DOI: http://dx.doi.org/10.18203/issn.2454-5929.ijohns20210168

Does age of patient impact the outcome of tympanoplasty? A study in a tertiary care center

Geetanjali Jaiswani, Rajesh Kumar, Priyanko Chakraborty

Abstract


Background: Chronic suppurative otitis media (CSOM) is one of the most common cause of reversible conductive hearing loss in world especially in countries with poor socio-economic status, poor nutritional habits, hygiene and lack of health education. It affects both sexes and all age groups. Successful outcome of tympanoplasty depends on various factors.

Methods: This study was conducted to evaluate impact of age on outcome of type 1 tympanoplasty. Cases were selected, after proper history taking and preoperative evaluations, type 1 tympanoplasty was conducted under local anesthesia with temporalis fascia graft using underlay technique through post-auricular approach. Patients were followed up in postoperative period for 6 months.

Results: Best results were observed in age group of 21-40 years and poorer outcomes were seen in patients more than 40 years and those less than 20 years age.

Conclusions: The outcome of type 1 tympanoplasty is affected by age of patient.


Keywords


Tympanoplasty, CSOM, Conductive hearing loss

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References


Pinar E, Sadullahoglu K, Calli C, Oncel S. Evaluation of prognostic factors and middle ear risk index in tympanoplasty. Otolaryngol-Head Neck Surg. 2008;139(3):386-90.

Shankar R, Virk RS, Gupta K, Gupta AK, Bal A, Bansal S. Evaluation and comparison of type I tympanoplasty efficacy and histopathological changes to the tympanic membrane in dry and wet ear: a prospective study. J Laryngol Otol. 2015;129(10):945-9.

Joshi R, Jha AK, Rijal AS, Dhungana A, Shrestha KK. Hearing Evaluation After Myringoplasty At Nepal Medical College and Teaching Hospital. J Nobel Med College. 2013;2(1-3):36-42.

Ur Rehman H, Ullah N, Said M, Shahabi IK, Ullah H, Saleem M. Factors influencing the success rate of myringoplasty. J Postgraduate Med Institute. 2007;21:2.

Kessler A, Potsic WP, Marsh RR. Type 1 Tympanoplasty in Children. Arch Otolaryngol Head Neck Surg. 1994;120(5):487-90.

Gupta N, Mishra RK. Tympanoplasty in children. Indian J Otolaryngol Head Neck Surg. 2002;54(4):271-3.

Tos M. Tympanoplasty and age. Arch Otolaryngol. 1972;96(6):493-8.

Emmett JR. Age as a factor in the success of tympanoplasty: A comparison of outcomes in the young and old. ENT J. 1999;78(7):480-3.