Endoscopic Type 1 Tympanoplasty: Evaluation of Clinical Success and Hearing Improvement
Objective: This study aimed to assess the functional and clinical outcomes of endoscopic Type 1 tympanoplasty in patients with chronic otitis media and tympanic membrane perforations, focusing on hearing improvement and graft success rates. Methods: This retrospective study included 46 patients with...
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| Format: | Article |
| Language: | English |
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Galenos Publishing House
2024-12-01
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| Series: | Medeniyet Medical Journal |
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| Online Access: | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=medeniyet&un=MEDJ-88278 |
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| _version_ | 1832582755136831488 |
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| author | Aynur ALIYEVA Ramil HASHIMLI |
| author_facet | Aynur ALIYEVA Ramil HASHIMLI |
| author_sort | Aynur ALIYEVA |
| collection | DOAJ |
| description | Objective: This study aimed to assess the functional and clinical outcomes of endoscopic Type 1 tympanoplasty in patients with chronic otitis media and tympanic membrane perforations, focusing on hearing improvement and graft success rates.
Methods: This retrospective study included 46 patients with dry tympanic membrane perforations who underwent endoscopic Type 1 tympanoplasty. Audiometric data, including pure tone averages (PTA) and air-bone gap (ABG) measurements at four frequencies (500, 1000, 2000, and 4000 Hz), were collected preoperatively and postoperatively. Functional success was defined as a postoperative ABG of 20 dB, whereas the integrity of the graft determined clinical success.
Results: The mean preoperative ABG was 36.74+-7.62 dB, which significantly improved to 15.05+-3.82 dB postoperatively (p<0.001). The PTA exhibited an average gain of 28.17+-6.87 dB for all frequencies. Functional success was achieved in 42 patients (91.30%), with 17 patients (36.96%) achieving normal hearing and 22 patients (47.83%) presenting with slight hearing loss postoperatively. Anatomical success was achieved in 42 patients (91.30%).
Conclusions: Endoscopic Type 1 tympanoplasty is a safe and effective surgical method for treating chronic otitis media, with high rates of both functional and clinical success, significant improvements in hearing outcomes, and minimal postoperative complications. |
| format | Article |
| id | doaj-art-7b153b4190cf48a9b9b8076dedf27c1e |
| institution | Kabale University |
| issn | 2149-2042 2149-4606 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Galenos Publishing House |
| record_format | Article |
| series | Medeniyet Medical Journal |
| spelling | doaj-art-7b153b4190cf48a9b9b8076dedf27c1e2025-01-29T10:02:16ZengGalenos Publishing HouseMedeniyet Medical Journal2149-20422149-46062024-12-0139426827410.4274/MMJ.galenos.2024.88278MEDJ-88278Endoscopic Type 1 Tympanoplasty: Evaluation of Clinical Success and Hearing ImprovementAynur ALIYEVA0Ramil HASHIMLI1Mәlhәm Beynəlxalq Hospital, Clinic of Otorhinolaryngology, Baku, AzerbaycanLOR Hospital, Clinic of Otorhinolaryngology, Baku, AzerbaycanObjective: This study aimed to assess the functional and clinical outcomes of endoscopic Type 1 tympanoplasty in patients with chronic otitis media and tympanic membrane perforations, focusing on hearing improvement and graft success rates. Methods: This retrospective study included 46 patients with dry tympanic membrane perforations who underwent endoscopic Type 1 tympanoplasty. Audiometric data, including pure tone averages (PTA) and air-bone gap (ABG) measurements at four frequencies (500, 1000, 2000, and 4000 Hz), were collected preoperatively and postoperatively. Functional success was defined as a postoperative ABG of 20 dB, whereas the integrity of the graft determined clinical success. Results: The mean preoperative ABG was 36.74+-7.62 dB, which significantly improved to 15.05+-3.82 dB postoperatively (p<0.001). The PTA exhibited an average gain of 28.17+-6.87 dB for all frequencies. Functional success was achieved in 42 patients (91.30%), with 17 patients (36.96%) achieving normal hearing and 22 patients (47.83%) presenting with slight hearing loss postoperatively. Anatomical success was achieved in 42 patients (91.30%). Conclusions: Endoscopic Type 1 tympanoplasty is a safe and effective surgical method for treating chronic otitis media, with high rates of both functional and clinical success, significant improvements in hearing outcomes, and minimal postoperative complications.https://jag.journalagent.com/z4/download_fulltext.asp?pdir=medeniyet&un=MEDJ-88278type 1 tympanoplastychronic otitis mediaendoscopic approachtragal perichondrium grafthearing improvementgraft success |
| spellingShingle | Aynur ALIYEVA Ramil HASHIMLI Endoscopic Type 1 Tympanoplasty: Evaluation of Clinical Success and Hearing Improvement Medeniyet Medical Journal type 1 tympanoplasty chronic otitis media endoscopic approach tragal perichondrium graft hearing improvement graft success |
| title | Endoscopic Type 1 Tympanoplasty: Evaluation of Clinical Success and Hearing Improvement |
| title_full | Endoscopic Type 1 Tympanoplasty: Evaluation of Clinical Success and Hearing Improvement |
| title_fullStr | Endoscopic Type 1 Tympanoplasty: Evaluation of Clinical Success and Hearing Improvement |
| title_full_unstemmed | Endoscopic Type 1 Tympanoplasty: Evaluation of Clinical Success and Hearing Improvement |
| title_short | Endoscopic Type 1 Tympanoplasty: Evaluation of Clinical Success and Hearing Improvement |
| title_sort | endoscopic type 1 tympanoplasty evaluation of clinical success and hearing improvement |
| topic | type 1 tympanoplasty chronic otitis media endoscopic approach tragal perichondrium graft hearing improvement graft success |
| url | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=medeniyet&un=MEDJ-88278 |
| work_keys_str_mv | AT aynuraliyeva endoscopictype1tympanoplastyevaluationofclinicalsuccessandhearingimprovement AT ramilhashimli endoscopictype1tympanoplastyevaluationofclinicalsuccessandhearingimprovement |