IJOHNS  Vol.3 No.5 , September 2014
Evaluation of Prognostic Factor for Perforation Closure Rate in Patient with Chronic Otitis Media
ABSTRACT
Objective: To evaluate factors affecting the perforation closure rate for perforated otitis media. Methods: Between 2008 and 2012, a total of 118 patients with perforated chronic otitis media underwent tympanoplasty at Hyogo College of Medicine Hospital by a single surgeon. Prognostic factors were analyzed using multivariate analysis with logistic regression. Results: The success rate for tympanic perforation was 93.2%. Factors showing significance on multivariate analysis were dryness of perforation and patient age at the time of surgery. Conclusion: The results suggest that pre-surgical treatment is a key factor influencing the closure rate.

Cite this paper
Katsura, H. , Mishiro, Y. , Ikehata, M. , Tsuzuki, K. and Sakagami, M. (2014) Evaluation of Prognostic Factor for Perforation Closure Rate in Patient with Chronic Otitis Media. International Journal of Otolaryngology and Head & Neck Surgery, 3, 307-310. doi: 10.4236/ijohns.2014.35055.
References
[1]   Nardone, M., Sommerville, R., Bowman, J. and Danesi, G. (2011) Myringoplasty in Simple Chronic Otitis Media: Crinical Analysis of Longterm Results in a 1000-Adult Patient Series. Otology Neurotology, 33, 48-53.
http://dx.doi.org/10.1097/MAO.0b013e31823dbc26

[2]   Albera, R., Ferrero, V., Lacilla, M. and Canale, A. (2006) Tympanic Reperforation in Myringoplasty: Evaluation of Prognostic Factors. Annals of Otology, Rhinology, and Laryngology, 115, 875-879.

[3]   Katsura, H., Sakagami, M., Tuji, K., Muto, T., Okunaka, M., Mishiro, Y., et al. (2005) Reevaluation of Bilateral Same-Day Surgery for Bilateral Perforated Choronic Otitis Media. Otology Neurotology, 26, 842-845.
http://dx.doi.org/10.1097/01.mao.0000185059.66715.e6

[4]   Alub, S., Trabalzini, F. and Amadori, M. (2012) Usefullness of Cortical Mastoidectomy in Myringoplasty. Otology Neurotology, 33, 604-609.
http://dx.doi.org/10.1097/MAO.0b013e31825368f2

[5]   Boone, R.T., Gardner, E.K. and Dornhoffer, J.L. (2004) Succcess of Crtilage Grafting in Revision Tympanoplasty without Mastoidectomy. Otology Neurotology, 25, 678-681.
http://dx.doi.org/10.1097/00129492-200409000-00006

[6]   Sakagami, M., Yuasa, R. and Yuasa, Y. (2007) Simple Underlay Myringoplasty. Journal of Laryngology Otology, 121, 840-844.
http://dx.doi.org/10.1017/S0022215106005561

[7]   Takahasi-Tatumi, E., Mishiro, Y., Katsura, H., Sakaguchi, A. and Sakagami, M. (2013) Longitudinal Follow up after pediatric Myringoplasty: Long Term Outcome Is Defined at 12 Months. Otology Neurotology, 35, 126-128.
http://dx.doi.org/10.1097/MAO.0000000000000226

[8]   Albu, S., Babighian, G. and Trabalzini, F. (1998) Prognoostic Factors in Tympanoplasty. American Journal of Otolaryngology, 19, 136-140.

 
 
Top