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https://www.readbyqxmd.com/read/28069080/role-of-circumferential-subannular-tympanoplasty-in-anterior-and-subtotal-perforations
#1
G B Singh, S Ranjan, R Arora, S Kumar
OBJECTIVE: This study aimed to evaluate the surgical success of a modified inlay tympanoplasty technique, known as circumferential subannular tympanoplasty, for anterior and subtotal perforations. METHODS: This prospective study was performed in a tertiary care teaching hospital between October 2013 and April 2016. A total of 58 adult patients of both sexes with anterior or subtotal perforations underwent circumferential subannular tympanoplasty under local anaesthesia...
January 10, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28045591/clinical-practice-guideline-update
#2
Seth R Schwartz, Anthony E Magit, Richard M Rosenfeld, Bopanna B Ballachanda, Jesse M Hackell, Helene J Krouse, Claire M Lawlor, Kenneth Lin, Kourosh Parham, David R Stutz, Sandy Walsh, Erika A Woodson, Ken Yanagisawa, Eugene R Cunningham
Objective This update of the 2008 American Academy of Otolaryngology-Head and Neck Surgery Foundation cerumen impaction clinical practice guideline provides evidence-based recommendations on managing cerumen impaction. Cerumen impaction is defined as an accumulation of cerumen that causes symptoms, prevents assessment of the ear, or both. Changes from the prior guideline include a consumer added to the development group; new evidence (3 guidelines, 5 systematic reviews, and 6 randomized controlled trials); enhanced information on patient education and counseling; a new algorithm to clarify action statement relationships; expanded action statement profiles to explicitly state quality improvement opportunities, confidence in the evidence, intentional vagueness, and differences of opinion; an enhanced external review process to include public comment and journal peer review; and 3 new key action statements on managing cerumen impaction that focus on primary prevention, contraindicated intervention, and referral and coordination of care...
January 2017: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/28034533/audiological-features-in-congenital-bony-atresia-of-external-auditory-canal-with-temporal-mandibular-joint-retroposition
#3
Ran Ren, Shouqin Zhao, Danni Wang, Lin Yang, Zhonglin Liu, Ying Li, Chenyi Wei
OBJECTIVES: To facilitate the diagnosis, treatment and surgical options for congenital bony atresia of external auditory canal (EAC) with temporal-mandibular joint (TMJ) retroposition by analyzing its audiological features and the morphology of temporal bone on CT scan. MATERIALS AND METHODS: Two cohorts of patients with congenital EAC bony atresia with (n=23) or without (n=21) TMJ retroposition were recruited from September 2012 to July 2014 at Beijing Tongren Hospital, Capital Medical University...
October 3, 2016: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/27990602/endoscopic-tympanoplasty-learning-curve-for-a-surgeon-already-trained-in-microscopic-tympanoplasty
#4
Sedat Doğan, Cem Bayraktar
The aim of this study was to evaluate the learning curve of endoscopic tympanoplasty for a surgeon already trained in microscopic tympanoplasty. We analyzed the clinical records of 81 patients who underwent transcanal endoscopic type 1 tympanoplasty and 30 control patients who underwent microscopic tympanoplasty between 2013 and 2015 in a tertiary hospital. All operations were performed by a single surgeon already trained in microscopic tympanoplasty. Patients were divided into four groups according to the date of surgery chronologically (group 1 early stage, group 2 intermediate stage, group 3 advanced stage and group 4 control)...
December 18, 2016: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/27984431/assessment-of-the-factors-that-affect-the-anatomic-and-functional-success-of-cartilage-tympanoplasty-in-children
#5
Mahmut Sinan Yilmaz, Ahmet Kara, Mehmet Guven, Deniz Demir, Unal Erkorkmaz
OBJECTIVES: Many factors may influence the surgical outcome of tympanoplasty in children, including age, the size and location of perforation, otorrhea, status of contralateral ear, surgical technique, and adenoid hypertrophy. This study aims to evaluate the outcomes of pediatric cartilage tympanoplasty and to assess the factors that affect the success of tympanoplasty in children. METHODS: Children with chronic otitis media who underwent tympanoplasty using cartilage as graft material were evaluated retrospectively...
