Is type 1 tympanoplasty effective in elderly patients? Comparison of fascia and perichondrium grafts
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Dosyalar
Tarih
2019
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Taylor and Francis Ltd
Erişim Hakkı
info:eu-repo/semantics/embargoedAccess
Özet
Background: Tympanoplasty is regularly performed in various ages but data about the procedure in elderly is insufficient. Objectives: To compare the success rates and hearing outcomes of fascia and perichondrium grafts used for tympanoplasty in patients >65 years and to evaluate the prognostic factors affecting the success of tympanoplasty. Methods: Reviewing records of 49 elderly patients underwent tympanoplasty, two groups were constituted: perichondrium (25 patients) and fascia (24 patients) groups. Ages, genders, perforation sides, type and location of perforation, graft success rates, functional success rates and air–bone gap (ABG) gains were compared. Results: Overall graft success rate was 85.7%. After a mean follow-up of 23.3 ± 8.32 months, overall mean ABG gain was 11.33 ± 8.42 dB. Overall median postoperative ABG value (9 dB) was significantly lower compared to the median preoperative value (24 dB) (p <.001). Graft success rate was higher in perichondrium group (96%) compared to fascia group (75%) (p =.04). Functional success rate did not significantly differ between perichondrium (68%) and fascia groups (62.5%) (p =.68). Conclusion and significance: Tympanoplasty is an effective procedure with a graft success rate of 85.7% in elderly. Both fascia and perichondrium are suitable materials; however, perichondrium had higher success rate.
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Açıklama
*Çayır, Serkan ( Aksaray, Yazar ) *Kayabaşı, Serkan ( Aksaray, Yazar )
Anahtar Kelimeler
Elderly, Fascia, Perichondrium, Success, Tympanoplasty
Kaynak
Acta Oto-Laryngologica
WoS Q Değeri
N/A
Scopus Q Değeri
Q2
Cilt
139
Sayı
9
