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Effects of mastoid and middle-ear volume on graft success and hearing outcomes in paediatric tympanoplasty

Published online by Cambridge University Press:  07 January 2022

D Baklaci Open the ORCID record for D Baklaci [Opens in a new window] ,
E Bilgin ,
E K Çelik ,
A Kılıç ,
D Erdem  and
S S Eliçora
D Baklaci*
Affiliation:
Department of Otorhinolaryngology, School of Medicine, Bulent Ecevit University, Zonguldak, Turkey
E Bilgin
Affiliation:
Department of Otorhinolaryngology, School of Medicine, Bulent Ecevit University, Zonguldak, Turkey
E K Çelik
Affiliation:
Department of Otorhinolaryngology, Diskapi Training and Research Hospital, Ankara, Turkey
A Kılıç
Affiliation:
Department of Radiology, Kahramankazan State Hospital, Ankara, Turkey
D Erdem
Affiliation:
Department of Otorhinolaryngology, School of Medicine, Bulent Ecevit University, Zonguldak, Turkey
S S Eliçora
Affiliation:
Department of Otorhinolaryngology, School of Medicine, Bulent Ecevit University, Zonguldak, Turkey
*
Author for correspondence: Dr Deniz Baklaci, No: 44A/9, Vatan Avenue, Zonguldak, Turkey E-mail: doktorent@gmail.com
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Abstract

Objective

To examine the effects of mastoid and middle-ear volume on the anatomical and functional success of type 1 tympanoplasty in paediatric patients.

Methods

This study included 45 paediatric patients who underwent type 1 cartilage tympanoplasty. Patients’ demographic data, pre- and post-operative audiological evaluation results, and post-operative graft status were evaluated. Middle-ear and mastoid cavity volumes were calculated (in cubic centimetres) using temporal bone high-resolution computed tomography. Middle-ear and mastoid cavity volume values were compared between patients with and without post-operative anatomical and functional success.

Results

Anatomical success was achieved in 82.2 per cent of patients (n = 37), and functional success in 68.9 per cent (n = 31). When anatomical success and failure groups were compared, a statistically significant difference was found in mean mastoid volume (p = 0.037), while there was no significant difference in relation to mean middle-ear volume (p = 0.827). The comparison of functional success and failure groups revealed no significant difference in mean mastoid volume (p = 0.492) or middle-ear volume (p = 0.941).

Conclusion

The study showed that mastoid pneumatisation volume affects surgical success in paediatric tympanoplasty.

Keywords

ChildTympanoplastyMastoidEar, MiddleTomography
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 136 , Issue 5 , May 2022 , pp. 404 - 409
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 D Baklaci takes responsibility for the integrity of the content of the paper

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