Abstract | OBJECTIVES: STUDY DESIGN: Prospective, randomized, single-blinded study. Level of evidence-1B. SETTING: Tertiary referral center. PATIENTS: Three hundred twenty consecutive adult patients presenting persistent or intermittent otorrhea during the preceding 6 months scheduled for myringoplasty were included. INTERVENTIONS: MAIN OUTCOME MEASURES: Graft success rate and mean postoperative air-bone gap. Auditory outcomes were evaluated at one year postoperatively. RESULTS: At the end of the follow-up period, there were 24 failures within Group A (success rate, 82.8%) and 34 within Group B (success rate, 76%), statistically not significant. In the univariate analysis, 3 factors were found to be significant in predicting success rate: healthy opposite ear, a long dry period preceding the operation and nonsmoker status. The only factor attaining significance in the multivariate analysis was a dry period longer than 3 months. CONCLUSION: Cortical mastoidectomy offers no additional benefit in myringoplasty performed on patients with persistent or intermittent discharging CSOM and no evidence of cholesteatoma or mucosal blockage within the antrum.
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Authors | Silviu Albu, Franco Trabalzini, Maurizio Amadori |
Journal | Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology
(Otol Neurotol)
Vol. 33
Issue 4
Pg. 604-9
(Jun 2012)
ISSN: 1537-4505 [Electronic] United States |
PMID | 22588236
(Publication Type: Journal Article, Randomized Controlled Trial)
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Topics |
- Adolescent
- Adult
- Chronic Disease
- Female
- Follow-Up Studies
- Humans
- Male
- Mastoid
(surgery)
- Multivariate Analysis
- Myringoplasty
- Otitis Media, Suppurative
(complications, surgery)
- Prospective Studies
- Treatment Outcome
- Tympanoplasty
- Young Adult
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