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Current variations and practice patterns in tympanic membrane perforation repair

Published online by Cambridge University Press:  21 March 2022

S Benyo Open the ORCID record for S Benyo [Opens in a new window] ,
R A Saadi ,
C D Sacks ,
V Patel ,
T S King  and
H Isildak
S Benyo
Affiliation:
College of Medicine, Pennsylvania State University, Hershey, Pennsylvania, USA
R A Saadi
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, University of Arkansas for Medical Sciences, Little Rock, USA
C D Sacks
Affiliation:
College of Medicine, Pennsylvania State University, Hershey, Pennsylvania, USA
V Patel
Affiliation:
Division of Otolaryngology – Head and Neck Surgery, Children's Hospital Los Angeles, California, USA
T S King
Affiliation:
Department of Public Health Sciences, Pennsylvania State University, College of Medicine, Hershey, Pennsylvania, USA
H Isildak*
Affiliation:
Division of Otolaryngology, Department of Surgery, Stony Brook Medicine, New York, USA
*
Author for correspondence: Dr Huseyin Isildak, Division of Otolaryngology, Department of Surgery, Stony Brook Medicine, HSC T19-068, Stony Brook, NY 11794, USA E-mail: mdhuseyin@gmail.com Fax: +1 631 444 7635
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Abstract

Objective

Management of tympanic membrane perforations is varied. This study aimed to better understand current practice patterns in myringoplasty and type 1 tympanoplasty.

Methods

An electronic questionnaire was distributed to American Academy of Otolaryngology – Head and Neck Surgery members. Practice patterns were compared in terms of fellowship training, practice length, practice setting, paediatric case frequency and total cases per year.

Results

Of the 321 respondents, most were comprehensive otolaryngologists (60.4 per cent), in private practice (60.8 per cent), with a primarily adult practice (59.8 per cent). Fellowship training was the factor most associated with significant variations in management, including pre-operative antibiotic usage (p = 0.019), contraindications (p < 0.001), approach to traumatic perforations (p < 0.001), use of local anaesthesia (p < 0.001), graft material (p < 0.001), tympanoplasty technique (p = 0.003), endoscopic assistance (p < 0.001) and timing of post-operative audiology evaluation (p = 0.003).

Conclusion

Subspecialty training appears to be the main variable associated with significant differences in peri-operative decision-making for surgical repair of tympanic membrane perforations.

Keywords

Middle EarPediatricsOtologyNeuro-Otology
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 137 , Issue 3 , March 2023 , pp. 249 - 258
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Dr H Isildak takes responsibility for the integrity of the content of the paper

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