TMP) after tympanostomy tube (TT) surgery using a large population-based cohort. STUDY DESIGN: A retrospective cohort study. SETTING: Medicaid claims data from 1999 to 2006. PATIENTS: We studied healthy children who had Medicaid eligibility within 6 months of birth that received TTs and had 2 to 7 years of follow-up. MAIN OUTCOME MEASURES: We operationalized persistent TMP by a charge for tympanoplasty and/or one or more diagnoses of TMP...
October 2016: Otology & Neurotology
Hideaki Suzuki, Hiroki Koizumi, Takuro Kitamura, Takahisa Tabata, Yasuhiro Kise, Koichi Hashida
Myringoplasty is one of the basic procedures in otologic surgery, and is important to achieve good hearing outcome. The temporal fascia is most widely used and considered to be a stable graft in this procedure, although 10-20% of patients develop reperforation after surgery, which is often hard to repair, even by revision surgery. We herein conducted revision myringoplasty using a cartilage graft to repair postoperative reperforation in 7 patients (8 ears) with chronic otitis media. The patients were 3 males and 4 females, aged 13-80 years with an average of 53...
September 2016: Journal of UOEH
D Bernardeschi, N Pyatigorskaya, F Y Russo, D De Seta, G Corallo, E Ferrary, Y Nguyen, O Sterkers
OBJECTIVE: To analyse the anatomical, functional and quality-of-life results when using bioactive glass in mastoid and epitympanic obliteration. DESIGN: Prospective clinical study. SETTING: Tertiary referral centre. PARTICIPANTS: Forty-one cases (39 patients) operated between May 2013 and January 2015. MAIN OUTCOME MEASURES: Anatomical results were evaluated by otomicroscopy 1 year after surgery and using imaging to detect residual disease...
September 8, 2016: Clinical Otolaryngology
Matthew D Cox, Quinn A Dunlap, Aaron Trinidade, John L Dornhoffer
OBJECTIVES: To assess long-term outcomes after secondary mastoid obliteration. STUDY DESIGN: Case series with chart review. SETTING: Tertiary care center. PATIENTS: Adult patients (20-80 yr of age) undergoing secondary mastoid obliteration. OUTCOME MEASURES: Hearing results (improvement in pure-tone average air-bone gap [PTA-ABG] from baseline) at the time of postoperative audiometry and at least 5 years after surgery, anatomic outcomes (rate of successful tympanic membrane graft healing), and the incidences of observed complications...
October 2016: Otology & Neurotology
Jesus Franco Anzola, João Flávio Nogueira
The endoscope has transformed the way we observe, understand, and treat chronic ear disease. Improved view, exclusive transcanal techniques, assessment of ventilation routes and mastoid tissue preservation have led to decreased morbidity and functional enhancement of minimally invasive reconstruction of the middle ear. The philosophical identity of endoscopic ear surgery is evolving; new research, long-term results, and widespread acknowledgement of its postulates will undoubtedly define its role in otology...
October 2016: Otolaryngologic Clinics of North America
Yakup Yegin, Mustafa Çelik, Baver Maşallah Şimşek, Burak Olgun, Aylin Karahasanoğlu, Ceylan Çolak, Fatma Tülin Kayhan
OBJECTIVES: To evaluate the effect of the degree of the mastoid pneumatization on the success rate of cartilage type 1 tympanoplasty. STUDY DESIGN: A retrospective clinical chart review. METHODS: In total, 90 patients (44 females and 46 males; average age, 38.40 ± 11.12 years; age range: 21-65 years) who underwent cartilage type 1 tympanoplasty were included. Demographics and anatomical outcomes were recorded. The patients were divided into 2 groups in terms of anatomical success...
October 2016: Journal of Craniofacial Surgery
Sohil Vadiya, Vibhuti Parikh, Saumya Shah, Parita Pandya, Anuj Kansara
The current study compares outcomes of modified cartilage shield tympanoplasty (CST) with temporalis fascia tympanoplasty in type I procedures in Indian patients. Graft uptake rates are better with the CST technique and hearing results are almost equivalent with both techniques except at 8000 Hz where improvement in hearing was found better with the use of temporalis fascia alone. The CST technique used in the study is unique.
