Hearing results in tympanoplasty in Riyadh

In patients with chronic otitis media, the aims of surgery are to eradicate middle ear disease, prevent recurrent infections, and improve hearing. In most published papers about tympanoplasty, the surgical approaches receive more attention as compared to hearing results. A total of 2015 ears with CSOM but without cholesteatoma, operated upon in a period of 9 years at King Abdul Aziz University Hospital, were studied and analyzed. The results showed 78% perforations closure rate, 19% reperforation rate, and 74% objective audiometry air-bone closure. The results of graft taking and closure of air-bone gap to within 10 dB were better using temporalis fascia compared to dura grafts. Post operative SNHL at 4000 KHz was more in cases using dura graft 6% compared with temporalis fascia 1.9%. Skill, experience, and development of medical facilities in distant areas in developing countries may prove helpful in improving the final results.