December 14, 2016: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/27955869/outcomes-of-type-i-tympanoplasty-using-a-cartilage-shield-graft-in-patients-with-poor-prognostic-factors
#6
Kyung Wook Heo
OBJECTIVE: Although fascia is widely used as the grafting material in tympanoplasty (TP), unsatisfactory outcomes can result in patients with poor prognostic factors. Recently, cartilage has emerged as a graft material in TP. This study examined the operative outcomes of type I TP using a cartilage shield graft (CSG) in patients with poor prognostic factors. METHODS: This study reviewed the medical records of patients who underwent type I TP using CSG performed by the same surgeon, with over 24 months of follow-up...
December 7, 2016: Auris, Nasus, Larynx
https://www.readbyqxmd.com/read/27942603/clinical-aspects-and-surgical-outcomes-of-congenital-cholesteatoma-in-93-children-increasing-trends-of-congenital-cholesteatoma-from-1997-through-2012
#7
Hyun Soo Cho, Hak Geon Kim, Da Jung Jung, Jeong Hun Jang, Sang Heun Lee, Kyu-Yup Lee
BACKGROUND AND OBJECTIVES: The recent increase in the reported incidence of congenital cholesteatoma (CC) may be secondary to the widespread use of otoendoscopy as well as an increased awareness of these lesions among primary care physicians. However, little research about CC has been conducted in a large group of patients. This study aimed to analyze the clinical characteristics of CC including the annual number of patients, symptoms, age at diagnosis, stage and type of disease, surgical techniques, recurrence, and postoperative complications...
December 2016: Journal of Audiology & Otology
https://www.readbyqxmd.com/read/27942599/fibrinogen-based-collagen-fleece-graft-myringoplasty-for-traumatic-tympanic-membrane-perforation
#8
Seung Hyo Choi, Hyoung Yong Song, Chan Il Song
BACKGROUND AND OBJECTIVES: The aim of this study was to investigate how fibrinogen-based collagen fleece (Tachocomb®) graft myringoplasty (FCGM), performed under microscopic guidance, improves both hearing and tympanic membrane tissue repair in patients with traumatic tympanic membrane perforation (TMP). SUBJECTS AND METHODS: Between August 2009 and March 2015, a total of 52 patients with traumatic TMP visited the department of otorhinolaryngology at a secondary medical center...
December 2016: Journal of Audiology & Otology
https://www.readbyqxmd.com/read/27933630/comparison-of-cartilage-with-temporalis-fascia-tympanoplasty-a-meta-analysis-of-comparative-studies
#9
REVIEW
Mir Mohammad Jalali, Masoud Motasaddi, Ali Kouhi, Sasan Dabiri, Robabeh Soleimani
OBJECTIVE: To systematically review the results of type 1 tympanoplasty with temporalis fascia (TF) versus cartilage in patients with chronic otitis media (COM) for graft integration and hearing improvement. DATA SOURCES: The English language literature (until June 1, 2016) was searched, using Medline (via PubMed), Scopus, ProQuest, Ovid, Cochrane database, and Google Scholar. REVIEW METHODS: A comprehensive review of the literature was performed...
December 9, 2016: Laryngoscope
https://www.readbyqxmd.com/read/27917790/retrospective-air-bone-gap-evaluation-of-patients-with-tympanic-membrane-central-perforation
#10
Levent Küçükkavruk, Esra Temügan, Mesut Kaya, Selim Unsal, Nebi Mustafa Gumus, Mustafa Yüksel, Mehmet Gündüz
PURPOSE: The purpose of this study was to evaluate hearing recovery and air-bone gap (ABG) before and after tympanoplasty surgery in patients with tympanic membrane central perforation. METHODS: Histories and audiological assessments of 160 cases (total of 26 ears from 22 patients; 11 men and 11 women) from patients who had undergone tympanoplasty surgery and hearing reconstruction due to tympanic membrane central perforation were evaluated. Pre-postoperative audiograms and the pure tone, air-bone hearing thresholds and ABG gains were evaluated...
