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A comparative study of endoscopic cartilage myringoplasty used to treat wet and dry ears with mucosal-type chronic otitis media

Published online by Cambridge University Press:  05 August 2020

Z Lou  and
X Li
Z Lou
Affiliation:
Department of Otorhinolaryngology, Yiwu Central Hospital, China
X Li*
Affiliation:
Department of Otolaryngology, Jining No. 1 People's Hospital, China
*
Author for correspondence: Dr Xiuguo Li, Department of Otolaryngology, Jining No. 1 People's Hospital, No. 6 Health Road, Jining City272000, Shandong Province, China E-mail: xiuguoli2019102@126.com
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Abstract

Objective

The outcomes of dry and wet ears were compared following endoscopic cartilage myringoplasty performed to treat chronic tympanic membrane perforations in patients with mucosal chronic otitis media.

Methods

Patients with chronic perforations, and with mucosal chronic otitis media with or without discharge, were recruited; all underwent endoscopic cartilage myringoplasty. The graft success rate and hearing gain were evaluated at six months post-operatively.

Results

The graft success rates were 85.9 per cent (67 out of 78) in dry ears and 86.2 per cent (25 out of 29) in wet ears; the difference was not significant (p = 0.583). Among the 29 wet ears, the graft success rates were 100 per cent in 11 ears with mucoid discharge and 77.8 per cent in the 18 patients with mucopurulent otorrhoea.

Conclusion

The wet or dry status of ears in patients with chronic perforations with mucosal chronic otitis media did not affect graft success rate or hearing gain after endoscopic cartilage myringoplasty. However, ears with mucopurulent discharge were associated with increased failure rates and graft collapse, whereas ears with mucoid discharge were associated with higher graft success rates.

Keywords

EndoscopesMyringoplasty
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 134 , Issue 9 , September 2020 , pp. 773 - 778
Copyright
Copyright © The Author(s), 2020. Published by Cambridge University Press

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Footnotes

Dr X Li takes responsibility for the integrity of the content of the paper

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