Simultaneous Bilateral Type I Tympanoplasty as a Day Care Procedure
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Abstract
Introduction
Bilateral same day type I tympanoplasty scores over unilateral type I tympanoplasty in terms of convenience and conservation of resources but, it is rarely performed because of theoretical risk of postoperative sensorineural deafness.
Materials and Methods
A total of 60 patients with central perforation of tympanic membrane of both ears were included in this study. Thirty patients had undergone unilateral type I tympanoplasty and an equal number of patients were treated with bilateral type I tympanoplasty in the same sitting. The results were compared to evaluate the advantages and efficacy of single sitting bilateral type I tympanoplasty with unilateral type I tympanoplasty.
Result
Perforation closure was successful in 94.6% and 93.3% ears while hearing improvement in 82.1% and 86.6% in group I (bilateral tympanoplasty) and group II (unilateral tympanoplasty) respectively. Mean hearing gain for successfully operated ears in group I (both left and right) and group II is 18.1 dB and 16.5 dB. None of the patients developed iatrogenic sensorineural hearing loss.
Discussion
Bilateral perforations of the TM is a common finding and CSOM is found to be the most common cause in more than 90% of patients. The outcome of bilateral single stage tympanoplasty is sparse in the literature. Most of the reports pertain to unilateral operations with average success rates of about 60–100 %.
Conclusion
Single sitting bilateral type I tympanoplasty by transcanal routes is safe day care procedure with a high success rate.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
References
Palva T, Karja J, Palva A. High-tone sensorineural losses following chronic ear surgery. Arch Otolaryngology 1973; 98:176-8
Smyth GD. Sensorineural hearing loss in chronic ear surgery. Annals of Otorhinolaryngology 1977; 86:1-6
Tos M, Lau T, Plate S. Sensorineural hearing loss following chronic ear surgery. Annals of Otorhinolaryngology 1984; 93:403-9
Olowookere SA, Ibekwe TS, Adeosun AA. Pattern of tympanic membrane perforation in Ibadan: a prospective study. Annals of Ibadan Postgraduate Medicine 2008; 6:843-53
Voss SE, Rosowski JJ, Merchant SN, Peake WT. Non-ossicular signal transmission in human middle ears: experimental assessment of the ‘acousticroute’ with perforated tympanic membranes. Journal Acoust Soc Am. 2007; 122:2135-53
Maharjan M, Kafle P, Bista M, Shrestha S, Toran KC. Observation of hearing loss in patients with chronic suppurative otitis media tubotympanic type. Kathmandu University Medical Journal 2009; 7:397-401
Kumar N, Madkikar NN, Kishve S, Chilke D, Shinde KJ. Using middle ear risk index and ET function as parameters for predicting the outcome of tympanoplasty. Indian Journal Otolaryngology Head Neck Surgery 2012; 64:13-6
Mitchell RB, Pereira KD, Younis RT, Lazar RH. Bilateral fat graft myringoplasty in children. Ear Nose Throat Journal 1996; 75:652-6
Katsura H, Sakagami M, Tsuji K et al. Reevaluation of bilateral same-day surgery for bilateral perforated chronic otitis media. Otology and Neurotology 2005 26:842-5
Caye-Thomasen P, Nielsen TR, Tos M. Bilateral myringoplasty in chronic otitis media. Laryngoscope 2007; 117:903-6
Hydr AS, Ashfaq M. Single stage bilateral myringoplasty. Pakistan Journal of Otolaryngology 2007; 23:66-7
Homoe P, Sorensen HC, Tos M. Mobile, one stage, bilateral ear surgery for chronic otitis media patients in remote areas. Journal of Laryngology and Otology 2009; 123:1108-13
Mane R, Patil B, Mohite A, Varute VV. Bilateral type 1 tympanoplasty in chronic otitis media. Indian Journal of Otolaryngology HeadNeck Surgery 2013; 65(4):293-7
Raghuwanshi SK, Asati DP. Outcome of single-sitting bilateral type I tympanoplasty in Indian patient. Indian Journal of Otolaryngology Head Neck Surgery2013; 65(Suppl. 3):S622-6
Rai AK, Singh GB, Sahu R, Singh S, Arora R. Evaluation of simultaneously bilateral same day tympanoplasty type I in chronic suppurative otitis media. Auris Nasus Larynx. 2014 Apr; 41(2):148-52
Sharma RC, Saroch M. Our experience with single sitting bilateral myringoplasty. Indian Journal of Otology 2013; 19(2): 59-61
Fukuchi I, Cerchiari DP, Garcia E, Rezende CE, Rapoport PB. Tympanoplasty: surgical results and a comparison of thefactors that may interfere in their success. Brazilian Journal of Otorhinolaryngology 2006; 72:267-71
Singh GB, Sidhu TS, Sharma A, Singh N. Tympanoplasty type I in children—an evaluative study. International Journal Pediatric Otorhinolaryngology 2005; 69:1071-6
Tos M. Manual of middle ear surgery, Thieme, New York 1993; Vol 1
Glasscock ME III, Jackson CG, Nissen AJ, Schwaber MK. Postauricular undersurface tympanic membrane grafting: A follow-up report. Laryngoscope 1982; 92(7 Pt 1): 718-27
Karkanevatos A, De S, Srinivasan VR, Roland NJ, Lesser THJ. Day-case myringoplasty: five years’ experience. Journal of Laryngology and Otology 2003; 117:763-5.