December 1, 2016: Clinical and Investigative Medicine. Médecine Clinique et Experimentale
https://www.readbyqxmd.com/read/27916013/effectiveness-of-transperforation-myringoplasty-in-bilateral-chronic-otitis-media-patients-undergoing-contralateral-tympanoplasty
#11
A T Ihsan, K Ranjana
OBJECTIVES: Bilateral tympanic membrane perforation closure is usually performed by otosurgeons in two sittings. However, in this study, transperforation myringoplasty was performed alongside contralateral tympanoplasty in a single sitting. The effectiveness of transperforation myringoplasty procedure and the benefits of single sitting bilateral surgery were evaluated. METHODS: A prospective study of 50 selected patients with mucosal-type bilateral chronic otitis media was conducted...
January 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/27879419/tympanoplasty-outcomes-for-blast-induced-perforations-from-iraq-and-afghanistan-2007-2012
#12
Sungjin A Song, Shankar K Sridhara, Philip D Littlefield
OBJECTIVE: To describe characteristics of blast-induced tympanic membrane perforations that do not spontaneously heal, evaluate the outcomes of tympanoplasty techniques, and understand the factors associated with surgical success. SETTING: Two tertiary military health care institutions. STUDY DESIGN: Case series with chart review. SUBJECTS AND METHODS: This study reviewed the practice of 1 military neurotologist and included all tympanoplasties for combat blast-induced perforations from 2007 to 2012, which comprised a total of 55 patients...
November 22, 2016: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/27879224/a-comparison-of-cartilage-palisades-and-temporal-fascia-in-type-1-tympanoplasty-for-bilateral-tympanic-membrane-perforations-in-children
#13
Taylan Gün, Osman Fatih Boztepe, Doğan Atan, Aykut İkincioğulları, Hüseyin Dere
OBJECTIVE: To compare the graft success rates and audiological outcomes of bilaterally performed type 1 tympanoplasty using cartilage palisades or temporal fascia in children. MATERIALS AND METHODS: We retrospectively analyzed the medical records of patients who underwent type 1 tympanoplasty at Medical Park Hospital between May 2007 and February 2013. 27 patients (54 ears) were enrolled in the study: 15 (30 ears) in the palisade cartilage group and 12 (24 ears) in the fascia group...
November 23, 2016: Journal of International Advanced Otology
https://www.readbyqxmd.com/read/27861950/comparison-of-the-efficacy-of-endoscopic-tympanoplasty-and-microscopic-tympanoplasty-a-systematic-review-and-meta-analysis
#14
REVIEW
Chih-Chieh Tseng, Ming-Tang Lai, Chia-Che Wu, Sheng-Po Yuan, Yi-Fang Ding
OBJECTIVES: Microscopic tympanoplasty has been the standard surgery for repairing perforated tympanic membranes since the 1950s, but endoscopic tympanoplasty has been increasingly practiced since the late 1990s. In this study, we compared the efficacies of endoscopic and microscopic tympanoplasty. DATA SOURCES: PubMed, Embase, MEDLINE, and the Clinical Trial Register. REVIEW METHODS: We conducted a systematic review and meta-analysis following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis statement...
November 9, 2016: Laryngoscope
https://www.readbyqxmd.com/read/27837423/the-effects-of-surgery-type-and-different-ossiculoplasty-materials-on-the-hearing-results-in-cholesteatoma-surgery
#15
Sultan Şevik Eliçora, Duygu Erdem, Aykut Erdem Dinç, Murat Damar, Sultan Bişkin
To investigate the effects of surgery type [intact canal wall (ICW) or canal wall down (CWD) mastoidectomy] and different ossiculoplasty materials on hearing outcome in single-staged cholesteatoma surgery. A retrospective case-control study. A total of 116 cases (97 adults, 29 children) underwent surgery, including ossiculoplasty, between 2012 and 2015 for cholesteatoma. Patients who had undergone surgery for the first time, and whose grafts were successful, were included in the study. Patients with adhesive otitis media, unsuccessful grafts, revision and recurrent cases, radical mastoidectomy, and craniofacial anomalies were excluded...
