고막성형술 및 재수술에서 예후인자에 관한 연구
A Study on Prognostic Factors of Primary and Revision Myringoplasty
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Background and Objectives There is no consensus on the prognostic factors regarding pos-toperative recurrence after myringoplasty. In this study, we investigated the preoperative clinical findings and postoperative results after primary myringoplasty and compared them with those of revision myringoplasty. Subjects and Method Computerized database of 861 clinical records of last 20 years were analyzed retrospectively for the subjects who underwent myringoplasty at the Department of Otolaryngology, University of Korea. All the surgeries were done under general or local anesthesia by senior surgeons. Primary and revision cases of myringoplasty or type 1 tympanoplasty followed up at least for longer than 3 months were only included in the study. Those other cases of tympanoplasty types, concomitant ossiculoplasty and/or mastoidectomy, or those with the presence of cholesteatoma and those that required repair during exploratory tympanotomy were excluded. Results 535 primary and 101 revision cases have met our inclusion criteria. Overall, in this study, the failure rates of primary and revision myringoplasty were 11.02% and 5.94%, respectively. Significantly different among the prognostic factors were such as sex, age, anesthesia, surgical approach, the presence of otorreha, size of eardrum perforation, external auditory canal narrowing, valsalva test, degree of pneumatization, graft materials, tympanoplasty type, previous mastoidectomy, the presence of bilateral otitis media influencing on myringoplasty revision, and the presence of otorrhea and sclerotic type of mastoid pneumatization. Conclusion Among various prognostic factors of myringoplasty, poor prognostic factors were preoperative otorrhea and poor pneumatization. Korean J Otorhinolaryngol-Head Neck Surg 2014;57(7):454-9
Abstract
Background and Objectives There is no consensus on the prognostic factors regarding pos-toperative recurrence after myringoplasty. In this study, we investigated the preoperative clinical findings and postoperative results after primary myringoplasty and compared them with those of revision myringoplasty. Subjects and Method Computerized database of 861 clinical records of last 20 years were analyzed retrospectively for the subjects who underwent myringoplasty at the Department of Otolaryngology, University of Korea. All the surgeries were done under general or local anesthesia by senior surgeons. Primary and revision cases of myringoplasty or type 1 tympanoplasty followed up at least for longer than 3 months were only included in the study. Those other cases of tympanoplasty types, concomitant ossiculoplasty and/or mastoidectomy, or those with the presence of cholesteatoma and those that required repair during exploratory tympanotomy were excluded. Results 535 primary and 101 revision cases have met our inclusion criteria. Overall, in this study, the failure rates of primary and revision myringoplasty were 11.02% and 5.94%, respectively. Significantly different among the prognostic factors were such as sex, age, anesthesia, surgical approach, the presence of otorreha, size of eardrum perforation, external auditory canal narrowing, valsalva test, degree of pneumatization, graft materials, tympanoplasty type, previous mastoidectomy, the presence of bilateral otitis media influencing on myringoplasty revision, and the presence of otorrhea and sclerotic type of mastoid pneumatization. Conclusion Among various prognostic factors of myringoplasty, poor prognostic factors were preoperative otorrhea and poor pneumatization. Korean J Otorhinolaryngol-Head Neck Surg 2014;57(7):454-9
참고문헌 (16)
- Lade H, "Endoscopic vs microscopic myringoplasty: a different perspective", Eur Arch Otorhinolaryngol, 271(7), pp.1897~1902 (2014)
- Wasson JD, "Myringoplasty: impact of perforation size on closure and audiological improvement", J Laryngol Otol, 123(9), pp.973~977 (2009)
- Kotecha B, "Myringoplasty: a prospective audit study", Clin Otolaryngol Allied Sci, 24(2), pp.126~129 (1999)
- Bhat NA, "Retrospective analysis of surgical outcome, symptom changes, and hearing improvement following myringoplasty", J Otolaryngol, 29(4), pp.229~232 (2000)
- Aggarwal R, "Myringoplasty", J Laryngol Otol, 120(6), pp.429~432 (2006)
- Ringenberg JC, "Fat graft tympanoplasty", Laryngoscope, 72, pp.188~192 (1962)
- Chandrasekhar SS, "Pediatric tympanoplasty. A 10-year experience", Arch Otolaryngol Head Neck Surg, 121(8), pp.873~878 (1995)
- Lee P, "Myringoplasty: does the size of the perforation matter?", Clin Otolaryngol Allied Sci, 27(5), pp.331~334 (2002)
- Kaddour HS, "Myringoplasty under local anaesthesia: day case surgery", Clin Otolaryngol Allied Sci, 17(6), pp.567~568 (1992)
- Caylan R, "Myringoplasty in children: factors influencing surgical outcome", Otolaryngol Head Neck Surg, 118(5), pp.709~713 (1998)
- Karkanevatos A, "Day-case myringoplasty: five years’ experience", J Laryngol Otol, 117(10), pp.763~765 (2003)
- Woo HY, "Fat Myringoplasty in graft failures", Korean J Otolaryngol-Head Neck Surg, 43(4), pp.369~372 (2000)
- Park CW, "The outcome of myringoplasty using autogenous fat graft", Korean J Otolaryngol-Head Neck Surg, 44(9), pp.920~924 (2001)
- Gamra OB, "Cartilage graft in type I tympanoplasty: audiological and otological outcome", Eur Arch Otorhinolaryngol, 25(7), pp.739~742 (2008)
- 김용현, "제1형 고실성형술의 예후인자로서 이관 기능과 유돌부 함기화", 대한이비인후과학회지 두경부외과학, 55(5), pp.284~289 (2012), 대한이비인후과학회[DOI]
- Gersdorff M, "Myringoplasty: long-term results in adults and children", Am J Otol, 16(4), pp.532~535 (1995)