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The evaluation of prognostic factors in endoscopic cartilage tympanoplasty

  • Otology
  • Published:
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Abstract

Purpose

The aim of the present study was to evaluate the prognostic factors that may affect the success in endoscopic cartilage tympanoplasty and determine the outcomes of endoscopic cartilage tympanoplasty.

Methods

This study included 312 patients who underwent transcanal endoscopic type I cartilage tympanoplasty. The effects of sex, the affected side, the size of the perforation, the location of the perforation, the absence of myringosclerosis, external ear canal protrusion, the condition of the contralateral ear, and surgical experience on the rate of graft success and hearing improvement were investigated.

Results

The affected side, sex, location of the perforation, myringosclerosis, the condition of contralateral ear, and surgical experience did not significantly affect the surgical success (p > 0.05). However, the size of perforation and ear canal wall protrusion were significantly related to both functional and anatomical success (p < 0.05).

Conclusion

Endoscopic transcanal type I cartilage tympanoplasty can be performed with a high anatomical and functional success rate. However, surgeons should be more careful and design a case-specific operation strategy in patients with external ear canal anterior wall protrusion and large perforations.

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Author information

Authors and Affiliations

  1. Department of Otorhinolaryngology, Faculty of Medicine, Recep Tayyip Erdogan University, Şehitler caddesi, No:74, 53020, Rize, Turkey

    Engin Dursun, Suat Terzi, Emine Demir, Özlem Çelebi Erdivanlı, Zerrin Özergin Coşkun & Metin Çeliker

  2. Department of Otorhinolaryngology, University of Health Sciences Turkey, Samsun Health Practices and Research Centre, Samsun, Turkey

    Abdulkadir Özgür

Authors
  1. Engin Dursun
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  2. Suat Terzi
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  3. Emine Demir
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  4. Abdulkadir Özgür
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  5. Özlem Çelebi Erdivanlı
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  6. Zerrin Özergin Coşkun
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  7. Metin Çeliker
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Corresponding author

Correspondence to Suat Terzi.

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Conflict of interest

None.

Research involving human participants

Yes (The study was conducted in accordance with the ethical standards stated in the ‘Declaration of Helsinki’, and was approved by the local ethics committee (protocol number: No: 08/04/2016- 822)).

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None, because this study is retrospective and there are only files scanned.

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Dursun, E., Terzi, S., Demir, E. et al. The evaluation of prognostic factors in endoscopic cartilage tympanoplasty. Eur Arch Otorhinolaryngol 277, 2687–2691 (2020). https://doi.org/10.1007/s00405-020-05992-y

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  • DOI: https://doi.org/10.1007/s00405-020-05992-y

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