Cartilage tympanoplasty in the treatment of adhesive otitis media with and without Eustachian tube balloon dilatation

IF 1.4 Q2 OTORHINOLARYNGOLOGY

Journal of Otology Pub Date : 2022-10-01 DOI:10.1016/j.joto.2022.08.002

Ahmed abdel rahman abdel aziz , Ahmed Mahmoud Youssef , Mostafa Mohamed Mostafa , Mostafa talaat , Khaled Mohamed Abdelzaher , Ahmed Adel Sadeq

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引用次数: 1

Abstract

Purpose

To compare cartilage tympanoplasty (CT) combined with eustachian tube balloon dilatation (ETBD) and cartilage tympanoplasty alone as a surgical treatment modality for adhesive otitis media (AdOM) in terms of graft healing, audiological outcomes, and impact on life style, using Chronic Otitis Media Outcome Test 15 (COMOT-15).

Methods

50 patients with AdOM were randomly classified into 2 groups: 25 patients for cartilage tympanoplasty only (CT group) and 25 patients for cartilage tympanoplasty combined with eustachian tube balloon dilatation (CT + ETBD group). Clinical outcomes in both groups were compared at 3 and 6 months of follow up.

Results

There was no significant difference in graft healing between the two groups. Postoperative COMOT-15 scores significantly decreased in both groups with a significant difference between the groups with regard to the decrease in COMOT-15 scores at 3 and 6 months of follow-up (P < 0.05). Hearing improvement was achieved, as the mean preoperative ABG was 26.5 ± 5.4 and 27.1 ± 4.6 dB, and the mean postoperative ABG at 6 months was 19.4 ± 4.4 and 14.6 ± 3.9 dB in the CT and the CT + ETBD groups, respectively. The difference in the magnitude of ABG reduction in the two groups was significant at 3 and 6 months of postoperative follow-up (P < 0.05) in favour of the CT + ETBD group.

Conclusion

ETBD can increase the success rate of cartilage tympanoplasty in patients with AdOM by enhancing the audiological outcome and quality of life.

Abstract Image

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软骨鼓室成形术治疗伴有和不伴有耳咽管球囊扩张的粘连性中耳炎

目的采用慢性中耳炎预后测试15 (COMOT-15)，比较软骨鼓室成形术(CT)联合咽鼓管球囊扩张术(ETBD)与单独软骨鼓室成形术作为粘连性中耳炎(AdOM)的手术治疗方式在移骨愈合、听力学预后和对生活方式的影响方面的差异。方法50例AdOM患者随机分为单纯鼓室软骨成形术组(CT组)和鼓室软骨成形术联合咽鼓管球囊扩张组(CT + ETBD组)25例。比较两组患者随访3个月和6个月的临床结果。结果两组间移植物愈合无明显差异。两组术后COMOT-15评分均显著下降，随访3个月和6个月时COMOT-15评分下降差异有统计学意义(P <0.05)。听力得到改善，CT组和CT + ETBD组术前平均ABG分别为26.5±5.4和27.1±4.6 dB，术后6个月平均ABG分别为19.4±4.4和14.6±3.9 dB。术后随访3个月和6个月时，两组ABG下降幅度差异有统计学意义(P <0.05)，有利于CT + ETBD组。结论etbd可通过改善听力学预后和生活质量，提高AdOM患者软骨鼓室成形术的成功率。

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来源期刊

Journal of Otology Medicine-Otorhinolaryngology

CiteScore

2.70

自引率

0.00%

发文量

461

审稿时长

18 days

期刊介绍： Journal of Otology is an open access, peer-reviewed journal that publishes research findings from disciplines related to both clinical and basic science aspects of auditory and vestibular system and diseases of the ear. This journal welcomes submissions describing original experimental research that may improve our understanding of the mechanisms underlying problems of basic or clinical significance and treatment of patients with disorders of the auditory and vestibular systems. In addition to original papers the journal also offers invited review articles on current topics written by leading experts in the field. The journal is of primary importance for all scientists and practitioners interested in audiology, otology and neurotology, auditory neurosciences and related disciplines. Journal of Otology welcomes contributions from scholars in all countries and regions across the world.