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Surgical results of type I tympanoplasty during the years 2014 to 2019, at the hospital universitario clínica San Rafael in Bogotá


Journal of Otolaryngology-ENT Research
Monsalve Murcia DP,1 Macias Tolosa C2

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Abstract

Objective:To determine the frequency of postoperative tympanic reperforations at three months and at six months, in patients who underwent type I tympanoplasty in the otorhinolaryngology service of San Rafael University Clinical Hospital in Bogotá, Colombia, during the years 2014 to 2019.

Methodology:retrospective, descriptive and cross-sectional study.

Study population and methods: The data were collected from the review of otology outpatient medical records, who met the selection criteria and the surgical criteria for institutional type I tympanoplasty.

Results:47 patients were operated on. 62% were female and 38% male. Postoperative reperforation was evidenced in 8.5% of the total sample. None were before three months, 1 patient between 3 and 6 months postoperative and 3 patients after 6 months postoperative. The most frequent cause for which a patient was led to type I tympanoplasty was infectious, (66%). The otorhinolaryngological comorbidity most frequently associated with perforations was chronic otitis media (COM), in 51%. The audiometries performed showed an improvement of 17% and 20% between the preoperative and postoperative PTA, in the right ear and in the left ear, respectively.

Conclusions:The results show that the type of tympanoplasty used in the institution is effective for the anatomical closure of the tympanic perforations included in our study, despite the associated poor prognostic factors, recommending the use of this surgical technique and this type of cartilaginous graft to achieve this main objective.

Keywords

tympanoplasty, myringoplasty, tympanic perforation

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