[Tympanoplasty in septic cases. A new technic]

Area of Science:

• Otolaryngology
• Surgical Innovation
• Infectious Disease Management

Context:

• Postoperative sepsis is a significant concern following tympanoplasty, especially in cases involving infected cholesteatoma.
• Existing surgical techniques require improved methods for local infection control to reduce complications.

Purpose:

• To introduce and evaluate a novel surgical technique employing postoperative antibiotic irrigation via a mastoid antrum tube.
• To assess the efficacy of this technique in minimizing the incidence of postoperative sepsis and improving outcomes in tympanoplasty and tympanomastoidectomy.

Summary:

• A new technique involves placing an irrigation tube in the mastoid antrum for postoperative antibiotic solution delivery.
• In 25 tympanomastoidectomies, only 6 cases of postoperative sepsis occurred, with 5 attributed to improper antibiotic administration.
• In 13 tympanoplasties, 6 unsuccessful outcomes were noted, 4 due to poor patient selection. Systemic antibiotics were administered pre- and post-operatively.

Impact:

• The developed technique demonstrates a potential reduction in postoperative sepsis rates in cholesteatoma surgery.
• This approach may enhance the overall success rates of tympanoplasty by improving local infection control.
• Optimized patient selection and meticulous antibiotic administration are crucial for maximizing the benefits of this technique.