2016: Scientifica
Kazuhiko Takeuchi, Masako Kitano, Hiroshi Sakaida, Sawako Masuda
The objective of this paper was to describe the clinical and otological findings in multiple members of a family with congenital glaucoma, cardiac anomaly, and conductive hearing loss due to ossicular chain anomalies. We performed a retrospective review of the medical charts and otological materials of multiple members of the same family. Congenital glaucoma and hearing loss were inherited by the proband and her daughter, son, and mother, suggesting autosomal dominant inheritance. The son and daughter also showed atrial septal defects...
August 20, 2016: Auris, Nasus, Larynx
Antoniu-Oreste Gostian, Jean-Marc Kouamé, Martin Bremke, Magdalene Ortmann, Karl-Bernd Hüttenbrink, Dirk Beutner
Importance: Multiple techniques for a more secure and stable anchoring of the foot of a total ossicular replacement prosthesis (TORP) on the footplate have been proposed. To address this issue, a technique was developed that fits a cartilage shoe into the oval niche to guide the base of the prosthesis into a preformed central perforation. Objective: To evaluate the long-term results of the cartilage shoe technique used to anchor a titanium TORP on the stapes footplate in patients after type III tympanoplasty...
August 18, 2016: JAMA Otolaryngology—Head & Neck Surgery
Jacob B Hunter, Brendan P O'Connell, Alejandro Rivas
PURPOSE OF REVIEW: Total endoscopic ear surgery is becoming more popular given the improved visualization of the middle ear and its related pathology as compared to the microscope. Whereas the endoscope has been used for close to two decades in cholesteatoma surgery with several significant studies, few studies have outlined the surgical outcomes, and also the complications, in patients undergoing endoscopic tympanoplasties and stapes surgeries. This review highlights those few studies...
October 2016: Current Opinion in Otolaryngology & Head and Neck Surgery
Kristine Aabenhus, Steven Arild Wuyts Andersen, Mads Slvsten Srensen
OBJECTIVE: To evaluate the short-term stability of postoperative hearing results after tympanoplasty. STUDY DESIGN: Prospective database study. SETTING: Tertiary referral center. PATIENTS: 1,367 cases of tympanoplasty I-IV were registered in the OTOKIR database between February 2004 and November 2013. INTERVENTION: The authors included the 553 cases attending postoperative follow-ups at both 3 and 12 months...
October 2016: Otology & Neurotology
Hyun Jin Min, Kyung Soo Kim
In otorhinolaryngologic fields, Lyodura had been used mainly in otological procedures, such as tympanoplasty, myringoplasty, and mastoidectomy. However, so far in rhinologic area, there is only 1 report that Lyodura was used for closure of cerebrospinal fluid leaks. This report describes a 54-year-old woman presented with recurrent purulent discharge for 4-month duration because of Lyodura extrusion from the septum. On the basis of authors' experience, the authors highlight that the complete removal of exposed Lyodura from the nasal septum may be difficult because of adhesion to the surrounding septal mucosal flap...
October 2016: Journal of Craniofacial Surgery
Riza Dundar, Erkan Kulduk, Fatih Kemal Soy, Mehmet Aslan, Ahmet Yükkaldiran, Mehmet Ali Çiftçi
The aim of this study was to compare anatomical and audiological results of boomerang-shaped chondroperichondrial graft (BSCPG) with temporal muscle fascia in type 1 tympanoplasties. Sixty-eight patients in BSCPG group and 54 patients in fascia group were evaluated. Otomicroscopic examination was done periodically till 24 months as for graft perforation, lateralization and retraction and mean air conduction threshold and airbone gap values were measured. At long term controls, in BSCPG group, rates of neomembrane, perforation, retraction and lateralization were 91...
September 2016: Indian Journal of Otolaryngology and Head and Neck Surgery
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