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Tympanoplasty in adhesive otitis media: A descriptive study.
Aisha Larem1,2, Hassan Haidar1,2, Ali Alsaadi1
1Otolaryngology Department of Hamad Medical Corporation, Doha, Qatar.
The Laryngoscope
|May 12, 2016
Summary
Tympanoplasty effectively treats adhesive otitis media (AdOM), significantly improving hearing and controlling infections. This surgical approach demonstrates favorable long-term outcomes with minimal risks.
Area of Science:
- Otolaryngology
- Surgical Innovation
- Auditory Health
Background:
- Adhesive otitis media (AdOM) lacks a consensus treatment strategy.
- Intervention is often limited to recurrent infections or significant hearing loss.
Purpose of the Study:
- To evaluate the efficacy and safety of tympanoplasty for AdOM.
- To analyze long-term outcomes of surgical intervention in AdOM patients.
Main Methods:
- Prospective study of 57 patients (60 ears) with AdOM undergoing tympanoplasty.
- Surgical technique included tragal cartilage, ventilation tube, and mastoidectomy.
- Evaluated otorrhea control, graft uptake, hearing, and complications over 3 years.
Main Results:
- Otorrhea controlled in 94% of ears; tympanic membrane healing in all but one.
- Significant hearing improvement: mean air-bone gap reduced from 30.4 dB to 8.6 dB at 1 year.
- 83.6% achieved closure of air-bone gap to within 20 dB; no iatrogenic cholesteatoma.
Conclusions:
- Tympanoplasty demonstrates favorable outcomes for adhesive otitis media.
- Surgical risks, including sensorineural hearing loss and cholesteatoma, are negligible.
