دورية أكاديمية
Outcomes of Endoscopic Tympanoplasty for Large Perforations: A Multicenter Retrospective Study in South Korea
| العنوان: | Outcomes of Endoscopic Tympanoplasty for Large Perforations: A Multicenter Retrospective Study in South Korea |
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| المؤلفون: | Sung-Won Choi, Il Joon Moon, Ji Eun Choi, Woo Seok Kang, In Seok Moon, Soo-Keun Kong, Hyong Ho Cho, Il-Woo Lee, Jong Woo Chung, Dong Gu Hur, Jong Dae Lee |
| المصدر: | Clinical and Experimental Otorhinolaryngology, Vol 16, Iss 2, Pp 125-131 (2023) |
| بيانات النشر: | Korean Society of Otorhinolaryngology-Head and Neck Surgery, 2023. |
| سنة النشر: | 2023 |
| المجموعة: | LCC:Medicine LCC:Otorhinolaryngology |
| مصطلحات موضوعية: | tympanic membrane perforation, minimally invasive surgery, endoscopy, tympanoplasty, Medicine, Otorhinolaryngology, RF1-547 |
| الوصف: | Objectives. Endoscopic tympanoplasty (ET) provides minimally invasive transcanal access to the middle ear and improves middle ear visibility for the treatment of tympanic membrane (TM) perforations. However, the literature on surgical outcomes for large TM perforations is lacking and limited to small series. This study aimed to evaluate the clinical benefits of ET for large TM perforations. Methods. This retrospective cohort study was conducted at nine tertiary referral hospitals in South Korea, where 252 patients who underwent ET as primary surgery from September 2019 to August 2021 were included. The outcome measures included the graft success rate and pre- and postoperative audiometric data. Results. In 239 patients, the graft success rate of ET for large or subtotal perforations was 86.2% (206 patients), while the graft failure rate was 13.8% (33 patients). The graft failure rate was directly correlated with surgical techniques, including overlay and medial or lateral underlay tympanoplasty (P=0.027). Lateral underlay tympanoplasty showed the most favorable results. Sex, laterality, etiology, site and size of perforation, operation time, and graft materials did not vary significantly between the graft success and failure groups (P>0.05). The mean air-bone gap (ABG) improved significantly in both groups (graft success group: 10.0±0.6 dB and graft failure group: 7.7±0.3 dB; P |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 1976-8710 2005-0720 |
| Relation: | http://www.e-ceo.org/upload/pdf/ceo-2022-01599.pdf; https://doaj.org/toc/1976-8710; https://doaj.org/toc/2005-0720 |
| DOI: | 10.21053/ceo.2022.01599 |
| URL الوصول: | https://doaj.org/article/19722c173b6a4a9187b73c174f88c092 |
| رقم الأكسشن: | edsdoj.19722c173b6a4a9187b73c174f88c092 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 19768710 20050720 |
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| DOI: | 10.21053/ceo.2022.01599 |