Abstract
BackgroundThe objective of this study was to evaluate the graft success and hearing outcomes of concurrent adenoidectomy or tonsillectomy and myringoplasty.MethodsMedical case notes were reviewed for all adult patients with dry perforations who had undergone myringoplasty, with or without concurrent throat surgery, from December 2015 to February 2018. The study population was divided into concurrent myringoplasty and throat surgery (Group A) and single myringoplasty (Group B) groups. The air–bone gap (ABG) and graft success rate were evaluated in both groups.ResultsA total of 131 ears of 131 patients were included in this study. In total, 33 ears of 33 patients were assigned to Group A and 98 to Group B. Of the 33 patients in Group A, adenoid residue was detected in 3, chronic tonsillitis in 21, and tonsil hypertrophy in 9. The graft success rate was 96.9 % in Group A and 96.9 % in Group B at 6 months postoperatively (p = 0.993). In addition, the graft success rate was 87.9 % in Group A and 92.8 % in Group B at 24 months postoperatively (p = 0.372). Reperforation occurred in three patients in Group A and four in Group B; the difference was not significant. No significant group differences were observed in preoperative (p = 0.654) or postoperative (p = 0.791) ABG values or mean ABG gain (p = 0.439). No patient in either group developed cholesteatoma of the middle ear.ConclusionsSimultaneous adenoidectomy or tonsillectomy and myringoplasty is feasible but does not improve the graft success rate or hearing outcome.
Highlights
The objective of this study was to evaluate the graft success and hearing outcomes of concurrent adenoidectomy or tonsillectomy and myringoplasty
Salvinelli et al [12] recommended that tympanoplasty and nasal surgery not be performed at the same time, and that middle ear surgery should be carried out when the anatomy and physiology of the nasal, pharyngeal, and tubal mucosae have returned to normal
We evaluated the graft success rate and hearing outcome of concurrent adenoidectomy or tonsillectomy and myringoplasty
Summary
The objective of this study was to evaluate the graft success and hearing outcomes of concurrent adenoidectomy or tonsillectomy and myringoplasty. Adult patients with chronic otologic disease frequently have coexisting nasal and throat pathology, which can cause or worsen middle ear problems secondary to eustachian tube dysfunction (ETD) [1]. Becker and Opitz [13] concluded that adenoidectomy should not be performed concurrently with tympanoplasty because of frequent postoperative negative middle ear pressure. Charlett et al [14] suggested that adenoidectomy before pediatric myringoplasty does not increase the likelihood of a successful outcome. Few studies have evaluated the effect of throat disorders on the success of myringoplasty in adults. We evaluated the graft success rate and hearing outcome of concurrent adenoidectomy or tonsillectomy and myringoplasty
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