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Bilateral same day surgery for bilateral perforated chronic otitis media.
M Sakagami1, Y Mishiro, K Tsuzuki
1Department of Otolaryngology, Hyogo College of Medicine, Nishinomiya City, Japan. msakaga@hyo-med.ac.jp
Auris, Nasus, Larynx
|January 27, 2000
Summary
Bilateral same day surgery for chronic otitis media is feasible using simple underlay myringoplasty (SUM), a technique with low risk of hearing loss. This approach offers a viable option for patients requiring simultaneous eardrum repair.
Area of Science:
- Otolaryngology
- Surgical Innovation
- Audiology
Background:
- Bilateral same day surgery for chronic otitis media is rarely performed due to the risk of sensorineural hearing loss with conventional myringoplasty or tympanoplasty (CMT).
- Simple underlay myringoplasty (SUM) is a minimally invasive technique with a reduced risk of hearing loss.
Purpose of the Study:
- To evaluate the outcomes of bilateral same day surgery using the SUM technique for patients with bilateral perforated chronic otitis media.
Main Methods:
- A retrospective review of 25 patients with bilateral perforated chronic otitis media who underwent bilateral same day surgery between 1995-1997.
- Procedures included bilateral SUM, combined SUM and CMT, or bilateral CMT.
Main Results:
- Perforation closure was successful in 72% of patients bilaterally and 28% unilaterally.
- A postoperative air-bone gap of less than 20 dB was achieved in 60% of patients bilaterally and 92% unilaterally.
Conclusions:
- Bilateral same day surgery for bilateral perforated chronic otitis media is a possible and effective treatment option.
- Careful consideration of operative indications is crucial for successful outcomes.