November 11, 2016: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/27833874/effect-of-type-1-tympanoplasty-on-the-quality-of-life-of-csom-patients
#16
Khyati Bhatia, Lakshmi Vaid, H C Taneja
Chronic suppurative otitis media (CSOM) continues to be an important public health problem despite significant advances in medical science. Ear discharge, pain, discomfort, difficulty in hearing, limitation of routine activities and emotional problems due to CSOM cause a significant impact on the health and general well being of the patient. We have done Type 1 tympanoplasty in tubotympanic type of COM to reconstruct the tympanic membrane and alleviate the symptoms of the patients. This study presents an analysis of the impact of the surgery on the patient subjectively and its correlation with objective outcomes...
December 2016: Indian Journal of Otolaryngology and Head and Neck Surgery
https://www.readbyqxmd.com/read/27833873/pre-operative-indicators-of-ossicular-necrosis-in-tubotympanic-csom
#17
Celina Lovely Jayakumar, Leeberk R Inbaraj, George J O Pinto
Ossicular necrosis and erosion is commonly seen in CSOM with cholesteatoma but can also occur in tubotympanic CSOM. This usually comes as a surprise during surgery. Preoperative knowledge of ossicular necrosis helps the surgeon to be better prepared for the surgery and ossicular construction if required. Hence, this study is intended to identify the pre-operative indicators of ossicular necrosis. This cross sectional study was conducted in Father Muller Medical College in Mangalore. Sixty nine consecutive patients with tubotympanic CSOM underwent a detailed clinical examination with pure tone audiometry and subsequently tympanoplasty with or without cortical mastoidectomy...
December 2016: Indian Journal of Otolaryngology and Head and Neck Surgery
https://www.readbyqxmd.com/read/27833868/evaluation-of-role-of-mastoid-surgery-in-the-management-of-safe-chronic-suppurative-otitis-media
#18
Akriti Sharma, Nitish Baisakhiya, L N Garg, Gurchand Singh
This study evaluates the outcome of type 1 tympanoplasty with and with out mastoidectomy. The comparative study comprises of 40 patients with CSOM safe type in dry ear. All cases were operated during a period of one and a half years. 20 of these cases were selected for tympanoplasty alone (Group A) and 20 cases were selected for Tympanoplasty with cortical mastoidectomy (Group B). Patients were reviewed after 3 weeks for inspection of the operated ear. The second and third postoperative reviews were done 6 and 12 weeks respectively for clinical assessment of the operated ear with respect to graft status, ear discharge and hearing improvement...
December 2016: Indian Journal of Otolaryngology and Head and Neck Surgery
https://www.readbyqxmd.com/read/27829945/intraoperative-endoscopy-of-the-anterior-epitympanum-recess-through-the-posterior-tympanotomy
#19
Emilia B Karchier, Kazimierz Niemczyk, Krzysztof F Morawski, Robert Bartoszewicz, Adam Orłowski
INTRODUCTION: The anterior epitympanum recess (AER) is a common place of the development of the cholesteatoma, which is why removal of the matrix from this area plays a key role in the surgical treatment of chronic otitis media. AIM: To evaluate the intraoperative visibility of AER in endoscopic optics in comparison to microscopic optics and to determine the prevalence of cholesteatoma in various types of construction of the AER. Study design: retrospective analysis of intraoperative search...
2016: Wideochirurgia i Inne Techniki Mało Inwazyjne, Videosurgery and Other Miniinvasive Techniques
https://www.readbyqxmd.com/read/27810842/pediatric-type-1-cartilage-tympanoplasty-comparison-between-graft-success-rates-and-hearing-results-in-adults
#20
Gültekin Övet, Necat Alataş, Mehmet Şentürk, Fatih Güzelkara
OBJECTIVE: It is an ongoing debate whether tympanoplasty should be performed in the pediatric age group. The purpose of this study was to analyze and compare the anatomical and functional outcomes of type I cartilage tympanoplasty in children and adults. MATERIALS AND METHODS: The file records of patients who underwent type 1 cartilage tympanoplasty were retrospectively reviewed. In total, 133 patients who underwent type 1 tympanoplasty for chronic otitis media were included...
August 1, 2016: Journal of International Advanced Otology
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