55 -6 (56) 2023 — U.I. Nurov, S.SH. Fayziyev — RELEVANCE OF SIZE, LOCATION OF PERFORATION AND GRAFT TYPE TO OUTCOMES OF TYPE I TYMPANOPLASTY
RELEVANCE OF SIZE, LOCATION OF PERFORATION AND GRAFT TYPE TO OUTCOMES OF TYPE I TYMPANOPLASTY
U.I. Nurov Bukhara State Medical Institute named after Abu Ali ibn Sina
S.SH. Fayziyev Bukhara State Medical Institute named after Abu Ali ibn Sina
Resume
This article addresses the importance of successful surgery for chronic suppurative otitis media depending on the size and site of tympanic membrane perforation (TMP) and graft material type. The authors have identified the factors affecting anatomical outcomes of type 1 tympanoplasty and their relevance based on published data. The authors concluded that most researchers regard TMP site as statistically insignificant factor for the engraftment. The effect of TMP size is ambiguous. Most authors suggest that TMP size is an important predictor of the engraftment. However, many authors did not find any statistical significance. As to the graft material type, most researchers consider cartilage graft as optimal one to close perforation. Knowledge on identified risk factors will reduce the percentage of poor outcomes of tympanoplasty. In addition, predictors of poor surgical outcomes allow the development of r ecommendations and management algorithms in different variants of TMP.
Keywords: tympanoplasty, tympanic membrane perforation, myringoplasty, autograft, affecting factors, TMP size, TMP site, graft material type, chronic suppurative otitis media.
First page
322
Last page
328
For citation: U.I. Nurov, S.SH. Fayziyev – RELEVANCE OF SIZE, LOCATION OF PERFORATION AND GRAFT TYPE TO OUTCOMES OF TYPE I TYMPANOPLASTY //New Day in Medicine 2023 6(56): 322-328 https://newdaymedicine.com/index.php/2023/06/24/l-222/
LIST OF REFERENCES:
- Banzer M. Disputatio de auditione laesa. Vittenbergae: Rohrieri, 1640.
- Toynbee J. On the use of an artificial tympanic membrane in causes of deafness, dependant upon perforation and destruction of the natural organ. London: Churchill, 1853.
- Blake C.J. Transactions of the First Congress of the International Otological Society. New York: D Appleton Co; 1887.
- Berthold E. Ueber Myringoplastik. Wien Med Blatter. 1878;26:627–639.
- Wullstein H. The restoration of the function of the middle ear, in chronic otitis media. Ann Otol Rhinol Laryngol. 1956;65:1020–1041..
- Zöllner F. The principles of plastic surgery of the sound-conducting apparatus. J Laryngol Otol. 1955;69:637–652.
- Wullstein H. Theory and practice of tympanoplasty. Laryngoscope. 1956;66:1076–1093.
- Загайнова Н.С., Бродовская О.Б. О хирургическом лечении хронического гнойного среднего отита. Российская оториноларингология. 2008;2:247–249. [Zagaynova N.S., Brodovskaya O.B. About surgical treatment of chronic suppurative otitis media. Russian otorhinolaryngology. 2008;2:247–249 (in Russ.)].
- Гаров Е.В., Гарова Е.Е. Современные принципы диагностики и лечения пациентов с хроническим гнойным средним отитом. Русский медицинский журнал. 2012;27:1355–1359. [Garov E.V., Garova E.E. Modern principles of diagnosis and treatment of patients with chronic purulent otitis media. RMJ. 2012;27:1355–1359 (in Russ.)].
- Косяков С.Я., Минавнина Ю.В. Объективизация качества жизни у больных хроническим средним отитом согласно международному опроснику COMQ-12. Folia Otorhinolaryngologiae et Pathologiae Respiratoriae. 2016;22(4):6–7. [Kosyakov S.I., Minavnina U.V. Objectification of the quality of life in patients with chronic otitis media according to the international questionnaire COMQ-12. Folia Otorhinolaryngologiae et Pathologiae Respiratoriae. 2016;22(4):6–7 (in Russ.)].
- Dangol K., Shrivastav R.P. Study of Various Prognostic Factors Affecting Successful Myringoplasty in a Tertiary Care Centre. Int Arch Otorhinolaryngol. 2017;21(3):250–254.
- Vartiainen E., Vartiainen J. Tympanoplasty in young patients: the role of adenoidectomy. Otolaryngol Head Neck Surg. 1997;117:583–585.
- Salviz M., Bayram O., Bayram A.A. et al. Prognostic factors in type I tympanoplasty. Auris Nasus Larynx. 2015;42:20–23.
- Kim D.K., Park S.N., Yeo S.W. et al. Clinical efficacy of fat-graft myringoplasty for perforations of different sizes and locations. Acta Otolaryngol. 2011;131:22–26.
- Wasson J.D., Papadimitriou C.E., Pau H. Myringoplasty: impact of perforation size on closure and audiological improvement. J Laryngol Otol. 2009;123:973–977.
- Das A., Sen B., Ghosh D., Sengupta A. Myringoplasty: Impact of Size and Site of Perforation on the Success Rate. Indian J Otolaryngol Head Neck Surg. 2015;67(2):185–189.
- Lee P., Kelly G., Mills R.P. Myringoplasty: does the size of the perforation matter? Clin Otolaryngol Allied Sci. 2002;27:331–334.
- Onal K., Uguz M.Z., Kazikdas K.C. et al. A multivariate analysis of otological, surgical and patient-related factors in determining success in myringoplasty. Clin Otolaryngol.2005;30:115
- Emir H., Ceylan K., Kizilkaya Z. et al. Success is a matter of experience: type 1 tympanoplasty. Eur Arch Otorhinolaryngol. 2007;264(6):595–599.
- Hardman J., Muzaffar J., Nankivell P. et al. Tympanoplasty for chronic tympanic membrane perforation in children: systematic review and meta-analysis. Otol Neurotol. 2015;36:796–804.