Audiological outcome of tympanoplasties- our experience

Selma Hodzic-Redzic, Lana Kovac-Bilic, Srecko Branica


Aim: To determine the audiological outcome of different types of tympanoplasties. Methods: The study included 251 patients of both sexes, who were operated at a tertiary care university hospital in the period of three years. Results: The median age of patients was 51 with a minimum of 17 and maximum of 81 years. There was more woman (56.97%) than men. 70.92% of patients had predominant symptoms of involvement of the middle ear while 29.08% of them had also symptoms of involvement of the inner ear. The right ear was affected at 41.43% of patients and left at 40.24% of patients. Both ears were affected at 18.33% of patients. There were 81.67% patients with a dry defect or isolated perforation, while there were 18.33% of patients with additional findings such as cholesteatoma or polyps. The most common procedure (75.3%) was the type I tympanoplasty, the rarest was type IV (0.8%). There was a significant difference in audiological findings preoperatively and postoperatively. The audiological outcome of tympanoplasties was 17.46 ± 11.17 dB. The audiological outcome in type I  tympanoplasty 17.68±10.66 dB, and in type III 16.34±12.59 dB. There was no significant difference between these two gains. Conclusion:  Tympanoplasty remains the treatment of choice of chronic suppurative otitis media.

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