A Three Point Assessment Protocol for Tympanoplasty Outcomes: A Retrospective Analysis Article Swipe
P. Naina
,
Apar Pokharel
,
Kamran Asif Syed
,
Mary John
,
Ajoy Mathew Varghese
,
Mary Kurien
·
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.1055/s-0039-3402432
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.1055/s-0039-3402432
Introduction The surgical outcome of chronic otitis media (COM) of the mucosal type in the pediatric population with high rates of recurrent tympanic membrane perforation is indeed a concern for the attending surgeon. Objective The present study was done to evaluate the outcome of tympanoplasty in children with chronic otitis media mucosal type. Methods A retrospective analysis of the medical records of all children, aged < 16 years old, who underwent tympanoplasty for COM of the mucosal type was performed. These patients were addressed by a three-point assessment, for predicting outcome of tympanoplasty, which included the age of the patient, addressing the nasal/pharyngeal issues, and the status of the COM (discharging or dry). Surgical success was assessed in terms of graft uptake and improvement of hearing. Factors affecting the surgical outcome were also analyzed. Results A total of 90 children underwent type 1 tympanoplasty; 7 were lost to follow-up and 10 had incomplete audiometric results. In the 73 tympanoplasties analyzed, graft uptake was seen in 91.7% of the patients. Children with longer duration of ear discharge (> 8 years) had greater hearing loss. Children aged > 8 years old showed statistically significant higher chance of graft uptake (p = 0.021). Five of the six children who had graft rejection had bilateral disease. Conclusion A three-point assessment in the management of pediatric COM of the mucosal type offers good outcomes with post-tympanoplasty graft uptake rates > 90%.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1055/s-0039-3402432
- http://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0039-3402432.pdf
- OA Status
- diamond
- Cited By
- 7
- References
- 32
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W3007121348
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W3007121348Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1055/s-0039-3402432Digital Object Identifier
- Title
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A Three Point Assessment Protocol for Tympanoplasty Outcomes: A Retrospective AnalysisWork title
- Type
-
articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2020Year of publication
- Publication date
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2020-02-27Full publication date if available
- Authors
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P. Naina, Apar Pokharel, Kamran Asif Syed, Mary John, Ajoy Mathew Varghese, Mary KurienList of authors in order
- Landing page
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https://doi.org/10.1055/s-0039-3402432Publisher landing page
- PDF URL
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https://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0039-3402432.pdfDirect link to full text PDF
- Open access
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YesWhether a free full text is available
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-
diamondOpen access status per OpenAlex
- OA URL
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https://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0039-3402432.pdfDirect OA link when available
- Concepts
-
Medicine, Tympanoplasty, Chronic Suppurative Otitis Media, Perforation, Surgery, Otitis, Retrospective cohort study, Tympanic Membrane Perforation, Medical record, Population, Environmental health, Punching, Materials science, MetallurgyTop concepts (fields/topics) attached by OpenAlex
- Cited by
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7Total citation count in OpenAlex
- Citations by year (recent)
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2024: 1, 2023: 1, 2022: 5Per-year citation counts (last 5 years)
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32Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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