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Insertion of middle-ear Silastic sheeting during tympanoplasty: hearing outcomes
1Otorhinolaryngology Department, Faculty of Medicine, Mansoura University, Egypt. shawky_morsy2003@yahoo.com
Objective:
To study the effect of Silastic® sheeting placed in the middle ear during tympanoplasty, including the effect on hearing.
Design:
Retrospective study.
Background:
Chronic inflammation of the middle ear is common. Surgical treatment sometimes results in middle-ear adhesions and hearing deterioration.
Materials And Methods:
We selected 106 patients with chronic otitis media, middle-ear adhesions and intact ossicles, based on intra-operative findings. These patients underwent single-stage tympanoplasty either with or without insertion of Silastic sheeting. Audiometry was undertaken pre-operatively and one and 12 months post-operatively.
Results:
Patients who had undergone Silastic sheet insertion showed significantly better air conduction, bone conduction and air-bone gap averages one year post-operatively, compared with those who had not.
