Loop underlay tympanoplasty for anterior, subtotal and total tympanic membrane perforations: a retrospective review

Abstract Background The study aims at reporting our experience with loop underlay tympanoplasty, a modification of the underlay technique previously reported, for the reconstruction of anterior, subtotal or total tympanic membrane perforations. Methods A retrospective review of charts of patients wh...

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Main Authors: Rana Barake, Tamer El Natout, Marc Bassim, Mohammad Ali El Natout
Format: Article
Language:English
Published: SAGE Publishing 2019-03-01
Series:Journal of Otolaryngology - Head and Neck Surgery
Subjects:
Online Access:http://link.springer.com/article/10.1186/s40463-019-0335-x
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author Rana Barake
Tamer El Natout
Marc Bassim
Mohammad Ali El Natout
author_facet Rana Barake
Tamer El Natout
Marc Bassim
Mohammad Ali El Natout
author_sort Rana Barake
collection DOAJ
description Abstract Background The study aims at reporting our experience with loop underlay tympanoplasty, a modification of the underlay technique previously reported, for the reconstruction of anterior, subtotal or total tympanic membrane perforations. Methods A retrospective review of charts of patients who have undergone loop underlay tympanoplasty from January 2002 to January 2012 was performed. One thousand one hundred patients were included. Hearing test results preoperatively and postoperatively were reported. On follow up visits, the closure of the tympanic membrane perforation and the improvement of hearing compared to preoperative measurements with absence of complications were considered as successful outcomes of the surgery. Results At the three-month follow-up visit, the perforation closure rate was found to be 99.3% and Air-Bone Gap closure rate to less than 10 dB was 99.5%. The complication rate, including post-operative infection, was 0.72%. Conclusion The loop underlay technique combines advantages of both underlay and overlay techniques with excellent postoperative outcomes.
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institution Kabale University
issn 1916-0216
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publishDate 2019-03-01
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series Journal of Otolaryngology - Head and Neck Surgery
spelling doaj-art-4a4e9e2484c547828cb4d9ccfe09454a2025-02-03T10:54:12ZengSAGE PublishingJournal of Otolaryngology - Head and Neck Surgery1916-02162019-03-014811510.1186/s40463-019-0335-xLoop underlay tympanoplasty for anterior, subtotal and total tympanic membrane perforations: a retrospective reviewRana Barake0Tamer El Natout1Marc Bassim2Mohammad Ali El Natout3Department of Otorhinolaryngology - Head and Neck Surgery, American University of Beirut Medical CenterRoyal College of Surgeons in Ireland, 123 St Stephen’s GreenDepartment of Otorhinolaryngology - Head and Neck Surgery, American University of Beirut Medical CenterDepartment of Otorhinolaryngology - Head and Neck Surgery, American University of Beirut Medical CenterAbstract Background The study aims at reporting our experience with loop underlay tympanoplasty, a modification of the underlay technique previously reported, for the reconstruction of anterior, subtotal or total tympanic membrane perforations. Methods A retrospective review of charts of patients who have undergone loop underlay tympanoplasty from January 2002 to January 2012 was performed. One thousand one hundred patients were included. Hearing test results preoperatively and postoperatively were reported. On follow up visits, the closure of the tympanic membrane perforation and the improvement of hearing compared to preoperative measurements with absence of complications were considered as successful outcomes of the surgery. Results At the three-month follow-up visit, the perforation closure rate was found to be 99.3% and Air-Bone Gap closure rate to less than 10 dB was 99.5%. The complication rate, including post-operative infection, was 0.72%. Conclusion The loop underlay technique combines advantages of both underlay and overlay techniques with excellent postoperative outcomes.http://link.springer.com/article/10.1186/s40463-019-0335-xTympanic membrane perforationTympanoplastyUnderlay tympanoplastyConductive hearing loss
spellingShingle Rana Barake
Tamer El Natout
Marc Bassim
Mohammad Ali El Natout
Loop underlay tympanoplasty for anterior, subtotal and total tympanic membrane perforations: a retrospective review
Journal of Otolaryngology - Head and Neck Surgery
Tympanic membrane perforation
Tympanoplasty
Underlay tympanoplasty
Conductive hearing loss
title Loop underlay tympanoplasty for anterior, subtotal and total tympanic membrane perforations: a retrospective review
title_full Loop underlay tympanoplasty for anterior, subtotal and total tympanic membrane perforations: a retrospective review
title_fullStr Loop underlay tympanoplasty for anterior, subtotal and total tympanic membrane perforations: a retrospective review
title_full_unstemmed Loop underlay tympanoplasty for anterior, subtotal and total tympanic membrane perforations: a retrospective review
title_short Loop underlay tympanoplasty for anterior, subtotal and total tympanic membrane perforations: a retrospective review
title_sort loop underlay tympanoplasty for anterior subtotal and total tympanic membrane perforations a retrospective review
topic Tympanic membrane perforation
Tympanoplasty
Underlay tympanoplasty
Conductive hearing loss
url http://link.springer.com/article/10.1186/s40463-019-0335-x
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AT marcbassim loopunderlaytympanoplastyforanteriorsubtotalandtotaltympanicmembraneperforationsaretrospectivereview
AT mohammadalielnatout loopunderlaytympanoplastyforanteriorsubtotalandtotaltympanicmembraneperforationsaretrospectivereview