Efficacy of tympanoplasty without mastoidectomy for chronic suppurative otitis media.

OBJECTIVE

To compare the efficacy of tympanoplasty without mastoidectomy in patients with chronic suppurative otitis media (CSOM) vs efficacy in those with dry tympanic membrane (TM) perforations.

DESIGN

Retrospective controlled study based on a prospective database.

SETTING

Academic tertiary referral center.

PATIENTS: A total of 150 consecutive patients without cholesteatoma with CSOM or dry perforations alone who underwent tympanoplasty without mastoidectomy from January 2000 through December 2005.

INTERVENTION: Tympanoplasty without mastoidectomy.

MAIN OUTCOME MEASURE: Perforation recurrence. Independent variables were age, surgical approach, perforation size, and revision surgery.

RESULTS

The TM graft failure rate was not significantly worse in the CSOM group compared with the dry perforation group (P = .48). The independent variables studied were not statistically related to the success of tympanoplasty except that revision surgery was associated with a slightly reduced success rate (P = .03).

CONCLUSIONS

The success rate of tympanoplasty without mastoidectomy is at least as good for patients with CSOM as it is for patients with perforation without prior otorrhea. Age (P = .28), perforation size (P = .11), and surgical approach (P = .82) were not significantly related to success rate. Revision surgery was associated with a slightly lower success rate.