Outcomes of Type I Tympanoplasty using a Cartilage Shield Graft
Background: Type I tympanoplasty surgery is an effective routine technic that had been used for tympanic reconstruction to improve hearing. Objectives: The aim was to measure the effect of type I tympanoplasty surgery using the cartilage shield graft (CSG) in term of graft uptake (anatomical outcome...
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| Format: | Article |
| Language: | English |
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Sulaimani Polytechnic University
2020-12-01
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| Series: | Kurdistan Journal of Applied Research |
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| Online Access: | https://kjar.spu.edu.iq/index.php/kjar/article/view/580 |
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| author | Murad Ghazi Ahmed Said M. Said Aljaff Hiwa Asaad Abdulkareem |
| author_facet | Murad Ghazi Ahmed Said M. Said Aljaff Hiwa Asaad Abdulkareem |
| author_sort | Murad Ghazi Ahmed |
| collection | DOAJ |
| description | Background: Type I tympanoplasty surgery is an effective routine technic that had been used for tympanic reconstruction to improve hearing. Objectives: The aim was to measure the effect of type I tympanoplasty surgery using the cartilage shield graft (CSG) in term of graft uptake (anatomical outcome) and hearing gains (functional outcomes) of patients with poor prognostic factors. Method and Materials: In this study, 20 patients with perforation exceeded 50%, but limited to the tympanic membrane were recruited for type I tympanoplasty surgery. The study was conducted in the Otolaryngology/Head and Neck surgery training center in Sulaimani Teaching Hospital in Sulaimani city for one year period. Bellucci classi?cation was used to evaluate otorrhea risks. Results: The majority of patients were female (90%), with a mean ± SD (standard deviation) of ages of 37.15 ± 14.01 years. Most of the patients (40%) were presented with a mild hearing loss of 26-40 decibels (dB). Type I tympanoplasty surgery using the cartilage shield graft (CSG) had significantly decreased the hearing loss and air-bone gap (p-value = 0.046 and 0.006, respectively). The mean differences in hearing loss and air-bone gap were 5.05 dB and 6.75 dB, respectively. Conclusions: CSG in type I tympanoplasty surgery is an effective solution in anatomical outcome (Graft uptake) and functional outcomes (hearing gains) which had been reflected in reducing hearing loss and air-bone gap (average hearing gain of 5dB) in patients presented with tympanic membrane perforations. No improvement in the functional outcomes was observed in patients presented with severe hearing loss pre-operatively.
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| format | Article |
| id | doaj-art-a516da383e5c4ee588a492b52f61b567 |
| institution | Kabale University |
| issn | 2411-7684 2411-7706 |
| language | English |
| publishDate | 2020-12-01 |
| publisher | Sulaimani Polytechnic University |
| record_format | Article |
| series | Kurdistan Journal of Applied Research |
| spelling | doaj-art-a516da383e5c4ee588a492b52f61b5672025-02-09T20:59:59ZengSulaimani Polytechnic UniversityKurdistan Journal of Applied Research2411-76842411-77062020-12-016310.24017/science.2020.ICHMS2020.11Outcomes of Type I Tympanoplasty using a Cartilage Shield GraftMurad Ghazi Ahmed0Said M. Said Aljaff1Hiwa Asaad Abdulkareem2Sulaimani Teaching Hospital-Otolaryngology/Head and Neck Surgery Center, Sulaimani, IraqTeaching Hospital, ENT Head and Neck Surgery Center, Sulaimani, IraqSulaimani Teaching Hospital, ENT, Head and Neck Surgery Center, Sulaimani, IraqBackground: Type I tympanoplasty surgery is an effective routine technic that had been used for tympanic reconstruction to improve hearing. Objectives: The aim was to measure the effect of type I tympanoplasty surgery using the cartilage shield graft (CSG) in term of graft uptake (anatomical outcome) and hearing gains (functional outcomes) of patients with poor prognostic factors. Method and Materials: In this study, 20 patients with perforation exceeded 50%, but limited to the tympanic membrane were recruited for type I tympanoplasty surgery. The study was conducted in the Otolaryngology/Head and Neck surgery training center in Sulaimani Teaching Hospital in Sulaimani city for one year period. Bellucci classi?cation was used to evaluate otorrhea risks. Results: The majority of patients were female (90%), with a mean ± SD (standard deviation) of ages of 37.15 ± 14.01 years. Most of the patients (40%) were presented with a mild hearing loss of 26-40 decibels (dB). Type I tympanoplasty surgery using the cartilage shield graft (CSG) had significantly decreased the hearing loss and air-bone gap (p-value = 0.046 and 0.006, respectively). The mean differences in hearing loss and air-bone gap were 5.05 dB and 6.75 dB, respectively. Conclusions: CSG in type I tympanoplasty surgery is an effective solution in anatomical outcome (Graft uptake) and functional outcomes (hearing gains) which had been reflected in reducing hearing loss and air-bone gap (average hearing gain of 5dB) in patients presented with tympanic membrane perforations. No improvement in the functional outcomes was observed in patients presented with severe hearing loss pre-operatively. https://kjar.spu.edu.iq/index.php/kjar/article/view/580Air-bone gap, Bellucci classification, Cartilage shield graft (CSG), Hearing loss (dB), Tympanic membrane perforation, Type I tympanoplasty surgery. |
| spellingShingle | Murad Ghazi Ahmed Said M. Said Aljaff Hiwa Asaad Abdulkareem Outcomes of Type I Tympanoplasty using a Cartilage Shield Graft Kurdistan Journal of Applied Research Air-bone gap, Bellucci classification, Cartilage shield graft (CSG), Hearing loss (dB), Tympanic membrane perforation, Type I tympanoplasty surgery. |
| title | Outcomes of Type I Tympanoplasty using a Cartilage Shield Graft |
| title_full | Outcomes of Type I Tympanoplasty using a Cartilage Shield Graft |
| title_fullStr | Outcomes of Type I Tympanoplasty using a Cartilage Shield Graft |
| title_full_unstemmed | Outcomes of Type I Tympanoplasty using a Cartilage Shield Graft |
| title_short | Outcomes of Type I Tympanoplasty using a Cartilage Shield Graft |
| title_sort | outcomes of type i tympanoplasty using a cartilage shield graft |
| topic | Air-bone gap, Bellucci classification, Cartilage shield graft (CSG), Hearing loss (dB), Tympanic membrane perforation, Type I tympanoplasty surgery. |
| url | https://kjar.spu.edu.iq/index.php/kjar/article/view/580 |
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