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Hearing loss following myringoplasty – implications for informed consent

  • J Bewick (a1) and P Prinsley (a1) (a2)

Abstract

Background:

There are many reports of operations performed to successfully close ear drum perforations. Hearing deterioration after myringoplasty is not a widely published topic. This paper presents an audit of this complication.

Methods:

A six-year retrospective analysis of a series of myringoplasty operations was performed using electronic patient records. Patients with post-operative hearing loss were identified and those with hearing loss greater than 10 dB were further scrutinised.

Results:

Out of 187 patients who underwent myringoplasty procedures, 44 (23.53 per cent) experienced a reduction in hearing thresholds. In seven cases (3.74 per cent), the hearing loss was greater than 10 dB. A case note review revealed no obvious predictive factors, although posterior perforations and the possibility of ossicular chain manipulation were considered.

Conclusion:

Hearing loss following myringoplasty is not rare, and this may alter the consent process for this procedure.

Copyright

Corresponding author

Address for correspondence: Dr Jessica Bewick, ENT Department, James Paget University Hospitals NHS Foundation Trust, Lowestoft Rd, Gorleston-on-Sea, Great Yarmouth NR31 6LA, UK E-mail: Jessica.bewick@gmail.com

References

Hide All
1Common Otology Audit. In: www.ear-audit.net [27 January 2015]
2Prinsley, P. An audit of ‘dead ear’ after ear surgery. J Laryngol Otol 2013;127:1177–83
3Common Otology Audit comparison tool. In: https://www.ear-audit.net/coa/ [27 January 2015]
4Mahendran, S, Bennett, AM, Jones, SE, Young, BA, Prinsley, PR. Audit of specialist registrar training in tympanomastoid surgery for chronic otitis media. J Laryngol Otol 2006;120:193–9
5Kotecha, B, Fowler, S, Topham, J. Myringoplasty: a prospective audit study. Clin Otolaryngol Allied Sci 1999;24:126–9
6Thiel, G, Mills, RP, Mills, N. Factors affecting hearing improvement following successful repair of the tympanic membrane. J Laryngol Otol 2013;127:349–53
7Karkanevatos, A, De, S, Srinivasan, VR, Roland, NJ, Lesser, TH. Day-case myringoplasty: five years' experience. J Laryngol Otol 2003;117:763–5
8Pignataro, L, Grillo Della Berta, L, Capaccio, P, Zaghis, A. Myringoplasty in children: anatomical and functional results. J Laryngol Otol 2001;115:369–73
9Browning, GG. Reporting the benefits from middle ear surgery using the Glasgow Benefit Plot. Am J Otol 1993;14:135–40
10Black, JH, Wormald, PJ. Myringoplasty--effects on hearing and contributing factors. S Afr Med J 1995;85:41–3
11Yung, MW. Myringoplasty: hearing gain in relation to perforation site. J Laryngol Otol 1983;97:1117
12Vartiainen, E, Nuutinen, J. Success and pitfalls in myringoplasty: follow-up study of 404 cases. Am J Otol 1993;14:301–5

Keywords

Hearing loss following myringoplasty – implications for informed consent

  • J Bewick (a1) and P Prinsley (a1) (a2)

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